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- Title
The Influence of COVID-19 on Patient Mobilization and Injury Attributes in the ICU: A Retrospective Analysis of a Level II Trauma Center.
- Authors
Navarro, Yelissa; Huang, Elizabeth; Johnson, Chandler; Clark, Forrest; Coppola, Samuel; Modi, Suraj; Warren, Gordon L.; Call, Jarrod A.
- Abstract
The objectives of this study were to determine the effect of COVID-19 on physical therapy (PT) mobilization of trauma patients and to determine if mobilization affected patient course in the ICU. This retrospective study included patients who were admitted to the ICU of a level II trauma center. The patients were divided into two groups, i.e., those admitted before (n = 378) and after (n = 499) 1 April 2020 when Georgia's COVID-19 shelter-in-place order was mandated. The two groups were contrasted on nominal and ratio variables using Chi-square and Student's t-tests. A secondary analysis focused specifically on the after-COVID patients examined the extent to which mobilization (n = 328) or lack of mobilization (n = 171) influenced ICU outcomes (e.g., mortality, readmission). The two groups were contrasted on nominal and ratio variables using Chi-square and Student's t-tests. The after-COVID patients had higher injury severity as a greater proportion was classified as severely injured (i.e., >15 on Injury Severity Score) compared to the before-COVID patients. After-COVID patients also had a greater cumulative number of comorbidities and experienced greater complications in the ICU. Despite this, there was no difference between patients in receiving a PT consultation or days to mobilization. Within the after-COVID cohort, those who were mobilized were older, had greater Glasgow Coma Scale scores, had longer total hospital days, and had a lesser mortality rate, and a higher proportion were female. Despite shifting patient injury attributes post-COVID-19, a communicable disease, mobilization care remained consistent and effective.
- Subjects
INJURY risk factors; WOUND &; injury classification; INJURY complications; PHYSICAL therapy; NONPROFIT organizations; PATIENTS; RESEARCH funding; T-test (Statistics); SECONDARY analysis; HOSPITAL admission &; discharge; PATIENT readmissions; QUESTIONNAIRES; EMERGENCY medical services; RETROSPECTIVE studies; TREATMENT effectiveness; AGE distribution; GLASGOW Coma Scale; MANN Whitney U Test; CHI-squared test; TRAUMA centers; INTENSIVE care units; MEDICAL records; ACQUISITION of data; LENGTH of stay in hospitals; DATA analysis software; TRAUMA registries; COVID-19; PHYSICAL mobility; MEDICAL referrals; COMORBIDITY
- Publication
Trauma Care, 2024, Vol 4, Issue 1, p44
- ISSN
2673-866X
- Publication type
Article
- DOI
10.3390/traumacare4010005