Accès ouvert déclaré
2023
article
Early mobilisation in critically ill COVID-19 patients: a subanalysis of the ESICM-initiated UNITE-COVID observational study
Philipp Kloss, Maximilian Lindholz, Annette Milnik, Élie Azoulay, Maurizio Cecconi, Giuseppe Citerio, Thomas De Corte, František Duška, Laurą Galarza, Massimiliano Greco, Armand R. J. Girbes, Jozef Kesecioğlu, Johannes Mellinghoff, Marlies Ostermann, Mariangela Pellegrini, Jean–Louis Teboul, Jan J. De Waele, Adrian Wong, Stefan J. Schaller, Buenos Aires, Alicia Gira, P. Eller, Tarikul Hamid, Injamam Ull Haque, Wim De Buyser, Antonella Cudia, Daniel De Backer, Pierre Foulon, Vincent Collin, Jolien Van Hecke, Elisabeth De Waele, Claire Van Malderen, Jean-Baptiste Mesland, Patrick Biston, M Piagnerelli, Lionel Haentjens, Nicolas De Schryver, Jan Van Leemput, Philippe Vanhove, Pierre Bulpa, Viktoria Ilieva, David Katz, Alexandra Binnie, Anna Geagea, Fernando Tirapegui, Gustavo Lago, Jerónimo Graf, Rodrigo Perez-Araos, Patricio Vargas, Felipe Martinez, Eduardo Labarca, Daniel Franco, Daniela Parra-Tanoux, David Yepes, Ahmed Hammouda, Omar Elmandouh, Azzam AA, Aliae Mohamed Hussein, Islam Galal, Ahmed K. Awad, Mohammed A. Azab, Maged Abdalla, Hebatallah Assal, Mostafa Alfishawy, Sherief Ghozy, Samar Tharwat, Abdullah Eldaly, Anneli Ellervee, Veronika Reinhard, Anne Chrisment, Chrystelle Poyat, Julio Badie, Fernando Berdaguer Ferrari, Björn Weiss, Clara Schellenberg, Julius J. Grunow, Marco Lorenz, S Schaller, Spieth PM, Marc Bota, Falk Fichtner, Kristina Fuest, Tobias Lahmer, Johannes Herrmann, P M Meybohm, Nikolaos Markou, Georgia Vasileiadou, Evangelia Chrysanthopoulou, Panagiotis Papamichalis, Ioanna Soultati, Sameer Jog, Kushal Kalvit, Sheila Nainan Myatra, Ivan Krupa, Aisa Tharwat, Alistair Nichol, Aine McCarthy, Ata Mahmoodpoor, Tommaso Tonetti, Paolo Isoni, Savino Spadaro, Carlo Alberto Volta, L. Mirabella, Alberto Noto, G Florio, Amedeo Guzzardella, Chiara Paleari, Federica Baccanelli, Marzia Savi, Massimo Antonelli, Gennaro De Pascale, Barbara Vaccarini, Giorgia Montrucchio, Gabriele Sales, Katia Donadello, Leonardo Gottin, Marta Nizzero, Enrico Polati, Silvia De Rosa, Demet Sulemanji, Abdurraouf Abusalama, Muhammed Elhadi, Montelongo Felipe De Jesus, Daniel Rodriguez Gonzalez, Víctor Hugo Madrigal Robles, Nancy Canedo, Alejandro Esquivel Chavez, Tarek Dendane, B H Grady, Ben de Jong, Eveline van der Heiden, Patrick Thoral, Bas van den Bogaard, P. E. Spronk, Sefanja Achterberg, Melanie Groeneveld, Ralph K. L. So, Calvin de Wijs, Harm Scholten, A Beishuizen, Alexander D. Cornet, Auke C. Reidinga, Hetty Kranen, Roos Mensink, Sylvia den Boer, Marcel de Groot, Oliver Beck, Carina Bethlehem, Bas van Bussel, Tim Frenzel, Celestine de Jong, Rob Wilting, Jannet Mehagnoul-Schipper, Datonye Alasia, Ashok Kumar, A Qayyum, Muhammad Rana, Mustafa Abu Jayyab, Rosario Quispe Sierra, Aaron Mark Hernandez, Lúcia Taborda, Mónica Anselmo, Tiago Ramires, Catarina Silva, Carolina Roriz, Rui Morais, Pedro Póvoa, P S O Patrício, André Pinto, Maria Lurdes Santos, Vasco Costa, Pedro