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Rehabilitation in Acute COVID-19 Patients: A Japanese Retrospective, Observational, Multi-Institutional Survey.
Yamada, Yuka; Kawakami, Michiyuki; Tashiro, Syoichi; Omori, Maiko; Matsuura, Daisuke; Abe, Reon; Osada, Maiko; Tashima, Hiroyuki; Shimomura, Tadasuke; Mori, Naoki; Wada, Ayako; Ishikawa, Aiko; Tsuji, Tetsuya.
  • Yamada Y; Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan.
  • Kawakami M; Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan. Electronic address: michiyukikawakami@hotmail.com.
  • Tashiro S; Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan; Department of Rehabilitation Medicine, Kyorin University School of Medicine, Tokyo, Japan.
  • Omori M; Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan; Department of Rehabilitation Medicine, National Hospital Organization Saitama Hospital, Saitama, Japan.
  • Matsuura D; Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan; Brain Attack Center Ota Memorial Hospital, Hiroshima, Japan.
  • Abe R; Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan; Department of Rehabilitation Medicine, Kawasaki Municipal Hospital, Kanagawa, Japan.
  • Osada M; Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan; Department of Rehabilitation Medicine, Saiseikai Yokohama Tobu Hospital, Kanagawa, Japan.
  • Tashima H; Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan.
  • Shimomura T; Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan; Department of Rehabilitation Medicine, Saiseikai Yokohama Tobu Hospital, Kanagawa, Japan.
  • Mori N; Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan.
  • Wada A; Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan.
  • Ishikawa A; Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan.
  • Tsuji T; Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan.
Arch Phys Med Rehabil ; 103(5): 929-936, 2022 05.
Article in English | MEDLINE | ID: covidwho-1559192
ABSTRACT

OBJECTIVE:

To investigate the changes in activities of daily living (ADLs) and the conditions of rehabilitation for acute COVID-19 patients in Japan.

DESIGN:

Retrospective, observational survey.

SETTING:

Four tertiary hospitals with intensive care units and one secondary hospital in Japan.

PARTICIPANTS:

COVID-19 patients (N=478) admitted to 5 hospitals

INTERVENTIONS:

Not applicable. MAIN OUTCOME

MEASURES:

Walking ability and swallowing status were assessed using the FIM locomotion item and Food Intake Scale at admission and discharge. The physiatrists of each hospital were also surveyed regarding the factors that influenced decisions to provide rehabilitation.

RESULTS:

Excluding patients who died, the proportion of critical patients who could walk independently at discharge was 63%, and the proportion of those who were able to take 3 meals orally at discharge was 90%. Rehabilitation was provided to 13.4% of all patients and to 58.3% of patients with critical symptoms.

CONCLUSIONS:

After COVID-19 treatment, patients, especially those with critical symptoms, still have functional disabilities related to walking and swallowing. It is possible that sufficient rehabilitation could not be provided during the period studied.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Activities of Daily Living / COVID-19 Drug Treatment Type of study: Observational study / Prognostic study Limits: Humans Country/Region as subject: Asia Language: English Journal: Arch Phys Med Rehabil Year: 2022 Document Type: Article Affiliation country: J.apmr.2021.11.004

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Activities of Daily Living / COVID-19 Drug Treatment Type of study: Observational study / Prognostic study Limits: Humans Country/Region as subject: Asia Language: English Journal: Arch Phys Med Rehabil Year: 2022 Document Type: Article Affiliation country: J.apmr.2021.11.004