Rehabilitation After Critical Illness in People With COVID-19 Infection

Simpson, Robert; Robinson, Lawrence R.

doi:10.1097/phm.0000000000001443

Cited by 279 publications

(344 citation statements)

References 60 publications

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“…Although it has been suggested that ideally patients admitted to IRFs should either be asymptomatic or test COVID negative, we took a different approach given the overwhelming volume of COVID-19 positive patients in our area. 9 Given our limited knowledge about this disease and its course, these decisions were made on a case-by-case basis. We did find that patients with downward trending inflammatory markers and either normal or downward trending ferritin levels tended to be more appropriate for admission to our freestanding acute rehabilitation hospital.…”

Section: Administrative Challengesmentioning

confidence: 99%

Redefining Pathways into Acute Rehabilitation during the COVID‐19 Crisis

Gitkind

Levin

Dohle

et al. 2020

PM&R

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The coronavirus disease 2019 (COVID-19) pandemic has necessitated drastic changes across the spectrum of health care, all of which have occurred with unprecedented rapidity. The need to accommodate change on such a large scale has required ingenuity and decisive thinking. The field of physical medicine and rehabilitation has been faced with many of these challenges. Healthcare practitioners in New York City, the epicenter of the pandemic in the United States, were among the first to encounter many of these challenges. One of the largest lessons included learning how to streamline admissions and transfer process into an acute rehabilitation hospital as part of a concerted effort to make acute care hospital beds available as quickly as possible. Disclosure

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Section: Administrative Challengesmentioning

confidence: 99%

Redefining Pathways into Acute Rehabilitation during the COVID‐19 Crisis

Gitkind

Levin

Dohle

et al. 2020

PM&R

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“…Mental dysfunction is also very prevalent in HCWs without coronavirus diagnoses, with to studies (41,57) nding > 25% prevalence for distress and psychiatric morbidity. Many sources re ected upon the additional psychological burden experienced by HCWs, due to ethical tensions around not being able to meet previously expected levels of service, balancing exposure with social contact, and surge management challenges (58)(59)(60)(61)(62)(63)(64)(65). These burdens are described as growing over time (58,59), with HCWs who are single, female, nurses and doctors, frontline workers and close to outbreaks noted to be at particular risk (41,57).…”

Section: Resultsmentioning

confidence: 99%

“…The only current recommendation for patients is the use of early mobilisation wherever possible (62,69).…”

Section: Mobilitymentioning

confidence: 99%

“…Self-care (including dressing, toileting and bathing) has been identi ed as a key aspect of recovery from coronaviruses, and should be emphasized during both assessment and treatment (62,67,82). Self-care dysfunction is reported at all stages of recovery, usually characterized as direct consequence of bodily dysfunction (64).…”

Section: Self-carementioning

confidence: 99%

“…Lim et al (63) also identi ed experiences of stigma from community members towards HCWs, which were attributed to fear of infection. outbreaks may impact upon discharge planning for all patients, creating workload and resource consequences across multiple services or locations (58,62,63). Some HCWs may also experience a signi cant decrease in workload as resources are shifted to other services, leading to underutilization or stand downs (93).…”

Section: Support and Relationshipsmentioning

confidence: 99%

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The Functional Impacts of the Covid-19 Pandemic: A Rapid Review

Hitch

Cramer

Adcock

et al. 2020

Preprint

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Background: The Covid-19 pandemic is having a severe and unprecedented impact on human functioning, due to its influence on bodily functions and structures, the activities we participate in and the environments in which we live. The aim of this rapid review is to inform health services planning and decision making, by identifying and synthesizing the potential functional impact of the Covid-19 pandemic on human health and wellbeing.Methods: This rapid review was completed within four weeks during April – May 2020. The review focused on primary sources describing and evaluating the functional impact of the SARS, MERS and Covid-19 coronavirus pandemics, published since January 2000 in peer reviewed journal articles. All included sources were evaluated for quality, and the International Classification of Function provided a theoretical structure for synthesizing the available evidence.Results: A total of 65 sources met the inclusion criteria for this review. The majority (n=42, 61.6%) were related to the SARS pandemic, and originated from Asia for North America. Almost half of the reviewed sources (n=32, 49.2%) investigated the impact of coronavirus pandemics on the community, with smaller evidence bases related to people with coronaviruses and their families (n=19, 29.2%) and healthcare workers (n=17, 26.1%). Of the research sources available, the majority utilized descriptive quantitative methods via cross sectional data collection.The functional impact of the Covid-19 pandemic is likely to spread far beyond infected patients, to influence the wellbeing of healthcare workers and the entire community in both positive and negative ways. The findings of this review indicate that health services must engage with the inter-sectionality of pandemic experiences, collaborate with other sectors as part of society-wide responses and prioritize function as a key outcome.Conclusions:Based on the experience of past coronavirus pandemics, and the experience to date of the current Covid-19 outbreak, every health service in all health systems must be prepared to prevent and manage the functional impacts of the Covid-19 pandemic, possibly for decades to come. This review highlights the multitude of avenues available for health service prioritization and planning, and emphasized that a multi-dimensional, multi-service (and ideally multi-systems) approach is needed.

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Disparities in the allocation of inpatient physical and occupational therapy services for patients with COVID‐19

Jolley¹,

Nordon‐Craft

Wilson³

et al. 2022

Journal of Hospital Medicine

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Background: Survivors of the novel coronavirus (COVID-19) experience significant morbidity with reduced physical function and impairments in activities of daily living. The use of in-hospital rehabilitation therapy may reduce long-term impairments. Objective: To determine the frequency of therapy referral and treatment amongst hospitalized COVID-19 patients, assess for disparities in referral and receipt of therapy, and identify potentially modifiable factors contributing to disparities in therapy allocation. Design, Setting and Participants: Retrospective cohort study using data collected from the University of Colorado Health Data Compass data warehouse assessing therapy referral rates and estimated delivery based on available administrative billing.Measurements: Multivariable logistic regression was used to determine the association between sex and/or underrepresented minority race with therapy referral or delivery.Results: Amongst 6239 COVID-19-related hospitalization, a therapy referral was present in 3952 patients (51.9%). Hispanic ethnicity was independently associated with lower odds of receipt of therapy referral (adjusted OR [aOR]: 0.78, 95% confidence interval [

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Rehabilitation After Critical Illness in People With COVID-19 Infection

Cited by 279 publications

References 60 publications

Redefining Pathways into Acute Rehabilitation during the COVID‐19 Crisis

Redefining Pathways into Acute Rehabilitation during the COVID‐19 Crisis

The Functional Impacts of the Covid-19 Pandemic: A Rapid Review

Disparities in the allocation of inpatient physical and occupational therapy services for patients with COVID‐19

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