Do Patients With COVID-19 Benefit from Rehabilitation? Functional Outcomes of the First 100 Patients in a COVID-19 Rehabilitation Unit
| Autor: | Violaine Piquet, Cédric Luczak, Fabien Seiler, Jordan Monaury, Alexandre Martini, Anthony B. Ward, Jean-Michel Gracies, Damien Motavasseli, Estelle Lépine, Lucile Chambard, Marjolaine Baude, Emilie Hutin, Andrés Samaniego, Nicolas Bayle |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
030506 rehabilitation medicine.medical_specialty Activities of daily living Critical Care medicine.medical_treatment D14 Day 14 Physical Therapy Sports Therapy and Rehabilitation Article law.invention CT-scan Computerized Tomography scan 03 medical and health sciences Grip strength 0302 clinical medicine law ICU Intensive Care Unit Intensive care Activities of Daily Living Humans Medicine Pandemics PT Physical Therapy Aged Retrospective Studies Inpatients RT-PCR Reverse Transcriptase Polymerase Chain Reaction Rehabilitation Pandemic SARS-CoV-2 business.industry PM&R Physical Medicine and Rehabilitation Respiratory disease COVID-19 RNA Ribonucleic Acid Cardiorespiratory fitness Recovery of Function medicine.disease IQ InterQuartile Intensive care unit D24 Day 24 Physical therapy Female 0305 other medical science business Body mass index 030217 neurology & neurosurgery |
| Zdroj: | Archives of Physical Medicine and Rehabilitation |
| ISSN: | 0003-9993 |
| DOI: | 10.1016/j.apmr.2021.01.069 |
| Popis: | Objective To determine the benefits associated with brief inpatient rehabilitation for Covid-19 patients. Design Retrospective chart review. Setting A newly created specialized rehabilitation unit in a tertiary care medical center Participants Consecutive sample of the first 100 patients with Covid-19 infection admitted to rehabilitation. Intervention Inpatient rehabilitation for post-acute care Covid-19 patients Main Outcome Measures Measurements, at admission and discharge, comprised a Barthel Activities of Daily Living Index (including baseline value before Covid-19 infection), time to perform 10 sit-to-stands with associated cardio-respiratory changes, and grip strength (dynamometry). Correlations between these outcomes and the time spent in ICU were explored. Results Patient characteristics upon admission to rehabilitation were: men 66%, age 66±22 years, mean delay from symptom onset 20.4±10.0 days, BMI 26.0±5.4 kg/m2, hypertension 49%, diabetes 29%, with 26% having >50% pulmonary damage on CT-scans. Mean length of rehabilitation stay was 9.8±5.6 days. From admission to discharge, the Barthel index (/100) increased from 77.3±26.7 to 88.8±24.5 (p Highlights - Following Covid-19, responsiveness to inpatient rehabilitation should be determined. - A 10-day stay using predominantly motor rehabilitation improves functional outcomes. - Improvement rates were greater in more severely-affected patients upon admission. - Pre-morbid autonomy was not fully restored after brief inpatient rehabilitation. - Covid-19, a primarily respiratory disease, triggers lasting motor complications. |
| Databáze: | OpenAIRE |
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