Cunha, Celina Gonçalves, Sandra Nunes, João Camões, Diana Adrião, Ana Oliveira, Ali Omrani, Muna Al Maslamani, Abdurrahmaan Suei elbuzidi, Bara Mahmoud Al qudah, Abdel Rauof Akkari, Mohamed Alkhatteb, Anas Baiou, Ahmed Husain, Mohamed Alwraidat, Ibrahim Abdulsalam Saif, Dana Bakdach, Amna Ahmed, Mohamed Aleef, Awadh Bintaher, Cristina Petrisor, Evgeniy Popov, Е. А. Попов, Mariia Dementienko, Boris Teplykh, Alexey Pyregov, Liubov Davydova, Belskii Vladislav, Elena Neporada, Ivan Zverev, Svetlana Meshchaninova, Д. В. Соколов, Elena Gavrilova, Irina Shlyk, Igor Poliakov, Marina Vlasova, Ohoud Aljuhani, Amina Alkhalaf, Felwa Bin Humaid, Yaseen Arabi, Ahmed Kuhail, Omar Elrabi, Madihah E. Ghannam, A Kansal, Vui Kian Ho, Jensen Ng, Raquel Rodrígez García, Xiana Taboada Fraga, Ma del Pilar García-Bonillo, Antonio Padilla‐Serrano, Marta Cuadrado, Carlos Ferrando, Ignacio Catalan-Monzon, Fernando Frutos–Vivar, Jorge Jiménez, Carmen Rodríguez-Solis, Enric Franquesa-Gonzalez, Guillermo Pérez Acosta, Luciano Santana Cabrera, Juan Pablo Aviles Parra, Francisco Muñoyerro Gonzalez, Maria Lorente del Carmen Conesa, Ignacio Yago Martínez Varela, Orville Victoriano Baez Pravia, Maria Cruz Martin Delgado, Carlos Munoz de Cabo, A Ioan, César Pérez–Calvo, Arnoldo Santos, Ane Abad-Motos, Javier Ripollés-Melchor, Belén Civantos Martin, Santiago Yus Teruel, Juan Higuera Lucas, A. Blandino Ortiz, Raúl de Pablo, Jesús Emilio Barrueco-Francioni, Lorena Forcelledo Espina, José M. Bonell-Goytisolo, Iñigo Salaverria, Antonia Socias Mir, Emilio Rodríguez‐Ruiz, Virginia Hidalgo Valverde, Patricia Jimeno Cubero, F. Árbol Linde, Nieves Cruza Leganes, Juan Maria Romeu, Pablo Concha, José Ángel Berezo-García, Virginia Fraile, Cristina Cuenca-Rubio, David Pérez-Torres, Ainhoa Serrano, C Valero, Andrea Ortiz Suñer, Leire Larrañaga, Noemi Legaristi, Gerardo Ferrigno, Safa Khlafalla, Rosita Bihariesingh-Sanchit, Frank Zoerner, Jonathan Grip, Kristina Kilsand, Johan Mårtensson, Jonas Österlind, M Seth, Johan Berkius, Samuele Ceruti, Andrea Glotta, Seval Izdes, I amp amp l Özkoçak Turan, Ahmet Cosar, Burçin Halaçlı, Necla Dereli, Mehmet Yilmaz, Türkay Akbas, G Elay, Selin Eyüpoğlu, Yelíz Bílír, Kemal Tolga Saraçoğlu, Ebru Kaya, Ayca Sultan Sahin, Pervin Korkmaz Ekren, Tuğçe Mengi, Kezban Özmen Süner, Yakup Tomak, Eroğlu Ag, Asad Alsabbah, Katie Hanlon, Kevin Gervin, Sean McMahon, Samantha Hagan, Caroline V Higenbottam, Randeep Mullhi, Lottie Poulton, Tomasz Torliński, Allen Gareth, Nick Truman, Gopal Vijayakumar, Chris Hall, A M Jubb, Lenka Cagova, Nicola Jones, Sam Graham, Nicole Robin, Amanda Cowton, Adrian Donnelly, Natalia Singatullina, Melanie Kent, C A Boulanger, Zoë Campbell, Elizabeth Potter, Natalie Duric, Tamás Szakmány, Orinta Kviatkovske, Nandor Marczin, Caroline Ellis, Rajnish Saha, Chunda Sri-Chandana, John Allan, Lana Mumelj, Harish Venkatesh, Vera Nina Gotz, Anthony Cochrane, Barbara Ficial, Shruthi Kamble, Nuttha Lumlertgul, Christopher Oddy, Susan Jain, Giulia Beatrice Crapelli, A Vlachou, David Golden, Sweyn Garrioch, Jeremy Henning, Gupta Loveleena, Miriam Davey, Lina Grauslyte, Erika Salciute-Simene, Martin Cook, Danny Barling, P. Broadhurst, Sarah Purvis, Michael Spivey, Benjamin Shuker, Irina Grecu, Daniel Harding, James T. Dean, Nathan D. Nielsen, Al-Bayati SA, Mohammed Al‐Sadawi, Mariane Charron, Peter Stubenrauch, Jairo Santanilla, Catherine Wentowski, Dorothea Rosenberger, Polikseni Eksarko, Jawa Rs
