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
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