Caracterização sociodemográfica, clínica e funcional de pacientes adultos com COVID-19 internados em UTI

Abstract

Approximately 5% of COVID-19 patients who develop the severe form of the disease will require admission to an intensive care unit (ICU). Patients who are admitted to the ICU, especially those undergoing mechanical ventilation (MV), have decreased muscle strength and trophism. The objective of this dissertation was to characterize the sociodemographic, clinical and functional profile of adult patients with COVID-19 admitted to an ICU. A first article was carried out with the title “Sociodemographic, clinical profile and mobility level of patients with COVID-19 admitted to the ICU”, which aimed to characterize the sociodemographic, clinical profile and mobility level of 192 hospitalized patients with COVID-19. in ICU according to ventilatory status and to identify factors associated with mortality in patients who received MV during ICU stay. In this study, we concluded that patients who used MV stayed longer in the ICU and hospital, had higher mortality and lower levels of physical activity on admission when compared to patients without MV. The second article written is entitled “Functional capacity of critically ill individuals with COVID-19 during their stay in the ICU: a prospective observational study”, and aimed to analyze the clinical outcomes of individuals hospitalized for COVID-19 according to the state. prior to ICU admission and to verify whether there is an association between functional capacity (FC) and clinical outcomes. Furthermore, we followed the behavior of FC of individuals who survived hospitalization throughout the ICU stay and investigated whether the decline in FC is associated with worse physical outcomes. We conclude that individuals with COVID-19 admitted to the ICU, who were previously dependent, had worse clinical outcomes, such as longer ICU and hospital stays and higher mortality when compared to independent individuals. And those who are discharged from the ICU show a significant functional decline.