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6 results on '"Cristiane Meirelles"'

1. Role of Oral Intake, Mobility, and Activity Measures in Informing Discharge Recommendations for Hospitalized Inmate and Noninmate Patients With COVID-19: Retrospective Analysis

Author

Matthew S Briggs, Erin Shevawn Kolbus, Kevin Michael Patterson, Lindsay Elizabeth Harmon-Matthews, Shana McGrath, Catherine C Quatman-Yates, Cristiane Meirelles, and Marka Jean Salsberry

Subjects
Medical technology, R855-855.5
Abstract

BackgroundPatients who were incarcerated were disproportionately affected by COVID-19 compared with the general public. Furthermore, the impact of multidisciplinary rehabilitation assessments and interventions on the outcomes of patients admitted to the hospital with COVID-19 is limited. ObjectiveWe aimed to compare the functional outcomes of oral intake, mobility, and activity between inmates and noninmates diagnosed with COVID-19 and examine the relationships among these functional measures and discharge destination. MethodsA retrospective analysis was performed on patients admitted to the hospital for COVID-19 at a large academic medical center. Scores on functional measures including the Functional Oral Intake Scale and Activity Measure for Postacute Care (AM-PAC) were collected and compared between inmates and noninmates. Binary logistic regression models were used to evaluate the odds of whether patients were discharged to the same place they were admitted from and whether patients were being discharged with a total oral diet with no restrictions. Independent variables were considered significant if the 95% CIs of the odds ratios (ORs) did not include 1.0. ResultsA total of 83 patients (inmates: n=38; noninmates: n=45) were included in the final analysis. There were no differences between inmates and noninmates in the initial (P=.39) and final Functional Oral Intake Scale scores (P=.35) or in the initial (P=.06 and P=.46), final (P=.43 and P=.79), or change scores (P=.97 and P=.45) on the AM-PAC mobility and activity subscales, respectively. When examining separate regression models using AM-PAC mobility or AM-PAC activity scores as independent variables, greater age upon admission decreased the odds (OR 0.922, 95% CI 0.875-0.972 and OR 0.918, 95% CI 0.871-0.968) of patients being discharged with a total oral diet with no restrictions. The following factors increased the odds of patients being discharged to the same place they were admitted from: being an inmate (OR 5.285, 95% CI 1.334-20.931 and OR 6.083, 95% CI 1.548-23.912), “Other” race (OR 7.596, 95% CI 1.203-47.968 and OR 8.515, 95% CI 1.311-55.291), and female sex (OR 4.671, 95% CI 1.086-20.092 and OR 4.977, 95% CI 1.146-21.615). ConclusionsThe results of this study provide an opportunity to learn how functional measures may be used to better understand discharge outcomes in both inmate and noninmate patients admitted to the hospital with COVID-19 during the initial period of the pandemic.

Published
2023
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2. The effects of COVID-19 on respiratory muscle performance: making the case for respiratory muscle testing and training

Author

Richard Severin, Colin K. Franz, Ellen Farr, Cristiane Meirelles, Ross Arena, Shane A. Phillips, Sam Bond, Francesco Ferraro, and Mark Faghy

Subjects
Diseases of the respiratory system, RC705-779
Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection results in multiorgan damage primarily mediated by viral infiltration via angiotensin-converting enzyme-2 receptors on the surface of cells. A primary symptom for many patients is exertional dyspnoea which may persist even beyond recovery from the viral infection. Respiratory muscle (RM) performance was hypothesised as a contributing factor to the severity of coronavirus disease 2019 (COVID-19) symptoms, such as dyspnoea, and outcomes. This was attributed to similarities between patient populations at elevated risk for severe COVID-19 symptoms and those with a greater likelihood of baseline RM weakness and the effects of prolonged mechanical ventilation. More recent evidence suggests that SARS-CoV-2 infection itself may cause damage to the RM, and many patients who have recovered report persistent dyspnoea despite having mild cases, normal lung function or undamaged lung parenchyma. These more recent findings suggest that the role of RM in the persistent dyspnoea due to COVID-19 may be more substantial than originally hypothesised. Therefore, screening for RM weakness and providing interventions to improve RM performance appears to be important for patients with COVID-19. This article will review the impact of SARS-CoV-2 infection on RM performance and provide clinical recommendations for screening RM performance and treatment interventions.

Published
2022
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3. How oral intake, mobility, and activity measures can inform discharge recommendations: A retrospective analysis of hospitalized inmate and non-inmate COVID-19 patients. (Preprint)

Author

Matthew Scott Briggs, Erin Shevawn Kolbus, Kevin Michael Patterson, Lindsay Elizabeth Harmon-Matthews, Shana Lee McGrath, Catherine Celeste Quatman-Yates, Cristiane Meirelles, and Marka Jean Salsberry

Subjects
Rehabilitation, Physical Therapy, Sports Therapy and Rehabilitation
Abstract

