ABSTRACT
Commenting on this book is a great privilege and an opportunity to share some emerging aspects regarding the development of pulmonary rehabilitation. Indeed, appreciating the therapeutic value of this modality is possible because of continuous research and tireless commitment of all professionals involved in the care of patients with respiratory diseases and pulmonary-related impairments....
Subject(s)
COVID-19/rehabilitation , Lung Transplantation/rehabilitation , Respiratory Therapy/methods , Respiratory Tract Diseases/rehabilitation , COVID-19/diagnosis , COVID-19/epidemiology , COVID-19/virology , Humans , Interdisciplinary Communication , Practice Patterns, Physicians' , Rehabilitation/standards , Respiratory Tract Diseases/pathology , Respiratory Tract Diseases/therapy , SARS-CoV-2/isolation & purificationABSTRACT
No Abstract.
Subject(s)
Capacity Building , Coronavirus Infections/rehabilitation , Pandemics , Physical and Rehabilitation Medicine/organization & administration , Pneumonia, Viral/rehabilitation , Rehabilitation/organization & administration , Betacoronavirus , COVID-19 , Coronavirus Infections/epidemiology , Humans , Pneumonia, Viral/epidemiology , Rehabilitation/standards , SARS-CoV-2ABSTRACT
The COronaVIrus Disease 2019 (COVID-19), which developed into a pandemic in 2020, has become a major healthcare challenge for governments and healthcare workers worldwide. Despite several medical treatment protocols having been established, a comprehensive rehabilitation program that can promote functional recovery is still frequently ignored. An online consensus meeting of an expert panel comprising members of the Taiwan Academy of Cardiovascular and Pulmonary Rehabilitation was held to provide recommendations for rehabilitation protocols in each of the five COVID-19 stages, namely (1) outpatients with mild disease and no risk factors, (2) outpatients with mild disease and epidemiological risk factors, (3) hospitalized patients with moderate to severe disease, (4) ventilator-supported patients with clear cognitive function, and (5) ventilator-supported patients with impaired cognitive function. Apart from medications and life support care, a proper rehabilitation protocol that facilitates recovery from COVID-19 needs to be established and emphasized in clinical practice.
Subject(s)
COVID-19 , Clinical Protocols/standards , Infection Control , Rehabilitation , COVID-19/epidemiology , COVID-19/prevention & control , COVID-19/rehabilitation , Consensus , Humans , Infection Control/methods , Infection Control/organization & administration , Recovery of Function , Rehabilitation/methods , Rehabilitation/standards , SARS-CoV-2/isolation & purification , TaiwanABSTRACT
The highly infectious and pathogenic novel coronavirus (CoV), severe acute respiratory syndrome (SARS)-CoV-2, has emerged causing a global pandemic. Although COVID-19 predominantly affects the respiratory system, evidence indicates a multisystem disease which is frequently severe and often results in death. Long-term sequelae of COVID-19 are unknown, but evidence from previous CoV outbreaks demonstrates impaired pulmonary and physical function, reduced quality of life and emotional distress. Many COVID-19 survivors who require critical care may develop psychological, physical and cognitive impairments. There is a clear need for guidance on the rehabilitation of COVID-19 survivors. This consensus statement was developed by an expert panel in the fields of rehabilitation, sport and exercise medicine (SEM), rheumatology, psychiatry, general practice, psychology and specialist pain, working at the Defence Medical Rehabilitation Centre, Stanford Hall, UK. Seven teams appraised evidence for the following domains relating to COVID-19 rehabilitation requirements: pulmonary, cardiac, SEM, psychological, musculoskeletal, neurorehabilitation and general medical. A chair combined recommendations generated within teams. A writing committee prepared the consensus statement in accordance with the appraisal of guidelines research and evaluation criteria, grading all recommendations with levels of evidence. Authors scored their level of agreement with each recommendation on a scale of 0-10. Substantial agreement (range 7.5-10) was reached for 36 recommendations following a chaired agreement meeting that was attended by all authors. This consensus statement provides an overarching framework assimilating evidence and likely requirements of multidisciplinary rehabilitation post COVID-19 illness, for a target population of active individuals, including military personnel and athletes.