Inpatient Rehabilitation After COVID-19 Hospitalization in a Patient With Lung Transplant

Nicolosi, Christian; Barber, Kristina; Draganich, Christina; Niehaus, William

doi:10.1097/phm.0000000000001761

Cited by 2 publications

(1 citation statement)

References 13 publications

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“…3,4,10,15 There remains a relative gap in our knowledge of the course of this novel group of patients admitted to IPR and there are only published case reports of patients with COVID-19 related pulmonary disease who underwent IPR following lung transplant. 15,17 The objective in reporting this retrospective review is to describe the IPR course of this patient population, identify common and potential medical complications in the postoperative period that affect functional progress, and present the outcomes of comprehensive, coordinated, interdisciplinary rehabilitation care for the management of these noteworthy patients.…”

Section: Introductionmentioning

confidence: 99%

Functional improvements of patients admitted to an inpatient rehabilitation facility after bilateral lung transplant due to severe COVID‐19 pulmonary disease

Goodman

Jensen

Walaszek

et al. 2023

PM&R

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BackgroundCoronavirus disease (COVID‐19) has introduced a new subset of patients with acute end‐stage lung damage for which lung transplantation has been successfully performed.ObjectiveTo describe the inpatient rehabilitation course of patients who underwent bilateral lung transplant due to severe COVID‐19 pulmonary disease.DesignRetrospective chart review.SettingFree‐standing, academic, urban inpatient rehabilitation hospital.ParticipantsSeventeen patients aged 28–67 years old (mean 53.9 ± 10.7) who developed COVID‐19 respiratory failure and underwent bilateral lung transplant.InterventionsPatients participated in a comprehensive inpatient rehabilitation program including physical, occupational, and speech therapy tailored to the unique functional needs of each individual.Main Outcome MeasuresPrimary outcome measures of functional improvements, include mobility and self‐care scores on section GG of the Functional Abilities and Goals of the Improving Post‐Acute Care Transformation Act, as defined as quality measures by the Centers for Medicare and Medicaid Services. Other functional measures included 6 minute walk test, Berg balance scale, Mann Assessment of Swallowing Ability (MASA), and Cognition and Memory Functional Independence Measure (FIM) scores. Wilcoxon signed rank sum test was used to evaluate statistical significance of change between admission and discharge scores.ResultsFourteen patients completed inpatient rehabilitation. Self‐care (GG0130) mean score improved from 20.9 to 36.1. Mobility (GG0170) mean score improved from 30.7 to 70.7. Mean 6‐minute walk distance improved from 174.1 to 467.6 feet. Mean Berg balance scores improved from 18.6/56 to 36.3/56. MASA scores improved from 171.3 to 182.3. All functional measures demonstrated statistically significant improvements with p value ≤ .008, except for cognition and memory FIM scores, which did not show a statistically significant difference. A majority (76%) of patients discharged home.ConclusionThis new and unique patient population can successfully participate in a comprehensive inpatient rehabilitation program and achieve functional improvements despite medical complications.

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Section: Introductionmentioning

confidence: 99%

Functional improvements of patients admitted to an inpatient rehabilitation facility after bilateral lung transplant due to severe COVID‐19 pulmonary disease

Goodman

Jensen

Walaszek

et al. 2023

PM&R

View full text Add to dashboard Cite

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Postoperative conditions of rehabilitative interest in lung transplantation: a systematic review

Polastri,

Pehlivan,

Reed

et al. 2024

JYMS

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Lung transplantation is an elective treatment option for end-stage respiratory diseases in which all medical therapy options have been exhausted. The current study aimed to identify updated information on the postoperative conditions that may impair rehabilitation after lung transplantation and to provide specific considerations of their clinical relevance during the recovery process. The present study is a systematic review conducted by searching three primary databases: the United States National Library of Medicine PubMed system, Scopus, and the Cochrane Library. The databases were searched for articles published from database inception until May 2024; at the end of the selection process, 27 documents were included in the final analysis. The retrieved material identified 19 conditions of rehabilitative interest that potentially affect the postoperative course: graft dysfunction, dysphagia, postsurgical pain, cognitive impairment, chronic lung allograft dysfunction-bronchiolitis obliterans syndrome, phrenic nerve injury, delayed extracorporeal membrane oxygenation weaning, airway clearance, refractory hypoxemia, mediastinitis, reduced oxidative capacity, sternal dehiscence, coronavirus disease 2019 (COVID-19), gastroparesis, ossification of the elbow, Takotsubo cardiomyopathy, airway dehiscence, recurrent pleural effusion, and scapular prolapse. Although some patients are not amenable to rehabilitation techniques, others can significantly improve with rehabilitation.

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Inpatient Rehabilitation After COVID-19 Hospitalization in a Patient With Lung Transplant

Abstract: Supplemental digital content is available in the text.

Cited by 2 publications

References 13 publications

Functional improvements of patients admitted to an inpatient rehabilitation facility after bilateral lung transplant due to severe COVID‐19 pulmonary disease

Functional improvements of patients admitted to an inpatient rehabilitation facility after bilateral lung transplant due to severe COVID‐19 pulmonary disease

Postoperative conditions of rehabilitative interest in lung transplantation: a systematic review

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