Early rehabilitation in post-acute COVID-19 patients: data from an Italian COVID-19 Rehabilitation Unit and proposal of a treatment protocol.
Eur J Phys Rehabil Med
; 56(5): 633-641, 2020 Oct.
Artículo
en Inglés
| MEDLINE | ID: covidwho-1024855
ABSTRACT
BACKGROUND:
Coronavirus disease 2019 (COVID-19) pandemic is quickly spreading, putting under heavy stress health systems worldwide and especially Intensive Care Units (ICU). Rehabilitation Units have a crucial role in reducing disability in order to reintroduce patients in the community.AIM:
The aim of this study is to characterize pulmonary function and disability status and to propose an early rehabilitation protocol in a cohort of post-acute COVID-19 patients admitted to an Italian Rehabilitation Unit.DESIGN:
Cross-sectional observational study.SETTING:
Inpatients Rehabilitation Unit. POPULATION Post-acute COVID-19 patients.METHODS:
Demographic, anamnestic and clinical characteristics, laboratory exams and medical imaging findings were collected for the entire cohort. Outcome measures evaluated at the admission in Rehabilitation Unit were type of respiratory supports needed, fraction of inspired oxygen (FiORESULTS:
We included 32 post-acute COVID-19 patients (22 male and 10 female), mean aged 72.6±10.9 years. BI was 45.2±27.6, with patients in need of higher FiOCONCLUSIONS:
Taken together, our findings suggest that post-acute COVID-19 patients suffered from dyspnea and shortness of breath even for minimal activities, with a resulting severe disability, and only a few of them were able to perform 6-MWT with poor results. An early rehabilitation protocol was proposed according to the baseline conditions of the patients. CLINICAL REHABILITATION IMPACT This study could provide an accurate description of COVID-19 sub-acute patients admitted to a Rehabilitation Unit along with a proposal of treatment to help physicians to tailor the best possible rehabilitative treatment.
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
MEDLINE
Asunto principal:
Neumonía Viral
/
Centros de Rehabilitación
/
Enfermedad Crítica
/
Infecciones por Coronavirus
/
Ambulación Precoz
Tipo de estudio:
Estudio de cohorte
/
Estudios diagnósticos
/
Estudio experimental
/
Estudio observacional
/
Estudio pronóstico
/
Ensayo controlado aleatorizado
Tópicos:
Covid persistente
Límite:
Anciano
/
Femenino
/
Humanos
/
Masculino
/
Middle aged
País/Región como asunto:
Europa
Idioma:
Inglés
Revista:
Eur J Phys Rehabil Med
Asunto de la revista:
Medicina Física
/
Rehabilitación
Año:
2020
Tipo del documento:
Artículo
País de afiliación:
S1973-9087.20.06339-x
Similares
MEDLINE
...
LILACS
LIS