Acute Occupational and Physical Therapy for Patients With COVID-19: A Retrospective Cohort Study

Coakley, Kathryn E.; Friedman, Laura; McLoughlin, Kaitlyn; Wozniak, Amy; Hutchison, Paul D.

doi:10.1016/j.apmr.2022.07.010

Cited by 3 publications

(16 citation statements)

References 19 publications

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“…Over time, the percentage of patients who received PT/OT increased, and these services were initiated earlier during the hospitalization in the final cohort. Coakley et al reported similar utilization of rehabilitation services during the first wave of COVID-19 in April and May 2020 and found that, overall, 38% of the patients received PT and/or OT 37 . It was also noted that patients in the later cohorts had higher function based on the FSS-ICU and “6 Clicks” scores.…”

Section: Discussionmentioning

confidence: 91%

“…Coakley et al reported similar utilization of rehabilitation services during the first wave of COVID-19 in April and May 2020 and found that, overall, 38% of the patients received PT and/or OT. 37 It was also noted that patients in the later cohorts had higher function based on the FSS-ICU and "6 Clicks" scores. This increase in physical function noted in the later cohorts could have been due to the higher number of patients who were considered independent at admission to the hospital, fewer patients being admitted from the nursing home, and/or the increased number of referrals to PT/OT earlier in the hospitalization reducing the loss of function.…”

Section: Discussionmentioning

confidence: 97%

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Changes in Interprofessional Practice During the COVID-19 Pandemic and the Effect on Patient Outcomes

Schallom,

Tymkew,

Taylor

et al. 2024

Dimens Crit Care Nurs

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Background Changes in healthcare delivery were required during the first year of the COVID-19 pandemic. Objective The purpose of this study was to determine the impact of the approach to care of the COVID-19 patient on nursing sensitive indicators and nutrition therapy and the utilization of rehabilitation services during the first year of the pandemic in the acute care setting. Method A retrospective study of 894 patients admitted with a COVID-19 diagnosis was conducted between March 2020 and February 2021 in 3-month cohorts. All charts were reviewed for general demographics and hospital data, nursing quality indicators, and nutritional and rehabilitation services for the first 30 days of admission. Results Differences in patient characteristics were noted among the cohorts. Variations were observed between time points in hospital-acquired pressure injury occurrence, with mechanical ventilation and proning being independent predictors of hospital-acquired pressure injuries. There were differences noted in the percentage of patients with a central line–associated bloodstream infection among the time points (P < .001), but there were no differences noted in catheter-associated urinary tract infections (P = .20). Overall, 15.5% had a malnutrition diagnosis, with most patients receiving 50% of prescribed calorie and protein needs. Rehabilitation services increased over time with these services being initiated earlier in the later cohorts (P < .001). Discussion The results of this study demonstrated the impact of the pandemic on outcomes in the areas of nursing, nutrition, and rehabilitation, which varied across quarterly cohorts as we learned and developed new practices and adapted to a novel pandemic.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 97%

Changes in Interprofessional Practice During the COVID-19 Pandemic and the Effect on Patient Outcomes

Schallom,

Tymkew,

Taylor

et al. 2024

Dimens Crit Care Nurs

View full text Add to dashboard Cite

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“…Twelve studies met the criteria for this systematic review. Four studies were conducted in the United States [ 39 – 42 ], two in Italy [ 43 , 44 ], two in Switzerland [ 45 , 46 ], and one study in Canada [ 47 ], Romania [ 48 ], Taiwan [ 49 ] and France [ 50 ]. Six studies in the review were published in 2021 [ 39 , 40 , 43 , 44 , 47 , 50 ].…”

Section: Resultsmentioning

confidence: 99%

“…Four were published in 2022 [ 41 , 45 , 48 , 49 ]. Two papers were published in 2023 [ 42 , 46 ]. The total number of participants from included studies was 570.…”

