Rehabilitation post-COVID-19: cross-sectional observations using the Stanford Hall remote assessment tool.

Autor:	O'Sullivan O; Academic Department of Military Rehabilitation, Defence Medical Rehabilitation Centre Stanford Hall, Loughborough, LE12 5BL, UK.; Headquarters Army Medical Services (HQ AMS), Camberley, UK., Barker-Davies RM; Academic Department of Military Rehabilitation, Defence Medical Rehabilitation Centre Stanford Hall, Loughborough, LE12 5BL, UK robert.barker-davies@nhs.net.; School of Sport Exercise and Health Sciences, Loughborough University, Loughborough, UK., Thompson K; Headquarters Army Medical Services (HQ AMS), Camberley, UK., Bahadur S; Defence Medical Rehabilitation Centre Stanford Hall, Loughborough, UK., Gough M; Defence Medical Rehabilitation Centre Stanford Hall, Loughborough, UK., Lewis S; Defence Medical Rehabilitation Centre Stanford Hall, Loughborough, UK., Martin M; Defence Medical Rehabilitation Centre Stanford Hall, Loughborough, UK., Segalini A; Defence Medical Rehabilitation Centre Stanford Hall, Loughborough, UK., Wallace G; Defence Medical Rehabilitation Centre Stanford Hall, Loughborough, UK., Phillip R; Defence Medical Rehabilitation Centre Stanford Hall, Loughborough, UK., Cranley M; Defence Medical Rehabilitation Centre Stanford Hall, Loughborough, UK.
Jazyk:	angličtina
Zdroj:	BMJ military health [BMJ Mil Health] 2023 Jun; Vol. 169 (3), pp. 243-248. Date of Electronic Publication: 2021 May 26.
DOI:	10.1136/bmjmilitary-2021-001856
Abstrakt:	Introduction: The multisystem COVID-19 can cause prolonged symptoms requiring rehabilitation. This study describes the creation of a remote COVID-19 rehabilitation assessment tool to allow timely triage, assessment and management. It hypotheses those with post-COVID-19 syndrome, potentially without laboratory confirmation and irrespective of initial disease severity, will have significant rehabilitation needs. Methods: Cross-sectional study of consecutive patients referred by general practitioners (April-November 2020). Primary outcomes were presence/absence of anticipated sequelae. Binary logistic regression was used to test association between acute presentation and post-COVID-19 symptomatology. Results: 155 patients (n=127 men, n=28 women, median age 39 years, median 13 weeks post-illness) were assessed using the tool. Acute symptoms were most commonly shortness of breath (SOB) (74.2%), fever (73.5%), fatigue (70.3%) and cough (64.5%); and post-acutely, SOB (76.7%), fatigue (70.3%), cough (57.4%) and anxiety/mood disturbance (39.4%). Individuals with a confirmed diagnosis of COVID-19 were 69% and 63% less likely to have anxiety/mood disturbance and pain, respectively, at 3 months. Conclusions: Rehabilitation assessment should be offered to all patients suffering post-COVID-19 symptoms, not only those with laboratory confirmation and considered independently from acute illness severity. This tool offers a structure for a remote assessment. Post-COVID-19 programmes should include SOB, fatigue and mood disturbance management. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2023. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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