BACKGROUND Patients who were incarcerated were disproportionately impacted by COVID-19 compared to the general public. Further, the impact of multidisciplinary rehabilitation assessments and interventions on the outcomes of patients admitted to the hospital with COVID-19 is limited. OBJECTIVE To compare functional outcomes of oral intake, mobility, and activity between inmates and non-inmates who were diagnosed with COVID-19 and examine the relationships among these functional measures and discharge destination. METHODS A retrospective analysis was performed on patients admitted to the hospital for COVID-19 at a large academic medical center. Scores on functional measures including Functional Oral Intake Scale (FOIS) and Activity Measure for Post-Acute Care (AM-PAC) were collected and compared between inmates and non-inmates. Binary logistic regression models were used to evaluate the odds of 1) whether patients were discharged to the same place they were admitted and 2) patients being discharged with a total oral diet with no restrictions. Independent variables were considered significant if the 95% CIs of the odds ratios (ORs) did not include 1.0. RESULTS A total of 83 patients (inmates, n=38; non-inmates, n=45) were included in the final analysis. There were no differences between inmates and non-inmates on initial (P=.39) and final FOIS scores (P=.35) or on initial, final, or change scores (P>.05) on the AM-PAC. When examining separate regression models using AM-PAC mobility or AM-PAC activity scores as independent variables, greater age upon admission decreased the odds (OR=0.922; 95%CI=0.875 to 0.972 and OR=0.918; 95%CI=0.871 to 0.968) of patients being discharged with a total oral diet with no restrictions. The following factors increased the odds of patients being discharged to the same place they were admitted from: being an inmate (OR=5.285; 95%CI= 1.334 to 20.931) and (OR=6.083; 95%CI=1.548 to 23.912); “Other” race (OR=7.596; 95%CI=1.203 to 47.968) and (OR=8.515; 95%CI=1.311 to 55.291); and female sex (OR=4.671; 95%CI=1.086 to 20.092) and (OR=4.977; 95%CI=1.146 to 21.615). CONCLUSIONS Results from this study provide an opportunity to learn how functional measures may be used to better understand discharge outcomes in both inmate and non-inmate patients admitted to the hospital with COVID-19 during the initial period of the pandemic. CLINICALTRIAL

Published
2022

4. Acute Rehabilitation in a Lung Transplant Recipient Infected with Covid-19: Case Report

Author

Sidra Dhiraprasiddhi, Sara Clements, Adannaya E. Nzeogu, Cristiane Meirelles, David R. Nunley, and Colleen Wallace

Subjects
Occupational therapy, 030506 rehabilitation, medicine.medical_specialty, 2019-20 coronavirus outbreak, Rehabilitation, Coronavirus disease 2019 (COVID-19), business.industry, medicine.medical_treatment, Bilateral lung transplantation, medicine.disease, 03 medical and health sciences, Idiopathic pulmonary fibrosis, 0302 clinical medicine, Occupational Therapy, Acute care, Internal medicine, medicine, Lung transplant recipient, 030212 general & internal medicine, Geriatrics and Gerontology, 0305 other medical science, business, Gerontology
Abstract

We report a case of a 68-year-old female with idiopathic pulmonary fibrosis who underwent bilateral lung transplantation with concurrent Covid-19 infection. Physical and Occupational therapy were i...

Published
2021

5. Physical activity in community-dwelling stroke survivors and a healthy population is not explained by motor function only

Author

Cristiane Meirelles, Katharina S. Sunnerhagen, Anna Danielsson, and Carin Willén

Subjects
Adult, Male, medicine.medical_specialty, Population, Physical activity, Physical Therapy, Sports Therapy and Rehabilitation, Walking, Motor Activity, Motor function, Physical medicine and rehabilitation, Surveys and Questionnaires, medicine, Humans, Survivors, education, Stroke, Aged, education.field_of_study, business.industry, Healthy population, Rehabilitation, Case-control study, Regression analysis, Middle Aged, medicine.disease, Preferred walking speed, Neurology, Lower Extremity, Case-Control Studies, Physical therapy, Female, Neurology (clinical), business
Abstract

To explore the relationship between self-reporting and physical measures and compare self-reported physical activity (PA) levels in persons who have had a stroke with self-reported PA levels in a control population.Cross-sectional assessment of a convenience sample of survivors of a stroke living in the community and a population-based sample from the same community.University hospital.Seventy persons (48 men and 22 women; average age, 60 years) who had a stroke a mean of 6 years earlier and 141 persons (70 men and 71 women; average age, 59 years) who served as control subjects.The Physical Activity Scale for the Elderly (PASE) was used, and self-selected and maximum walking speeds were measured. Motor function after stroke was assessed with the Fugl-Meyer Assessment.The median Fugl-Meyer score for motor function in the leg was 29. Mean self-selected and maximum walking speeds after having a stroke were 1.0 m/s and 1.3 m/s, corresponding to 72% and 65% of control values. A regression model with PASE as the dependent variable and age and walking speed as independent variables explained 29% (P.001) of the variation in the stroke group. For the control group, age and self-selected walking speed explained 8% of the variation (P.01). The mean PASE score in the stroke group was 119, compared with 161 in the control group.Persons who have experienced a stroke and live in the community are less physically active than the population of the same age who have not had a stroke. However, it appears that factors other than motor impairment have an impact on a person's PA level, because only a low association was found between PA level and motor function, with a large dispersion in PA levels in persons with a history of stroke who were physically well recovered.

Published
2013

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