Section: Resultsmentioning

confidence: 99%

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Multidisciplinary inpatient rehabilitation for older adults with COVID-19: a systematic review and meta-analysis of clinical and process outcomes

et al. 2023

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Background Older adults are at increased risk for disease severity and poorer prognosis following COVID-19 infection. The aim of this systematic review and meta-analysis is to explore the impact of multidisciplinary rehabilitation in the acute or post-acute hospital setting for older adults with COVID-19. Methods The Cochrane library, EMBASE, Cinahl and Medline (via EBSCO), PubMed, and Web of Science were systematically searched in June 2022 and a repeat search was completed in March 2023. Screening, data extraction and quality appraisal were conducted independently by two reviewers. Studies reporting outcomes for older adults following multidisciplinary rehabilitation (provided by two or more Health and Social Care Professionals) were included. Both observational and experimental study designs were included. The primary outcome was functional ability. Secondary outcomes included discharge disposition, acute hospital and rehabilitation unit length of stay, mortality, primary and secondary healthcare utilisation, and long-term effects of COVID-19. Results Twelve studies met the inclusion criteria, comprising a total of 570 older adults. Where reported, older adults stayed in the acute hospital for a mean of 18 days (95%CI, 13.35- 23.13 days) and in rehabilitation units for 19 days (95%CI, 15.88–21.79 days). There was a significant improvement in functional ability among older adults with COVID-19 who received multidisciplinary rehabilitation (REM, SMD = 1.46, 95% CI 0.94 to 1.98). The proportion of older adults who were discharged directly home following rehabilitation ranged from 62 to 97%. Two studies reported a 2% inpatient mortality rate of older persons during rehabilitative care. No study followed up patients after the point of discharge and no study reported on long term effects of COVID-19. Conclusions Multidisciplinary rehabilitation may result in improved functional outcomes on discharge from rehabilitation units/centres for older adults with COVID-19. Findings also highlight the need for further research into the long-term effect of rehabilitation for older adults following COVID-19. Future research should comprehensively describe multidisciplinary rehabilitation in terms of disciplines involved and the intervention provided.

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Impact of Long COVID symptoms on individuals in Hong Kong: Implications for occupational therapy practices

Tsui,

Chan,

Lam

et al. 2024

British Journal of Occupational Therapy

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Introduction: From occupational therapy perspective, this study investigates the nature and impact of Long COVID symptoms on individuals in Hong Kong according to their gender, age, and occupation and to understand their treatment needs Method: A total of 193 participants with an acute COVID-19 episode 3 months ago and having recovered from it who were experiencing subjective symptoms of Long COVID were recruited through snowball sampling from local COVID-19 support groups and healthcare facilities to participate in a cross-sectional design via an online survey assessing their symptoms and the impact on daily activities, and exploring their treatment preferences. Findings: Respiratory, systemic, sleep, and cognitive symptoms were found to be the most prevalent, with significant variations in symptom severity and impact on daily life across different age and occupational status groups. The treatment preference was quite strongly inclined to traditional Chinese medicine. Conclusion: This study has uncovered the critical and yet recognized roles of occupational therapy in managing Long COVID impact by identifying the potential gaps of occupational therapy in its management and calling for advocating promotion in the community and interdisciplinary collaboration with traditional Chinese medicine. Implications about occupational therapy management and the healthcare policies for tailoring treatment programs are discussed.

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Acute Occupational and Physical Therapy for Patients With COVID-19: A Retrospective Cohort Study

Cited by 3 publications

References 19 publications

Changes in Interprofessional Practice During the COVID-19 Pandemic and the Effect on Patient Outcomes

Changes in Interprofessional Practice During the COVID-19 Pandemic and the Effect on Patient Outcomes

Multidisciplinary inpatient rehabilitation for older adults with COVID-19: a systematic review and meta-analysis of clinical and process outcomes

Impact of Long COVID symptoms on individuals in Hong Kong: Implications for occupational therapy practices

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