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Role of Rehabilitation Department for Adult Individuals With COVID-19: The Experience of the San Raffaele Hospital of Milan.
Iannaccone, Sandro; Castellazzi, Paola; Tettamanti, Andrea; Houdayer, Elise; Brugliera, Luigia; de Blasio, Francesco; Cimino, Paolo; Ripa, Marco; Meloni, Carlo; Alemanno, Federica; Scarpellini, Paolo.
  • Iannaccone S; Department of Rehabilitation and Functional Recovery, IRCCS San Raffaele Hospital, Milan, Italy; Vita-Salute San Raffaele University, Milan, Italy.
  • Castellazzi P; Department of Rehabilitation and Functional Recovery, IRCCS San Raffaele Hospital, Milan, Italy.
  • Tettamanti A; Department of Rehabilitation and Functional Recovery, IRCCS San Raffaele Hospital, Milan, Italy; Vita-Salute San Raffaele University, Milan, Italy.
  • Houdayer E; Department of Rehabilitation and Functional Recovery, IRCCS San Raffaele Hospital, Milan, Italy. Electronic address: houdayer.elise@hsr.it.
  • Brugliera L; Department of Rehabilitation and Functional Recovery, IRCCS San Raffaele Hospital, Milan, Italy.
  • de Blasio F; Respiratory Medicine and Pulmonary Rehabilitation Section, Clinic Center S.p.A. Private Hospital, Naples, Italy.
  • Cimino P; Department of Rehabilitation and Functional Recovery, IRCCS San Raffaele Hospital, Milan, Italy.
  • Ripa M; Vita-Salute San Raffaele University, Milan, Italy.
  • Meloni C; Department of Rehabilitation and Functional Recovery, IRCCS San Raffaele Hospital, Milan, Italy.
  • Alemanno F; Department of Rehabilitation and Functional Recovery, IRCCS San Raffaele Hospital, Milan, Italy; Vita-Salute San Raffaele University, Milan, Italy.
  • Scarpellini P; Department of Infectious Disease, IRCCS San Raffaele Hospital, Milan, Italy.
Arch Phys Med Rehabil ; 101(9): 1656-1661, 2020 09.
Article in English | MEDLINE | ID: covidwho-632078
ABSTRACT
The rapid evolution of the health emergency linked to the spread of severe acute respiratory syndrome coronavirus 2 requires specifications for the rehabilitative management of patients with coronavirus disease 2019 (COVID-19). The symptomatic evolution of patients with COVID-19 is characterized by 2 phases an acute phase in which respiratory symptoms prevail and a postacute phase in which patients can show symptoms related to prolonged immobilization, to previous and current respiratory dysfunctions, and to cognitive and emotional disorders. Thus, there is the need for specialized rehabilitative care for these patients. This communication reports the experience of the San Raffaele Hospital of Milan and recommends the setup of specialized clinical pathways for the rehabilitation of patients with COVID-19. In this hospital, between February 1 and March 2, 2020, about 50 patients were admitted every day with COVID-19 symptoms. In those days, about 400 acute care beds were created (intensive care/infectious diseases). In the following 30 days, from March 2 to mid-April, despite the presence of 60 daily arrivals to the emergency department, the organization of patient flow between different wards was modified, and several different units were created based on a more accurate integration of patients' needs. According to this new organization, patients were admitted first to acute care COVID-19 units and then to COVID-19 rehabilitation units, post-COVID-19 rehabilitation units, and/or quarantine/observation units. After hospital discharge, telemedicine was used to follow-up with patients at home. Such clinical pathways should each involve dedicated multidisciplinary teams composed of pulmonologists, physiatrists, neurologists, cardiologists, physiotherapists, neuropsychologists, occupational therapists, speech therapists, and nutritionists.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Physical and Rehabilitation Medicine / Pneumonia, Viral / Coronavirus Infections / Critical Pathways / Subacute Care / Betacoronavirus Type of study: Cohort study / Observational study / Prognostic study Topics: Long Covid Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Arch Phys Med Rehabil Year: 2020 Document Type: Article Affiliation country: J.apmr.2020.05.015

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Physical and Rehabilitation Medicine / Pneumonia, Viral / Coronavirus Infections / Critical Pathways / Subacute Care / Betacoronavirus Type of study: Cohort study / Observational study / Prognostic study Topics: Long Covid Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Arch Phys Med Rehabil Year: 2020 Document Type: Article Affiliation country: J.apmr.2020.05.015