Functional results and feasibility of a teleprehabilitation program in patients who are candidates for elective colorectal cancer surgery during the COVID-19 pandemic.

AIM: To assess the value of a prehabilitation program adapted to the current COVID-19 pandemic using a teleprehabilitation modality in a public Latin American hospital. METHODS: The medical records of candidates for elective colorectal cancer surgery (CRC) and who completed a teleprehabiltation program were analyzed. Sociodemographic, clinical, and functional variables were analyzed, such as cardiorespiratory capacity with the sit-to-stand test (STST), independence in activities of daily living with the Barthel index, balance with the five-times STST (FSTST) and fatigue with Brief Inventory Fatigue (BFI). The feasibility of the program was analyzed in terms of recruitment, retention, user satisfaction, and reporting of adverse events. RESULTS: Of 107 people recruited, 57 completed the program (54%, 68.78 ± 12.36 years). There was a significant difference in the BFI, FSTST, and STS 1-min scores after the intervention (p < .01), with an effect size (Cliff's delta) that varied between -.13 and .21. There were no differences in the Barthel index score. In relation to the viability of the program, 99% of patients referred for surgery could be recruited into the program, with 53% retention. Regarding user satisfaction with the program, seven items (77.7%) were rated as "very satisfied," and two items (22.3%) as "satisfied." No adverse events were recorded. CONCLUSION: The structured prehabilitation program adapted to teleprehabilitation for CRC candidates for surgery was effective in optimizing functional results prior to surgery and was feasible to implement in a public hospital with limited resources during the COVID-19 pandemic.

Efectividad de un programa de telerrehabilitación sobre la funcionalidad y satisfacción del usuario de los sobrevivientes de COVID-19 en tiempos de pandemia (Effectiveness of a telerehabilitation program on the functionality and user satisfaction of COVI

This study’s objective is to describe the effects of a telerehabilitation program on functionality and user satisfaction of COVID-19 survivors in public hospitals. It is an observational, longitudinal and retrospective study. The background was compiled from medical twenty adult user from public hospitals with limited resources, whom had entered a telerehabilitation program supervised by physiotherapists between June and October 2020 were complied. The functional capacity variables of functional capacity and lower extremity strength with Sit-to-Stand test, the functional status evaluated with the Fatigue assessment scale and the independence doing daily life activities (AVDs) evaluated with the Barthel Index. The user satisfaction surveys that patients answered after the intervention had ended were also compiled. After telerehabilitation, patients improved functional capacity and lower limb strength, functional status, AVDs (p<0.01;effect size range=-0.18;-0.40) and expressed good user satisfaction. There were no differences in fatigue perception (p=0.33;effect size=0.08) after the intervention. We concluded that a structured telerehabilitation program for COVID-19 survivors, proved to be effective for functionality and user satisfaction of this population. Alternate : Este estudio tiene por objetivo describir los efectos de un programa de telerrehabilitación en la funcionalidad y satisfacción usuaria de sobrevivientes de COVID-19 en un hospital público. Se trata de un estudio observacional, longitudinal y retrospectivo. Fueron compilados los antecedentes de veinte personas adultas usuarios de un hospital público de recursos limitados que habían ingresado a un programa de telerrehabilitación liderado por fisioterapeutas entre los meses de junio y octubre de 2020. Se compilaron las variables funcionales de capacidad funcional y fuerza de extremidades inferiores con la prueba Sit-to-Stand, el estado funcional evaluado con el Functional Status Scale, la fatiga evaluada con el Fatigue assessment scale y la independencia en actividades de la vida diaria (AVDs) evaluada con el Índice de Barthel. También fueron compilados las encuestas de satisfacción usuarias que contestaban los pacientes luego de finalizada la intervención. Posterior a la telerrehabilitación los pacientes mejoraron la capacidad funcional y fuerza de extremidades inferiores, el estado funcional, AVDs (p<0.01;rango de tamaño de efecto=-0.18;-0.40) y manifestaron una buena satisfacción usuaria. No hubo diferencias en la percepción de fatiga (p=0.33;tamaño efecto=0.08) posterior a la intervención. Se concluye que un programa estructurado de telerrehabilitación para sobrevivientes de COVID-19, resultó ser efectivo para la funcionalidad y la satisfacción usuaria de esta población.Alternate :Este estudo tem como objetivo descrever os efeitos de um programa de telerreabilitação na funcionalidade e satisfação do usuário de sobreviventes de COVID-19 em um hospital público. Trata-se de um estudo observacional, longitudinal e retrospectivo. Foram compilados os registros de vinte usuários adultos de um hospital público com recursos limitados que ingressaram em um programa de telerreabilitação liderado por fisioterapeutas entre os meses de junho e outubro de 2020. Foram compiladas as variáveis ​​funcionais de capacidade funcional e força de membros inferiores. teste to-Stand, estado funcional avaliado com a Functional Status Scale, fadiga avaliada com a escala de avaliação de fadiga e independência nas atividades da vida diária (AVDs) avaliada com o Índice de Barthel. As pesquisas de satisfação do usuário que os pacientes responderam após o término da intervenção também foram compiladas. Após a telerreabilitação, os pacientes melhoraram a capacidade funcional e a força dos membros inferiores, estado funcional, AVDs (p<0,01;intervalo de tamanho do efeito=-0,18;-0,40) e mostraram boa satisfação do usuário. Não houve diferenças na percepção de fadiga (p=0,33;tamanho do efeito=0,08) após a intervenção. Conclui-se que um programa estruturado de telerreabilitação para sobreviventes de COVID-19 mostrou-se eficaz para a funcionalidade e satisfação do usuário dessa população.

Linguistic Validation and Cross-Cultural Adaptation of the Post-COVID-19 Functional Status Scale for the Chilean Population.

BACKGROUND: Patients with COVID-19 can present functional status and disability alterations in the medium- and long-term. On the international level, a multicentered study is being carried out to validate the Post-COVID-19 Functional Status scale for different nations, thus allowing visualizing the needs for a multidisciplinary approach and planning intervention plans. The objective of this study was to perform a linguistic validation and cross-cultural adaptation of the Post-COVID-19 Functional Status scale for people infected with COVID-19 for the Chilean population. METHODS: A cross-sectional study of scale validation was carried out. The study was performed in two phases: (1) forward-translation, reverse-translation and (2) apparent cross-validity adaptation. For the apparent validity analysis, 29 individuals who had been hospitalized in Hospital del Salvador with a COVID-19 infection diagnosis and at the time of the interview were in their homes participated. RESULTS: In phase 1 forward-translation, an item required semantical changes. The reverse-translation versions were similar, and the most relevant doubts were resolved in a consensus meeting. In phase 2, the pilot study confirmed adequate understanding and scale applicability. CONCLUSIONS: Using a systematic and rigorous methodology allowed obtaining a Spanish version of the Post-COVID-19 Functional Status scale for Chile, which is conceptually and linguistically equivalent to the original instrument and adequate to assess the functional status of people infected with COVID-19.