Acta Scientific Neurology (ASNE) (ISSN: 2582-1121)

Research Article Volume 3 Issue 9

Post-intensive Care Syndrome in COVID 19: Monitoring from the Physical Medicine and Rehabilitation and Clinical Psychology

Espinosa-Gil Rosa María1* and Monteagudo-Santamaría María2

1Clinical Psychologist, Physical Medicine and Rehabilitation Service, Virgen de la Arrixaca University Hospital, Murcia Spain
2Head of Service, Physical Medicine and Rehabilitation, Virgen de la Arrixaca University Hospital, Murcia, Spain

*Corresponding Author: Espinosa-Gil Rosa María, Clinical Psychologist, Physical Medicine and Rehabilitation Service, Virgen de la Arrixaca University Hospital, Murcia Spain.

Received: July 10, 2020; Published: August 12, 2020

×

Abstract

  The Covid-19 has been a great challenge. At this time, it is interesting to approach patients with severe COVID who have required prolonged admission to the Critical Care Unit (ICU), intubation with connections to mechanical respiration, even connection to the extracorporeal oxygenation membrane (ECMO), because our hospital (Virgen de la Arrixaca, University Hospital, in Murcia), is reference for connection to ECMO. We have elaborated a process/protocol for offering physical and psychological care (assessment, diagnosis and treatment) from the hospital environment and specifically from Rehabilitation Service. This constitutes a challenge and we consider that it will have a significant improvement in both physical and psychological symptoms. We are working in the context to Post ICU Syndrome. The sample is reduced by the severity of the patients. We cannot offer results due to the recent pandemic and because in our region it occurred one month later than in the rest of the most affected regions in Spain (Madrid, Barcelona, Bilbao). We are in the first medical and psychological evaluations and treatment in the actuality.

Keywords: Rehabilitation; Sars Covid-19; PTSD; Family Therapy; ICU Acquired Weakness

×

References

  1. Needham DM., et al. “Improving long-term outcomes after discharge from intensive care unit: report from a stakeholders’ conference”. Critical Care Medicine 40(2012): 502-509.
  2. Von Blanckenburg P and Leppin N. “Psychological interventions in palliative care”. Current Opinion in Psychiatry 31(2018):1
  3. Inchausti F., et al. “La Psicología Clínica ante la Pandemia COVID-19 en España”. Clínica y Salud (2020).
  4. Heyland DK., et al. “Survivors of acute respiratory distress syndrome: relationship between pulmonary dysfunction and long-term health-related quality of life”. Critical Care Medicine 33(2005): 1549-1556.
  5. Xie L., et al. “Follow-up study on pulmonary function and lung radiographic changes in rehabilitating severe acute respiratory syndrome patients after discharge”. Chest 6(2005):2119-2124.
  6. Desai S V., et al. “Long-term complications of critical care”. Critical Care Medicine 2(2011):371-379.
  7. Mata Márquez J M. “Impacto de un programa de intervención para la prevención del síndrome post UCI en familiares de pacientes ingresados en UCI”. Trabajo fin de Máster, Liderazgo y Gestión de los Servicios de Enfermería, Universidad de Barcelona (2018).
  8. Rawal G., et al. “Post-intensive care syndrome: An overview”. Journal of Translational Internal Medicine 2(2017):90-92.
  9. Bados A. Fobia Social. Departamento de Personalidad, evaluación y tratamiento psicológico, Universidad de Barcelona (2009).
  10. Petrinec AB and Martin BR. “Post-intensive care syndrome symptoms and health-related quality of life in family decision-makers of critically ill patients”. Palliat Support Care (2017): 1-6.
  11. National Institute for Health and Care Excellence (NICE). Post-traumatic stress disorder. NICE guideline (2018).
  12. Sociedad española de Rehabilitación y Medicina física. Recomendaciones sobre movilización precoz y Rehabilitación respiratoria en la COVID-19 de la Unidad de Medicina intensiva, crítica y unidades coronarias (SEMICYUC) y la Sociedad española de Rehabilitación y Medicina física. (SERMEF) (2020).
  13. Folstein M., et al. ““Mini-Mental State” a Practical Method for Grading the Cognitive State of Patients for the Clinician”. Journal of Psychiatric Research3(1975) 189-198.
  14. Dubois B., et al. “The FAB: A frontal assessment battery at bedside”. Neurology 11 (2000): 1621-1626.
  15. Wechsler D. “Adaptación al castellano de la escala de memoria de Wechsler-III”. Madrid: TEA Ediciones (2004).
  16. Reitan RM and Wolfson D. The Halstead-Reitan Neuropsychological Test (1985).
  17. Terol MC., et al. “Propiedades psicométricas de la Escala Hospitalaria de Ansiedad y Estrés (HAD) en población Española”. Ansiedad y Estrés 13(2007): 163-176.
  18. Beck AT., et al. “An inventory for measuring depression”. Archives of General Psychiatry 4(1961): 561-571
  19. Echeburúa E., et al. “Escala de Gravedad de Síntomas Revisada (EGS-R) del Trastorno de Estrés Postraumático según el DSM-5: propiedades psicométricas”. Terapia psicológica 34(2016): 111-128.
  20. Herdman M., et al. “El EuroQol-5D: una alternativa sencilla para la medición de la calidad de vida relacionada con la salud en atención primaria”. Aten Primaria 28(2001):425-429.
  21. Barraca M J and López-Yarto EL. “ESFA. Escala de satisfacción familiar por adjetivos”. Madrid, España: Segunda edición. TEA, Publicaciones de Psicología Aplicada (1999).
  22. Rodríguez Abuín M. “Evaluación y valoración de los Vínculos Interpersonales en el Adultos Ediciones TEA” (2018).
  23. Labrador FJ., et al. “Eficacia de un programa de intervención individual y breve para el trastorno por estrés postraumático en mujeres víctimas de violencia doméstica”. International Journal of Clinical and Health Psychology 3(2006): 527-547.
  24. Jarero N and Artigas L. “Conceptualización Teórica sobre el Trauma Agudo y el Estrés Traumático Continuado Basada en el Modelo del SPIA”. Iberoamerican Journal of Psychotraumatology and Dissociation (2008).
×

Citation

Citation: Espinosa-Gil Rosa María and Monteagudo-Santamaría María. “Post-intensive Care Syndrome in COVID 19: Monitoring from the Physical Medicine and Rehabilitation and Clinical Psychology".Acta Scientific Neurology 3.9 (2020): 33-38.




Metrics

Acceptance rate32%
Acceptance to publication20-30 days

Indexed In




News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is September 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US