Scindeks Asistent Scindeks Asistent — sistem za ozbiljne časopise i one koji to žele da postanu
Vol. 81 Br. 06 (2024)
Vol. 81 Br. 06 (2024)

Izazovi u ranoj rehabilitaciji hirurških bolesnika sa COVID-19 infekcijom – single-arm studija

DOI: 10.2298/VSP231228033S
Dušica Simić-Panić
*University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia; University Clinical Center of Vojvodina, †Medical Rehabilitation Clinic, Novi Sad, Serbia
Ksenija Bošković
*University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia; ‡Special Hospital for Rheumatic Diseases, Novi Sad, Serbia
Slobodan Pantelinac
*University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia; †Medical Rehabilitation Clinic, Novi Sad, Serbia
Aleksandar Knežević
*University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia; University Clinical Center of Vojvodina, †Medical Rehabilitation Clinic, Novi Sad, Serbia
Predrag Jovićević
Special Hospital for Rheumatic Diseases, Novi Sad, Serbia
Apostolos Kozios
University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia
Nataša Janjić
*University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia; University Clinical Center of Vojvodina, Department of Orthopedic Surgery and Traumatology, Novi Sad, Serbia
Nikola Nikolić
University Clinical Center of Vojvodina, Department of Abdominal and Endocrine Surgery, Novi Sad, Serbia
Larisa Vojnović
*University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia; University Clinical Center of Vojvodina, †Medical Rehabilitation Clinic, Novi Sad, Serbia
Snežana Tomašević-Todorović
*University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia; University Clinical Center of Vojvodina, †Medical Rehabilitation Clinic, Novi Sad, Serbia
PDF (engleski)

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2024-06-27

Sekcija

Originalni članak

Sažetak

Uvod/Cilj. U aktuelnoj literaturi dostupno je veoma malo podataka o ishodu rehabilitacije hirurških bolesnika obolelih od COVID-19. Cilj istraživanja bio je da ukaže na karakteristike rane rehabilitacije ovih bolesnika i da se utvrde prediktori ishoda rehabilitacije. Metode. Studija je bila osmišljena kao prospektivno kliničko ispitivanje i obuhvatila je bolesnike koji su bili hirurški lečeni od 1. aprila 2022. do 31. marta 2023. godine u Univerzitetskom kliničkom centru Vojvodine, Srbija, a koji su bili  pozitivni na severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) preoperativno ili su razvili koronavirusnu bolest 2019 (COVID-19) u roku od 72 sata nakon operativnog tretmana. Program rehabilitacije planiran je za svakog bolesnika pojedinačno, shodno vrsti hirurškog lečenja, uzrastu, kliničkoj slici i težini COVID-19, dužini imobilizacije i komorbiditetima. Tretman rehabilitacije (TR) je počinjao sa najmanje jednom sesijom od 30 minuta dnevno, do tri dnevne sesije od po 30 minuta. Bolesnici su procenjivani na početku TR i pri otpustu iz bolnice. Za procenu ishoda korišćene su modifikovana Borgova skala


(MBS) za dispneju, Bartelov indeks (BI) za aktivnosti svakodnevnog života, Šestominutni test hoda (Six-Minute Walk Test-6MWT) za toleranciju vežbanja i test Ustani i kreni (Timed up and Go-TUG), za ravnotežu i pokretljivost donjih ekstremiteta. Rezultati. U studiju je bilo uključeno ukupno 81 bolesnika. TR je bio uspešan kod 42 bolesnika (24 žene i 18 muškaraca) prosečne starosti 62,10 ± 20,07 godina. Ovi bolesnici su pokazali značajno funkcionalno poboljšanje koje je izmereno svim testovima za procenu ishoda rehabilitacije, pri otpustu: BI (p < 0,001), MBS (p < 0,001), 6MWT (p < 0,001) i test TUG (p < 0,001). Preostalih 31 bolesnika nije imalo uspešan TR. Binarna logistička regresiona analiza pokazala je da su starost (p = 0,009), kardiovaskularne bolesti (p = 0,017) i mali-gnitet (p = 0,022) značajni prediktori ishoda rehabilitacije. Zaključak. Rezultati ove studije ukazuju da je individualno prilagođen TR tokom akutne faze COVID-19 kod hirurških bolesnika veoma izazovan. Starije životno doba, kardiovaskularne bolesti i malignitet su prediktori nepovoljnog ishoda i potrebno je pažljivo razmatranje prilikom planiranja lečenja ovih bolesnika.

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DOI: 10.2298/VSP231228033S

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