Rehabilitation and COVID-19: the Cochrane Rehabilitation 2020 rapid living systematic review
Autor: | Maria G, Ceravolo, Chiara, Arienti, Alessandro, de Sire, Elisa, Andrenelli, Francesco, Negrini, Stefano G, Lazzarini, Michele, Patrini, Stefano, Negrini |
---|---|
Rok vydání: | 2020 |
Předmět: |
Male
Respiratory Therapy 030506 rehabilitation medicine.medical_specialty Cross-sectional study Critical Illness medicine.medical_treatment Pneumonia Viral MEDLINE Physical Therapy Sports Therapy and Rehabilitation Rehabilitation Centers Risk Assessment law.invention Cohort Studies 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Epidemiology medicine Humans Pandemics Early Ambulation Randomized Controlled Trials as Topic Rehabilitation business.industry COVID-19 Recovery of Function Evidence-based medicine Prognosis Exercise Therapy Intensive Care Units Cross-Sectional Studies Treatment Outcome Italy Case-Control Studies Physical therapy Female Coronavirus Infections 0305 other medical science Risk assessment business 030217 neurology & neurosurgery Cohort study |
Zdroj: | European Journal of Physical and Rehabilitation Medicine. 56 |
ISSN: | 1973-9095 1973-9087 |
Popis: | INTRODUCTION: This paper improves the methodology of the first edition of the rapid living systematic review started in April 2020, with the aim to gather and present the current evidence informing rehabilitation of patients with COVID-19 and/or describing the consequences due to the disease and its treatment. EVIDENCE ACQUISITION: The Cochrane methodology for a rapid living systematic review was applied. Primary research papers, published from 1 January to 30 June 2020, reporting patients' data, with no limits of study design were included. Studies were categorized for study design, research question, COVID-19 phase, limitations of functioning (disability) of rehabilitation interest and type of rehabilitation service involved. Methodological quality assessment was based on the Cochrane Risk of Bias tools, and the level of evidence table (OCEBM 2011) for all the other studies. EVIDENCE SYNTHESIS: Thirty-six, out of 3703 papers, were included. One paper was of level 2 (RCT), 7 were of level 3 (2 cohort studies, 2 cross-sectional studies and 3 case-control studies), and 28 papers of level 4 (descriptive studies); 61% of papers reported epidemiological data on clinical presentations, 5 investigated natural history/determining factors, 1 searched prevalence, 2 studies reported on intervention efficacy (though not on harms), and 5 studies looked at health service organization. CONCLUSIONS: Main issues emerging from the review: it is advised to test for COVID-19 people with neurological disorders presenting with symptom changes; dysphagia is a frequent complication after oro-tracheal intubation in COVID-19 patients admitted to the ICU; after discharge, COVID-19 survivors may report persistent restrictive ventilatory deficits regardless of disease severity; there is only sparse and low quality evidence concerning the efficacy of any rehabilitation intervention to promote functional recovery; a substantial increase in resource (staff and equipment) is needed for rehabilitation. |
Databáze: | OpenAIRE |
Externí odkaz: |