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Name of Media:

Impaired mental health status following intensive care unit admission in a patient with COVID-19

Author(s):

Mitsuhito Soh, Toru Hifumi, Tsutomu Iwasaki, Yusuke Miura, Norio Otani, Shinichi Ishimatsu

Publisher or Source:

Acute Medicine & Surgery

Type of Media:

Medical Journal

Media Originally for:

Critical Care Physicians,General Medical Professionals,Nurses and/or Other Critical Care Medical Professionals

Country of Origin:

Australia

Primary Focus of Media:

Post Intensive Care Syndrome (PICS)

COVID-19 Related:

Yes

Description:

Background

Severe respiratory failure patients with coronavirus disease (COVID-19) sometimes do not receive post-intensive care syndrome prevention bundles. No detailed report has been published on the practical observations of mental impairments in these patients.
Case presentation

A 33-year-old man was admitted with COVID-19 pneumonia. On day 6, he was admitted to the intensive care unit (ICU). Considering the risk of nosocomial infection, as per the hospital policy, early rehabilitation could not be initiated for COVID-19 patients at that time and family visits were not allowed. Thereafter, his respiratory condition gradually improved; he was discharged on day 19. When the ICU nurse called to assess his medical condition, the patient complained of insomnia after ICU discharge. Therefore, we called him for an outpatient visit 28 days after discharge and scored his mental health status.
Conclusion

Careful follow-up is required to treat mental impairment in patients with COVID-19.

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