What's going on following acute covid-19? Clinical characteristics of patients in an out-patient rehabilitation program.
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 ageâ=â54(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.Keywords
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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