Safety, Feasibility, and Outcomes of Frequent, Long-Duration Rehabilitation in an Inpatient Rehabilitation Facility After Prolonged Hospitalization for Severe COVID-19: An Observational Study
Autor: | Frank Vickory, Jason R. Falvey, Beth Houwer, Katherine Payne, Jennifer Gunlikson, Kyle Ridgeway, William Niehaus |
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Rok vydání: | 2021 |
Předmět: |
Adult
Male Occupational therapy medicine.medical_specialty Coronavirus disease 2019 (COVID-19) medicine.medical_treatment Post-intensive Care Syndrome Physical Therapy Sports Therapy and Rehabilitation Critical Care Survivorship Disease Rehabilitation Centers Occupational Therapy Humans Medicine Physical Therapy Modalities Aged Skilled Nursing Facilities Physical Medicine and Aged 80 and over Mechanical ventilation Inpatients Rehabilitation business.industry COVID-19 Middle Aged Post-intensive care syndrome RehabilitationCoronavirus Cohort Emergency medicine Quality of Life Feasibility Studies Female Orig Res Observ/Prog Observational study AcademicSubjects/MED00110 business |
Zdroj: | Physical Therapy |
ISSN: | 1538-6724 0031-9023 |
Popis: | Objective he objective of this study was to evaluate safety, feasibility, and outcomes of 30 patients within an inpatient rehabilitation facility following hospitalization for severe Coronavirus Disease 19 (COVID-19) infection. Methods This was an observational study of 30 patients (ages 26–80 years) within a large, metropolitan, academic hospital following hospitalization for complications from severe COVID-19. Ninety percent of the participants required critical care, and 83% required mechanical ventilation during their hospitalization. Within an inpatient rehabilitation facility and model of care, frequent, long-duration rehabilitation was provided by occupational therapists, physical therapists, and speech language pathologists. Results The average inpatient rehabilitation facility length of stay was 11 days (ranging from 4–22 days). Patients averaged 165 min/d (ranging from 140–205 minutes) total of physical therapy, occupational therapy, and speech therapy. Twenty-eight of the 30 patients (93%) were discharged to the community. One patient required readmission from an inpatient rehabilitation facility to an acute hospital. All 30 patients improved their functional status with inpatient rehabilitation. Conclusion In this cohort of 30 patients, inpatient rehabilitation after severe COVID-19 was safe and feasible. Patients were able to participate in frequent, long-duration rehabilitation with nearly all patients discharging to the community. Clinically, inpatient rehabilitation should be considered for patients with functional limitations following severe COVID-19. Given 90% of our cohort required critical care, future studies should investigate the efficacy and effectiveness of inpatient rehabilitation following hospitalization for critical illness. Frequent, long-duration rehabilitation shows promising potential to address functional impairments following hospitalization for severe COVID-19. Impact Inpatient rehabilitation facilities should be considered as a discharge location for hospitalized survivors of COVID-19, especially severe COVID-19, with functional limitations precluding community discharge. Clinicians and administrators should consider inpatient rehabilitation and inpatient rehabilitation facilities to address the rehabilitation needs of COVID-19 and critical illness survivors. |
Databáze: | OpenAIRE |
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