Correlation between mechanical ventilation time and functionality of patients with ARDS by COVID-19

Authors

DOI:

https://doi.org/10.33448/rsd-v12i3.40456

Keywords:

Weaning; Tracheostomy; COVID-19; Muscle weakness.

Abstract

This study aims to evaluate the muscle strength, functionality and length of tracheostomized  patients' stay by prolonged ventilation   due to COVID-19 disease in an adult intensive therapy unit. It is a quantitative and retrospective research, through hospitalized patients'  medical records in a period of march 2020 to october 2020 of both genders, aged between 16 to 90 years approved by the research ethics committee. It was used a questionnaire created by the authors themselves that includes: muscle strength, functionality and length of stay in the (ICU) and it achieved successful decannulation still in the critical unit. It was statistically analized through the software IBM SPSS statistics, version 23. It was used 43 medical records where 27 individuals discharged from intensive care units and 16 progressed to death. It was observed that when compared the total time of mechanical ventilation with the functionality outcome there was no statistically significant difference (p>0,05). The shortest stay of VM on days ocurred for those who were bedridden or position change (27 _+ 9,4 days) and the longest stay was for those who were sitting out of bed with ability to cooperate (44 -+ 9,9 days) . Similarly it happened with dynamometry there was no positive correlation, however, the length of stay for those who achieved success of decannulation was 9,53 days (SD ± 3,65 days) well below the most studies have already published with the same sample.

References

Abe, T., Madotto, F., Pham, T., Nagata, I., Uchida, M., Tamiya, N., Kurahashi, K., Bellani, G., Laffey, J. G., & LUNG-SAFE Investigators and the ESICM Trials Group (2018). Epidemiology and patterns of tracheostomy practice in patients with acute respiratory distress syndrome in ICUs across 50 countries. Critical care (London, England), 22(1), 195. https://doi.org/10.1186/s13054-018-2126-6.

Barbaro, R. P., MacLaren, G., Swol, J., Slutsky, A. S., & Brodie, D. (2022). COVID-19 ARDS: getting ventilation right - Authors' reply. Lancet (London, England), 399(10319), 22–23. https://doi.org/10.1016/S0140-6736(21)02448-X.

Cunha, M. C. A., Schardong, J., Righi, N. C., Lunardi, A. C., Sant'Anna, G. N., Isensee, L. P., Xavier, R. F., Brambatti, K. R., Pompeu, J. E., Frâncio, F., Faria, L. M., Cardoso, R. A., Silva, A. M. V. D., Dorneles, C. C., Werle, R. W., Ferreira, J. C., Plentz, R. D. M., & Carvalho, C. R. F. (2022). Impact of prone positioning on patients with COVID-19 and ARDS on invasive mechanical ventilation: a multicenter cohort study. Jornal brasileiro de pneumologia: publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia, 48(2), e20210374. https://doi.org/10.36416/1806-3756/e20210374.

Elkins, M., & Dentice, R. (2015). Inspiratory muscle training facilitates weaning from mechanical ventilation among patients in the intensive care unit: a systematic review. Journal of physiotherapy, 61(3), 125–134. https://doi.org/10.1016/j.jphys.2015.05.016.

Estrela, C. (2018). Metodologia Científica: Ciência, Ensino, Pesquisa. Editora Artes Médicas.

Gorman, E. A., O'Kane, C. M., & McAuley, D. F. (2022). Acute respiratory distress syndrome in adults: diagnosis, outcomes, long-term sequelae, and management. Lancet (London, England), 400(10358), 1157–1170. https://doi.org/10.1016/S0140-6736(22)01439-8.

Griffiths, M. J. D., McAuley, D. F., Perkins, G. D., Barrett, N., Blackwood, B., Boyle, A., Chee, N., Connolly, B., Dark, P., Finney, S., Salam, A., Silversides, J., Tarmey, N., Wise, M. P., & Baudouin, S. V. (2019). Guidelines on the management of acute respiratory distress syndrome. BMJ open respiratory research, 6(1), e000420. https://doi.org/10.1136/bmjresp-2019-000420.

Hermans, G., Van Mechelen, H., Clerckx, B., Vanhullebusch, T., Mesotten, D., Wilmer, A., Casaer, M. P., Meersseman, P., Debaveye, Y., Van Cromphaut, S., Wouters, P. J., Gosselink, R., & Van den Berghe, G. (2014). Acute outcomes and 1-year mortality of intensive care unit-acquired weakness. A cohort study and propensity-matched analysis. American journal of respiratory and critical care medicine, 190(4), 410–420. https://doi.org/10.1164/rccm.201312-2257OC.

Hu, B., Guo, H., Zhou, P., & Shi, Z. L. (2021). Characteristics of SARS-CoV-2 and COVID-19. Nature reviews. Microbiology, 19(3), 141–154. https://doi.org/10.1038/s41579-020-00459-7.

Kutsukutsa, J., Kuupiel, D., Monori-Kiss, A., Del Rey-Puech, P., & Mashamba-Thompson, T. P. (2019). Tracheostomy decannulation methods and procedures for assessing readiness for decannulation in adults: a systematic scoping review. International journal of evidence-based healthcare, 17(2), 74–91. https://doi.org/10.1097/XEB.0000000000000166.

