The British Thoracic Society survey of rehabilitation to support recovery of the Post Covid-19 population

Singh, Sally; Barradell, Amy; Greening, Neil; Bolton, Charlotte E.; Jenkins, Gisli; Preston, Louise; Hurst, John R.

doi:10.1101/2020.05.07.20094151

Cited by 12 publications

(13 citation statements)

References 23 publications

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“…The impact of CC on respiratory infectious diseases has recently raised an increasing research interest, particularly in children affected by chronic respiratory diseases [4].…”

Section: The Impact Of Climate Change On Paediatric Respiratory Infecmentioning

confidence: 99%

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Climate Change and Childhood Respiratory Health: A Call to Action for Paediatricians

Cicco

Ferrante

Amato

et al. 2020

IJERPH

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Climate change (CC) is one of the main contributors to health emergencies worldwide. CC appears to be closely interrelated with air pollution, as some pollutants like carbon dioxide (CO2), nitrogen oxides (NOx) and black carbon are naturally occurring greenhouse gases. Air pollution may enhance the allergenicity of some plants and, also, has an adverse effect on respiratory health. Children are a uniquely vulnerable group that suffers disproportionately from CC burden. The increasing global warming related to CC has a big impact on plants’ lifecycles, with earlier and longer pollen seasons, as well as higher pollen production, putting children affected by asthma and allergic rhinitis at risk for exacerbations. Extreme weather events may play a role too, not only in the exacerbations of allergic respiratory diseases but, also, in favouring respiratory infections. Even though paediatricians are already seeing the impacts of CC on their patients, their knowledge about CC-related health outcomes with specific regards to children’s respiratory health is incomplete. This advocates for paediatricians’ increased awareness and a better understanding of the CC impact on children’s respiratory health. Having a special responsibility for children, paediatricians should actively be involved in policies aimed to protect the next generation from CC-related adverse health effects. Hence, there is an urgent need for them to take action and successfully educate families about CC issues. This paper aims at reviewing the evidence of CC-related environmental factors such as temperature, humidity, rainfall and extreme events on respiratory allergic diseases and respiratory infections in children and proposing specific actionable items for paediatricians to deal with CC-related health issues in their clinical practice.

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“…The impact of CC on respiratory infectious diseases has recently raised an increasing research interest, particularly in children affected by chronic respiratory diseases [4].…”

Section: The Impact Of Climate Change On Paediatric Respiratory Infecmentioning

confidence: 99%

“…In March 2020, the British Thoracic Society released the position statement, "The Environment and Lung Health 2020" [4], warning on the upcoming risks of people with chronic respiratory diseases who may be particularly sensitive to the impacts of CC.…”

Section: Introductionmentioning

confidence: 99%

Climate Change and Childhood Respiratory Health: A Call to Action for Paediatricians

Cicco

Ferrante

Amato

et al. 2020

IJERPH

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“…Just like the RECOVERY program design, the clinics should cater to all the categories of COVID-recovered patients, mild, moderate or severe, and will be key components of hospitals in the coming years of post-pandemic era. [13,14] It has also been recommended that post-COVID-19 recovery, patients should lead a healthy lifestyle, have nutritious foods to enhance immunity and do regular physical activity, breathing exercises or yoga. [3] Likewise, HCW, in our survey, post-recovery was focussed on a nutritious diet (71%) and a majority (65%) were practising some form of physical activity, which was in tune with the recommendations.…”

Section: Discussionmentioning

confidence: 99%

“Post-COVID-19 syndrome:” The New Pandemic Affecting Healthcare Workers and How the Frontline Warriors Are Battling it

Rao

Amara

Chaudhuri

et al. 2021

IJPC

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Objectives: “Post-COVID-19 syndrome,” which may be the new pandemic, has affected various domains of quality of life; even among those who have recovered from mild COVID-19 disease. The aim of our study was to explore the health, social and psychological impact on healthcare workers (HCWs) who have recovered from active COVID-19 illness and highlight their needs post-recovery. Materials and Methods: It was a web-based survey study. A total of 163 eligible consenting HCWs participated in this survey. The Institutional Ethical Committee approval was obtained before study recruitment and the study was registered with the Clinical Trial Registry of India. Each participant responded to 25 questions. Results: Among those participated, 51% were doctors, 32% were nurses and others were allied health professionals and students. About 82% had mild COVID-19 illness and 40% required hospitalisation for COVID-19 treatment. In the post-recovery period, 66% experienced health issues and fatigue on mild exertion was the most common symptom (42.94%). It was followed by anosmia and ageusia (21.47%), headache and myalgia (15.34%) and breathlessness (8.59%). About 82% HCW felt the need for a post-COVID-19 recovery health care unit. Potential risk of infecting family members was the most common concern (53.46%) followed by the fear of contracting the virus again (46.54%). About 35% of HCW experienced the fear of developing post-COVID-19 complications. About 78% of HCW did not report any psychological concerns, but one-third were stressed due to the financial impact. Conclusion: Post-COVID-19 syndrome impacts all domains of quality of life. Fatigue, loss of taste and smell, headache, myalgia and breathlessness continue to persist beyond recovery of active illness. Most of the HCWs emphasised the need to set up post-COVID-19 care units. The fear of contracting the virus again and financial drain due to hospital expenses continued to distress HCWs.

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“…There is strong evidence for the efficacy of pulmonary rehabilitation (PR) for people with chronic respiratory disease [1] and previous literature has also demonstrated the benefits of PR in terms of improvements in exercise capacity and quality of life in survivors of adult respiratory distress syndrome and influenza A (H1N1) pneumonitis [2]. International statements have now suggested that the PR setting may be an appropriate rehabilitation pathway for patients recovering from COVID-19 who have persistent pulmonary and extra-pulmonary symptoms and functional limitations [2][3][4][5]. In Sydney, Australia, the Northern Sydney Local Health District (NSLHD) has had 550 cases of COVID-19 (as of 15 July 2020).…”

Section: Introductionmentioning

confidence: 99%

COVID‐19 rehabilitation delivered via a telehealth pulmonary rehabilitation model: a case series

Wootton

King

Alison

et al. 2020

Respirology Case Reports

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International statements have suggested the pulmonary rehabilitation (PR) model as an appropriate rehabilitation option for people recovering from coronavirus disease 2019 (COVID-19). In this case series, we present our COVID-19 telehealth rehabilitation programme, delivered within a PR setting, and discuss the management of our first three cases. All patients were male, with a median age of 73 years. Following hospital discharge, the patients presented with persistent limitations and/or symptoms (e.g. breathlessness, fatigue, and reduced exercise capacity) which warranted community-based rehabilitation. Patients were assessed and provided with an initial six-week rehabilitation programme supported via telehealth using a treatable traits approach. Patients demonstrated improvements in exercise capacity and breathlessness; however, fatigue levels worsened in two cases and this was attributed to the difficulties of managing returning to work and/or carer responsibilities whilst trying to recover from a severe illness. We found that PR clinicians were well prepared and able to provide an individualized rehabilitation programme for people recovering from COVID-19.

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The British Thoracic Society survey of rehabilitation to support recovery of the Post Covid-19 population

Cited by 12 publications

References 23 publications

Climate Change and Childhood Respiratory Health: A Call to Action for Paediatricians

Climate Change and Childhood Respiratory Health: A Call to Action for Paediatricians

“Post-COVID-19 syndrome:” The New Pandemic Affecting Healthcare Workers and How the Frontline Warriors Are Battling it

COVID‐19 rehabilitation delivered via a telehealth pulmonary rehabilitation model: a case series

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