5Citations signalées — pas une note de qualité
31Institutions déclarées
10Pays d’affiliation déclarés
Résumé fourni par la source
BACKGROUND: Early mobilisation (EM) is an intervention that may improve the outcome of critically ill patients. There is limited data on EM in COVID-19 patients and its use during the first pandemic wave. METHODS: This is a pre-planned subanalysis of the ESICM UNITE-COVID, an international multicenter observational study involving critically ill COVID-19 patients in the ICU between February 15th and May 15th, 2020. We analysed variables associated with the initiation of EM (within 72 h of ICU admission) and explored the impact of EM on mortality, ICU and hospital length of stay, as well as discharge location. Statistical analyses were done using (generalised) linear mixed-effect models and ANOVAs. RESULTS: Mobilisation data from 4190 patients from 280 ICUs in 45 countries were analysed. 1114 (26.6%) of these patients received mobilisation within 72 h after ICU admission; 3076 (73.4%) did not. In our analysis of factors associated with EM, mechanical ventilation at admission (OR 0.29; 95% CI 0.25, 0.35; p = 0.001), higher age (OR 0.99; 95% CI 0.98, 1.00; p ≤ 0.001), pre-existing asthma (OR 0.84; 95% CI 0.73, 0.98; p = 0.028), and pre-existing kidney disease (OR 0.84; 95% CI 0.71, 0.99; p = 0.036) were negatively associated with the initiation of EM. EM was associated with a higher chance of being discharged home (OR 1.31; 95% CI 1.08, 1.58; p = 0.007) but was not associated with length of stay in ICU (adj. difference 0.91 days; 95% CI - 0.47, 1.37, p = 0.34) and hospital (adj. difference 1.4 days; 95% CI - 0.62, 2.35, p = 0.24) or mortality (OR 0.88; 95% CI 0.7, 1.09, p = 0.24) when adjusted for covariates. CONCLUSIONS: Our findings demonstrate that a quarter of COVID-19 patients received EM. There was no association found between EM in COVID-19 patients' ICU and hospital length of stay or mortality. However, EM in COVID-19 patients was associated with increased odds of being discharged home rather than to a care facility. Trial registration ClinicalTrials.gov: NCT04836065 (retrospectively registered April 8th 2021).
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Early mobilisation in critically ill COVID-19 patients: a subanalysis of the ESICM-initiated UNITE-COVID observational study
- Date Crossref
- 01/01/2023
- Éditeur
- Elsevier BV
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude et ne compte pas comme une seconde source scientifique indépendante.
Institutions déclarées
Une affiliation ne permet pas de déduire la nationalité d’un auteur.
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