Lemyze, M., Komorowski, M., Mallat, J., Arumadura, C., Pauquet, P., Kos, A., Granier, M., & Grosbois, J. M. (2022). Early Intensive Physical Rehabilitation Combined with a Protocolized Decannulation Process in Tracheostomized Survivors from Severe COVID-19 Pneumonia with Chronic Critical Illness. Journal of clinical medicine, 11(13), 3921. https://doi.org/10.3390/jcm11133921.

Lopez-Leon, S., Wegman-Ostrosky, T., Perelman, C., Sepulveda, R., Rebolledo, P. A., Cuapio, A., & Villapol, S. (2021). More than 50 long-term effects of COVID-19: a systematic review and meta-analysis. Scientific reports, 11(1), 16144. https://doi.org/10.1038/s41598-021-95565-8.

Loss, S. H., de Oliveira, R. P., Maccari, J. G., Savi, A., Boniatti, M. M., Hetzel, M. P., Dallegrave, D. M., Balzano, P.deC., Oliveira, E. S., Höher, J. A., Torelly, A. P., & Teixeira, C. (2015). The reality of patients requiring prolonged mechanical ventilation: a multicenter study. Revista Brasileira de Terapia Intensiva, 27(1), 26–35. https://doi.org/10.5935/0103-507X.20150006.

Mancuzo, E. V., Marinho, C. C., Machado-Coelho, G. L. L., Batista, A. P., Oliveira, J. F., Andrade, B. H., Brandão, Á. L. T., Leite, A. S. M., Ferreira, P. C., Roveda, J. R. C., Leite, A. S., & Augusto, V. M. (2021). Lung function of patients hospitalized with COVID-19 at 45 days after hospital discharge: first report of a prospective multicenter study in Brazil. Jornal brasileiro de pneumologia: publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia, 47(6), e20210162. https://doi.org/10.36416/1806-3756/e20210162.

McGrath, B. A., Brenner, M. J., Warrillow, S. J., Pandian, V., Arora, A., Cameron, T. S., Añon, J. M., Hernández Martínez, G., Truog, R. D., Block, S. D., Lui, G. C. Y., McDonald, C., Rassekh, C. H., Atkins, J., Qiang, L., Vergez, S., Dulguerov, P., Zenk, J., Antonelli, M., Pelosi, P., … Feller-Kopman, D. J. (2020). Tracheostomy in the COVID-19 era: global and multidisciplinary guidance. The Lancet. Respiratory medicine, 8(7), 717–725. https://doi.org/10.1016/S2213-2600(20)30230-7.

Privitera, E., Gambazza, S., Rossi, V., Santambrogio, M., Binda, F., Tarello, D., Caiffa, S., Turrin, V., Casagrande, C., Battaglini, D., Panigada, M., Fumagalli, R., Pelosi, P., & Grasselli, G. (2022). Association of ventilator-free days with respiratory physiotherapy in critically ill patients with Coronavirus Disease 2019 (COVID-19) during the first pandemic wave. A propensity score-weighted analysis. Frontiers in medicine, 9, 994900. https://doi.org/10.3389/fmed.2022.994900.

Saad, M., Laghi, F. A., Brofman, J. D., Undevia, N. & Shaikh, H. (2022). Successful tracheostomy decannulation after prolonged mechanical ventilation in patients with COVID-19 disease. American Journal of Respiratory and Critical Care Medicine, 205 (1) 5397. https://www.atsjournals.org/doi/abs/10.1164/ajrccm-conference.2022.205.1_MeetingAbstracts.A5397.

Schultz, P., Morvan, J. B., Fakhry, N., Morinière, S., Vergez, S., Lacroix, C., Bartier, S., Barry, B., Babin, E., Couloigner, V., Atallah, I., French Society of Otorhinolaryngology, Head, Neck Surgery (SFORL), & French Society of Head, Neck Carcinology (SFCCF) (2020). French consensus regarding precautions during tracheostomy and post-tracheostomy care in the context of COVID-19 pandemic. European annals of otorhinolaryngology, head and neck diseases, 137(3), 167–169. https://doi.org/10.1016/j.anorl.2020.04.006.

Tornari, C., Surda, P., Takhar, A., Amin, N., Dinham, A., Harding, R., Ranford, D. A., Archer, S. K., Wyncoll, D., Tricklebank, S., Ahmad, I., Simo, R., & Arora, A. (2021). Tracheostomy, ventilatory wean, and decannulation in COVID-19 patients. European archives of oto-rhino-laryngology: official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS): affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 278(5), 1595–1604. https://doi.org/10.1007/s00405-020-06187-1.

Van Aerde, N., Van den Berghe, G., Wilmer, A., Gosselink, R., Hermans, G., & COVID-19 Consortium (2020). Intensive care unit acquired muscle weakness in COVID-19 patients. Intensive care medicine, 46(11), 2083–2085. https://doi.org/10.1007/s00134-020-06244-7.

Published

25/02/2023

How to Cite

KAYBERS, T.; FERREIRA , M. J. S. .; GOMES AMARAL, A. E. .; OLIVEIRA, L. P. de .; LEITE, M. M. . Correlation between mechanical ventilation time and functionality of patients with ARDS by COVID-19. Research, Society and Development, [S. l.], v. 12, n. 3, p. e8212340456, 2023. DOI: 10.33448/rsd-v12i3.40456. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/40456. Acesso em: 23 nov. 2024.

Issue

Section

Health Sciences