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What's going on following acute covid-19? Clinical characteristics of patients in an out-patient rehabilitation program.
Albu, Sergiu; Zozaya, Nicolás Rivas; Murillo, Narda; García-Molina, Alberto; Chacón, Cristian Andrés Figueroa; Kumru, Hatice.
  • Albu S; Fundació Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Badalona -Barcelona, Spain.
  • Zozaya NR; Universitat Autonoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Spain.
  • Murillo N; Fundació Institut d'Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona, Spain.
  • García-Molina A; Fundació Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Badalona -Barcelona, Spain.
  • Chacón CAF; Universitat Autonoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Spain.
  • Kumru H; Fundació Institut d'Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona, Spain.
NeuroRehabilitation ; 48(4): 469-480, 2021.
Article in English | MEDLINE | ID: covidwho-1226969
ABSTRACT

BACKGROUND:

Coronavirus disease 2019 (COVID-19) patients present long-lasting physical and neuropsychological impairment, which may require rehabilitation.

OBJECTIVES:

The current cross-sectional study characterizes post COVID-19 sequelae and persistent symptoms in patients in an outpatient rehabilitation program.

METHODS:

Thirty patients [16 post-ICU and 14 non-ICU; median age = 54(43.8-62) years; 19 men] presenting sequelae and/or persistent symptoms (>3 months after acute COVID-19) were selected of 41 patients referred for neurorehabilitation. Patients underwent physical, neuropsychological and respiratory evaluation and assessment of impact of fatigue and quality of life.

RESULTS:

The main reasons for referral to rehabilitation were fatigue (86.6%), dyspnea (66.7%), subjective cognitive impairment (46.7%) and neurological sequelae (33.3%). Post-ICU patient presented sequelae of critical illness myopathy and polyneuropathy, stroke and encephalopathy and lower forced vital capacity compared to non-ICU patients. Cognitive impairment was found in 63.3% of patients, with a similar profile in both sub-groups. Increased physical fatigue, anxiety and depression and low quality of life were prevalent irrespective of acute COVID-19 severity.

CONCLUSIONS:

The variability of post COVID-19 physical and neuropsychological impairment requires a complex screening process both in ICU and non-ICU patients. The high impact of persistent symptoms on daily life activities and quality of life, regardless of acute infection severity, indicate need for rehabilitation.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Outpatient Clinics, Hospital / Fatigue / Cognitive Dysfunction / Ambulatory Care / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Long Covid Limits: Adult / Female / Humans / Male / Middle aged Language: English Journal: NeuroRehabilitation Journal subject: Neurology / Rehabilitation Year: 2021 Document Type: Article Affiliation country: Nre-210025

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Outpatient Clinics, Hospital / Fatigue / Cognitive Dysfunction / Ambulatory Care / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Long Covid Limits: Adult / Female / Humans / Male / Middle aged Language: English Journal: NeuroRehabilitation Journal subject: Neurology / Rehabilitation Year: 2021 Document Type: Article Affiliation country: Nre-210025