The Impact of COVID-19 Pandemic on Rehabilitation in Singapore

Chen, Dominic Enhan; Tay, Elvina Kw; Tan, Pei Ling; Su, Peijing; Koh, Moses Mh; Ong, Poo Lee; Chew, Effie; Ng, Yee Sien

doi:10.47102/annals-acadmedsg.2020297

Cited by 5 publications

(7 citation statements)

References 7 publications

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“…Singapore's first confirmed case was reported on 23 January 2020 [5]. The COVID-19 pandemic had upended healthcare systems and disrupted patient care in terms of referral patterns, neurosurgical management and neurorehabilitation services due to the measures undertaken to detect, contain and reduce viral spread [6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

“…Worldwide, rehabilitation services in general, experienced major practice deviations during the COVID-19 pandemic, including early facilitated discharges, shortened stays, prioritized functional goals towards limiting physical impairment rather than improving activities or participation, and downsizing or closures of rehabilitation units [6][7][8][9][10]. Locally, inpatient rehabilitation services were provided at patients' bedside rather than in rehabilitation gyms in order to limit staff movement.…”

Section: Introductionmentioning

confidence: 99%

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Changing Epidemiology and Functional Outcomes of Inpatient Rehabilitation in Asian Traumatic Brain Injury Cases before and during the COVID-19 Pandemic: A Retrospective Cohort Study

Chua

Chi

Teo

et al. 2023

Life

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Background: This study aimed to compare acute injury and rehabilitation characteristics for traumatic brain injury (TBI) inpatients during the pre and post COVID-19 pandemic periods. Methods: A retrospective study of TBI inpatients between 1 April 2018 and 31 December 2019 (pre COVID-19 period), and 1 July 2020 and 31 March 2022 (post COVID-19 period) was performed to compare demographics, premorbid comorbidity, TBI characteristics, rehabilitation complications, admission and discharge functional independence measure (FIM®), length of stay and discharge status. Results: A total of 187 data sets were analyzed (82 pre COVID-19 and 105 post COVID-19). Post COVID-19 TBI inpatients were older by 11 years (pre COVID-19 mean 55 years vs. post COVID-19 mean 66 years, and p < 0.001), with 23% higher female inpatients (pre COVID-19 13.4% vs. post COVID-19 36.2%, and p < 0.001) and 25% higher presence of comorbidities (pre COVID-19 52.4% vs. post COVID-19 77.1%, and p < 0.001). In the post COVID-19 group, total discharge FIM (Td-FIM) was significantly lower by ~12 points (pre COVID-19 94.5 vs. post COVID-19 82, and p = 0.011), Td-FIM ≥ 91 was lower by ~18% (pre COVID-19 53.7% vs. post COVID-19 36.2%, and p = 0.017), and the need for caregivers increased by ~17% (pre COVID-19 68% vs. post COVID-19 85.4%, and p = 0.006) Conclusions: Our findings signal a demographic shift towards older, frailer TBI with lower functional independence levels post COVID-19.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Changing Epidemiology and Functional Outcomes of Inpatient Rehabilitation in Asian Traumatic Brain Injury Cases before and during the COVID-19 Pandemic: A Retrospective Cohort Study

Chua

Chi

Teo

et al. 2023

Life

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“…While provision of TR for patients needing outpatient rehabilitation services is an attractive proposition, it remains a relatively new mode of interaction for most patients. This is because conventional outpatient rehabilitation services have been the common modus operandi in Singapore prior to the onset of the pandemic [ 23 ]. Additionally, outpatient rehabilitation services in Singapore are geographically accessible [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

Telerehabilitation acceptance among patients during Circuit Breaker period: A retrospective study

Fang¹,

Jiang²,

Loh³

et al. 2022

Dialogues in Health

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“…Several hospitals converted IPR beds into general medicine wards or isolation wards to house COVID-19 patients, with overall less access to rehabilitation. 5,6 During the pandemic, the diagnosis of cancer itself decreased, with the weekly number falling 46.4% for certain solid tumors combined. 7 There was a reflective drop in cancer screening and routine care 8 and higher rates of cases and hospitalization in American Indians, Black and African-Americans, and Hispanic/Latino populations.…”

mentioning

confidence: 99%

“…The COVID-19 pandemic changed the way hospital systems operate and significantly impacted IPR. Several hospitals converted IPR beds into general medicine wards or isolation wards to house COVID-19 patients, with overall less access to rehabilitation 5,6 …”

mentioning

confidence: 99%

Changes in Patterns of Referral for Inpatient Rehabilitation Cancer Patients due to COVID-19: A Retrospective Study

Gupta,

Ng,

de Moraes

et al. 2023

Am J Phys Med Rehabil

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There is a paucity of literature on the effect of COVID-19 on hospital processes. We hypothesized that COVID-19 was associated with decreased cancer physiatry referrals in 2020. This is a retrospective cohort study of consecutive patients from April- July of 2019 and 2020 admitted at an academic quaternary cancer center. The main outcomes were number of hospital admissions, rate and characteristics of inpatient rehabilitation admissions and change in percentage of physiatry referrals as the primary endpoint. Results showed in 2019, there were 387 referrals from 10,274 inpatient admissions (3.8%; 95% CI: 2.4 - 4.2), compared to 337 referrals from 7,051 admissions in 2020 (4.8%; 95% CI: 4.3 - 5.3, p = 0.001). Hematology services referred more patients than neurosurgery in 2020 (20.4% vs 31.4%; 48.2% vs 26.5%; p = 0.01). Discharge disposition reflected an increased frequency of return to acute care service in 2020 (10.2% vs 21.8%; p = 0.03). In conclusion, there was an increase in the rate of physiatry referrals despite a decrease in hospital admissions. There was an increase in referrals by hematology, likely due to emphasis on safe discharge and the populations hospitalized.

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The Impact of COVID-19 Pandemic on Rehabilitation in Singapore

Cited by 5 publications

References 7 publications

Changing Epidemiology and Functional Outcomes of Inpatient Rehabilitation in Asian Traumatic Brain Injury Cases before and during the COVID-19 Pandemic: A Retrospective Cohort Study

Changing Epidemiology and Functional Outcomes of Inpatient Rehabilitation in Asian Traumatic Brain Injury Cases before and during the COVID-19 Pandemic: A Retrospective Cohort Study

Telerehabilitation acceptance among patients during Circuit Breaker period: A retrospective study

Changes in Patterns of Referral for Inpatient Rehabilitation Cancer Patients due to COVID-19: A Retrospective Study

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