Postacute inpatient rehabilitation for COVID-19

Shan, Mia X; Tran, Yen; Vu, Kim; Eapen, Blessen C.

doi:10.1136/bcr-2020-237406

Cited by 19 publications

(30 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In total, we included 128 articles in our review (see Figure 1 for PRISMA diagram) 3,4,13‐138 . With respect to article type, 33 were primary data articles (ie, observational studies, case reports), 22,24,33,41,51,55,57,63,69,78‐89,115,117,119,127‐129,131,132,134,136‐138 82 were secondary articles (ie, reviews, letters to the editor that did not report results of an original research project, commentaries)…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Providing rehabilitation to patients recovering fromCOVID‐19: A scoping review

Wasilewski

Cimino

Kokorelias

et al. 2021

PM&R

View full text Add to dashboard Cite

Objective To synthesize the nature and extent of research on rehabilitation care provision to COVID‐19 (COVID) patients. Specifically, we aimed to: (1) Describe the impact of COVID on patients and associated rehabilitation needs; (2) Outline the adaptations and preparations required to enable the provision of COVID rehabilitation; (3) Describe the types of rehabilitation services and treatments provided to COVID patients; and (4) Identify barriers and facilitators to delivering COVID rehabilitation. Literature Survey We searched Medline, PsychINFO, Embase, and CINAHL on June 26 th , 2020 using key words such as “rehabilitation”, “physical medicine”, “allied health professionals” and variations of “COVID”. The search was updated on October 13 th , 2020. We included articles published in English and that focused on some aspect of COVID rehabilitation for adults. We excluded articles focused on pediatric populations and those not focused (or minimally focused) on rehabilitation for COVID patients. Methodology Data were charted based on article type (i.e. primary data, secondary data, guidelines). Key information extracted included: (i) COVID sequelae; (ii) rehabilitation adaptations; (iii) structure, function and content of rehabilitation services/programs; (iv) facilitators and/or barriers to providing COVID rehabilitation; and (v) recommendations for COVID rehabilitation programming. Data were synthesized narratively. Synthesis In total, 129 articles were included in the review that reported primary data (n=33), secondary data (n=82), and clinical practice/patient self‐management guidelines (n=13). Evidence begins to suggest that rehabilitation is necessary and valuable for addressing COVID‐related declines in health, function, and well‐being. Most articles recommended that an individualized rehabilitation program be provided across the continuum of care by an interdisciplinary team of professionals and that the nature and extent of rehabilitation be informed by the care setting and COVID severity. Most issues that challenged COVID rehabilitation delivery were directly addressed by the facilitators and adaptations identified. Conclusions Future recommendations include a greater emphasis on the psychosocial aspects of COVID rehabilitation, inclusion of families in rehabilitation planning, and the use of qualitative approaches to complement clinical data. This article is protected by copyright. All rights reserved.

show abstract

Section: Resultsmentioning

confidence: 99%

“…In total, 30 studies reported sample sizes. Seventeen case report studies reported on 1 to 9 patients, 33,51,78,79,81,83‐86,88,115,117,119,128,131,132,137,138 and the remaining 16 studies reported sample sizes ranging from 9 to 312, with a mean of 101. The mean age of patients in the case reports was 53 years old (range: 41‐69).…”

Section: Resultsmentioning

confidence: 99%

Providing rehabilitation to patients recovering fromCOVID‐19: A scoping review

Wasilewski

Cimino

Kokorelias

et al. 2021

PM&R

View full text Add to dashboard Cite

show abstract

“…After six weeks, there was recorded, based on comparison with control group, a signifi cant improvement in respiratory function, a 6-minute walk test, and quality of life SF-36 score. The effectiveness of respiratory rehabilitation in an 80-year-old patient was testes out by Shan et al (36). Patient required an intubation for 14 days in the intensive care unit.…”

Section: The Effectiveness Of Rehabilitation In Regards To An Improvementioning

confidence: 99%

Rehabilitation and physical activity for COVID-19 patients in the post infection period

