Implementation of Physiotherapy on COVID-19 Patients in ICU

Study Overview
=================
Brief Summary
-----------------
Despite new charachersitics of COVID-19 patients, critical care implementation seems to be similar to those with Acute Respiratory Distress Syndrome (ARDS) in intensive care units (ICU). Regarding the initial gravity of these patients, sedation and neuromuscular blockers are usually administrated, increasing the risk to develope an ICU-acquired weakness which is directly correlated to morbi-mortality and a burden during recovery. Respiratory symptoms are mostly related to dyspnoea and non-productive cough, with only 33% of COVID-19 patient having a bronchial hypersecretion ; consequently, chest physiotherapy is only implemented in after case-by-case evaluation. This unprecedented situation requires to identify how physiotherapy is being implemented in COVID-19 patients in ICU. This retrospective, multicentric study aims to identify the charactheristics of physiotherapy (type and time spent) implemented in Argentina, Belgium, Chili, France, Italy and Spain

Detailed Description
-----------------
Demographics data : hospitalisation date, ICU date, COVID+ date, extubation date, discharge date, mortality ICU data : ventilatory mode, type of physiotherapy implemented (early rehabilitation, chest physiotherapy, time spent (minutes), number of interventions per day.

Official Title
-----------------
Implementation of Physiotherapy on COVID-19 Patients in Intensive Care Units : a Retrospective, Multicentric, International Study

Conditions
-----------------
Sars-CoV2, COVID-19

Intervention / Treatment
-----------------
* Other: Phsyiotherapy


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion criteria: Age > 18 years Patient admitted in ICU Patient with COVID-19 diagnosis Exclusion criteria: - Explicite denie to participate in the study

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Patients accepted in ICU diagnosed with COVID-19<br>Patients accepted in ICU diagnosed with COVID-19 | Other: Phsyiotherapy<br>* To observe if patients with COVID-19 benefice of physiothersapy, which kind and how many time<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Time of physiotherapy | Time of physiotherapy (minutes) | 1 day | 
| Time of physiotherapy | Time of physiotherapy (minutes) | 3 day | 
| Time of physiotherapy | Time of physiotherapy (minutes) | 7 day | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Type of physiotherapy implemented | Type of physiotherapy , early rehabilitation or chest phsyitoherapy | 1 day | 
| Type of physiotherapy implemented | Type of physiotherapy , early rehabilitation or chest phsyitoherapy | 3 day | 
| Type of physiotherapy implemented | Type of physiotherapy , early rehabilitation or chest phsyitoherapy | 7 day | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
COVID-19, Physiotherapy, implementation, critical care