Virtual Post-Intensive-Care Rehabilitation for Survivors of COVID-19: A Service Evaluation.
| Autor: | Howroyd F; Therapy Services, Queen Elizabeth Hospital Birmingham, Birmingham, GBR., Earle N; Therapy Services, Queen Elizabeth Hospital Birmingham, Birmingham, GBR., Weblin J; Therapy Services, Queen Elizabeth Hospital Birmingham, Birmingham, GBR., McWilliams D; Centre for Care Excellence, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, GBR., Williams J; Critical Care, Queen Elizabeth Hospital Birmingham, Birmingham, GBR., Storrie C; Critical Care, Queen Elizabeth Hospital Birmingham, Birmingham, GBR., Brennan R; Critical Care, Queen Elizabeth Hospital Birmingham, Birmingham, GBR., Gautam N; Critical Care, Queen Elizabeth Hospital Birmingham, Birmingham, GBR., Snelson C; Critical Care, Queen Elizabeth Hospital Birmingham, Birmingham, GBR., Veenith T; Critical Care, Queen Elizabeth Hospital Birmingham, Birmingham, GBR. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 May 03; Vol. 15 (5), pp. e38473. Date of Electronic Publication: 2023 May 03 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.38473 |
| Abstrakt: | Aim: The objective of this study is to evaluate the safety, utilisation, and effectiveness of a novel, virtual rehabilitation programme for survivors of SARS‑CoV‑2 infection (COVID-19) and intensive care admission. Methods: A service evaluation was performed. Adults admitted to a United Kingdom intensive care unit with COVID-19-induced respiratory failure and surviving hospital discharge were invited to an eight-week rehabilitation programme. The programme consisted of virtually delivered exercise classes and support groups led by critical care physiotherapists and follow-up nurses. Results: Thirty-eight of 76 eligible patients (50%) agreed to participate, of which 28 (74%) completed the rehabilitation programme. On completion of the rehabilitation programme, there were significant improvements in exercise capacity (one-minute sit-to-stand test; 20 stands vs. 25 stands, p < 0.001), perceived breathlessness (Medical Research Council dyspnoea scale; 3 vs. 2 p < 0.001), shoulder disability (Quick Dash; 43 vs. 19 p = 0.001), anxiety (Hospital Anxiety Depression Scale; 4 vs. 3 p = 0.021), depression (Hospital Anxiety Depression Scale; 4 vs. 2.5 p = 0.010), and psychological distress (Intensive Care Psychological Assessment Tool; 3 vs. 2 p = 0.002). No adverse events or injuries were recorded during the programme. Conclusion: It is feasible to recruit and retain survivors of COVID-19-induced respiratory failure for virtual post-intensive-care rehabilitation. It appears that the virtual rehabilitation programme is safe and improves physical and psychological morbidity. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Howroyd et al.) |
| Databáze: | MEDLINE |
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