1 |
M. is at home, onset of COVID-19 symptoms (fever, dry cough, and nausea) |
6 |
First visit at the Emergency department. M. is diagnosed with COVID-19 but sent home because he did not need supplemental oxygen therapy (oxygen saturation 93% in activity), with instructions to return if his condition deteriorated |
12 |
Emergency department visit number two. M. presents with worsen dyspnea and hypoxia (oxygen saturation of 70%) and is sent to ICD |
12 |
ICD. M. is treated with noninvasive ventilation but is not able to maintain an oxygen saturation over 90%. He is therefore admitted to the ICU. |
13 |
Admission to ICU |
14 |
Intubated during the first day of ICU. Discussions of treatment escalation (ECMO), but was denied due to obesity |
15 |
Renal failure, start of dialysis. Bacterial infections, treated with antibiotics |
46 |
Extubated. Taken out of sedation. M. is delirious, disoriented, and reports visual hallucinations. Reports of severe sleeping disorders. |
48 |
Back to ICD. M. is still delirious and confused |
51 |
Consultation and assessment by rehabilitation medicine specialist. M. is disoriented and MoCA-screening shows cognitive deficits (9 p out of maximum 18). CAM-S indicate confusion |
53 |
Head MRI. CMBs are discovered |
60 |
M. is moved to the rehabilitation In Care department. Delirium and confusion are now in full remission |
72 |
First neuropsychological assessment |
77 |
Oxygen therapy is discontinued |
95 |
Discharged from hospital and in care rehabilitation |
156 |
Follow-up out care rehabilitation |
227 |
Second neuropsychological assessment |