Líška¹,

Andreansky²

2021

BLL

View full text Add to dashboard Cite

The fi rst cases of COVID-19 were initially recorded in December 2019 in Wuhan, the capital of China's Hubei Province. The situation quickly escalated and turned into a global pandemic. COVID-19 is a highly infectious respiratory disease that leads to decreased respiratory, physical, and psychological function of affected patients (2). Patients' symptoms widely vary; from asymptomatic course to severe symptoms. Decrease in physical function, and, in some cases, a persistence of symptoms may be observed in patients, who overcame the infection period. Rehabilitation represents a potential treatment option for COVID-19 patients in post-infection period. Rehabilitation therapies may help to restore physical function in patients and to reduce the long-term effects of COVID19 infection (Ref. 37).

show abstract

“…The implementation of a multi-disciplinary approach to identify, and prevent the impact of long-term health outcomes of COVID-19 across different organs, including cardiopulmonary, as well as the well-being of recovered patient groups is necessary to elucidate the potential classification of complications in post-acute COVID-19. 67 An example of how rehabilitation can successfully be applied to post-COVID-19 patient management is offered by Shan et al, 68 who describes the case of a woman at about 80 years of age gradually returning to her premorbid independent condition after severe COVID-19 complicated by acute respiratory distress syndrome (ARDS) following 10 days of post-acute inpatient pulmonary rehabilitation. Interestingly, current knowledge on the long-term impact of the SARS-CoV-2 infection to an important degree comes from previous epidemics, caused by severe acute respiratory syndrome (SARS) and the Middle East respiratory syndrome (MERS).…”

Section: Recommendationsmentioning

confidence: 99%

Cardio-Pulmonary Sequelae in Recovered COVID-19 Patients: Considerations for Primary Care

Sarfraz

Barrios-Ruiz

et al. 2021

J Prim Care Community Health

View full text Add to dashboard Cite

Background: Current literature lacks characterization of the post-recovery sequelae among COVID-19 patients. This review characterizes the course of clinical, laboratory, radiological findings during the primary infection period, and the complications post-recovery. Primary care findings are presented for long-COVID care. Methods: Adhering to PRISMA guidelines, 4 databases were searched (PubMed, Embase, CINAHL Plus, Scopus) through December 5, 2020, using the keywords “COVID-19 and/or recovered and/or cardiovascular and/or long-term and/or sequelae and/or sub-acute and/or complication.” We included published peer-reviewed case reports, case series, and cross-sectional studies providing the clinical course of COVID-19 infection, and cardiopulmonary complications of patients who recovered from COVID-19, while making healthcare considerations for primary care workers. Results: We identified 29 studies across 9 countries including 37.9% Chinese and 24.1% U.S. studies, comprising 655 patients (Mean Age = 45) with various ethnical backgrounds including Asian and European. Based on the WHO COVID-19 severity classification scale, initial disease severity was mild for 377 patients and severe for 52 patients. Treatments during primary infection included corticosteroids, oxygen support, and antivirals. The mean value (in days) for complication onset after acute recovery was 28 days. Complete blood counts and RT-PCR tests were the most common laboratory results described. In 22 of the studies, patients showed signs of clinical improvement and were prescribed medications such as anticoagulants or corticosteroids. Conclusion: Post-recovery infectious complications are common in long-COVID-19 patients ranging from mild infections to life-threatening conditions. International thoracic and cardiovascular societies need to develop guidelines for patients recovering from COVID-19 pneumonia, while focused patient care by the primary care physician is crucial to curb preventable adverse events. Recommendations for real-time and lab-quality diagnostic tests are warranted to establish point-of-care testing, detect early complications, and provide timely treatment.

show abstract

Postacute inpatient rehabilitation for COVID-19

Cited by 19 publications

References 7 publications

Providing rehabilitation to patients recovering fromCOVID‐19: A scoping review

Providing rehabilitation to patients recovering fromCOVID‐19: A scoping review

Rehabilitation and physical activity for COVID-19 patients in the post infection period

Cardio-Pulmonary Sequelae in Recovered COVID-19 Patients: Considerations for Primary Care

Contact Info

Product

Resources

About