Home > Journals > European Journal of Physical and Rehabilitation Medicine > Past Issues > Articles online first > European Journal of Physical and Rehabilitation Medicine 2021 Jan 04

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Publication history
Reprints
Permissions
Cite this article as

 

 

European Journal of Physical and Rehabilitation Medicine 2021 Jan 04

DOI: 10.23736/S1973-9087.20.06660-5

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English

Functional outcome after inpatient rehabilitation in post-intensive care unit COVID-19 patients: findings and clinical implications from a real-practice retrospective study

Claudio CURCI 1, Francesco NEGRINI 2 , Martina FERRILLO 3, Roberto BERGONZI 4, Eleonora BONACCI 5, Danila M. CAMOZZI 1, Claudia CERAVOLO 4, Silvia DE FRANCESCHI 4, Rodolfo GUARNIERI 5, Paolo MORO 4, Fabrizio PISANO 1, Alessandro DE SIRE 6, 7

1 Neurorehabilitation Unit, Policlinico San Marco, Gruppo San Donato, Zingonia, Bergamo, Italy; 2 IRCCS Istituto Ortopedico Galeazzi, Milan, Italy; 3 Department of Surgical Sciences, University of Turin, Turin, Italy; 4 Orthopedic Rehabilitation Unit, Policlinico San Marco, Gruppo San Donato, Zingonia, Bergamo, Italy; 5 Pulmonary Rehabilitation Unit, Policlinico San Marco, Gruppo San Donato, Zingonia, Bergamo, Italy; 6 Physical and Rehabilitative Medicine, Department of Health Sciences, University of Eastern Piedmont, Novara, Italy; 7 Rehabilitation Unit, Mons. L. Novarese Hospital, Moncrivello, Vercelli, Italy


PDF


BACKGROUND: COronaVIrus Disease 2019 (COVID-19) pandemic is quickly spreading worldwide, with survivors that suffer functional impairments with a consequent key role of rehabilitation in this context. To date, there is a lack of findings on the role of rehabilitation in post-acute COVID-19 patients.
AIM: Thus, we aimed at describing the role of a patient-tailored rehabilitation plan on functional outcome in hospitalized COVID-19 patients.
DESIGN: Real-practice retrospective study.
SETTING: Inpatients Rehabilitation Unit.
POPULATION: Post-acute COVID-19 patients.
METHODS: Medical records of patients referred to an Italian COVID-19 Rehabilitation Unit from March 10th, 2020 to April 30th, 2020 were collected. All patients underwent a rehabilitative (30 minutes/set, 2 times/day), aimed to improve gas exchanges, reducing dyspnoea, and improving muscle function. At the admission (T0) and at the discharge (T1), we evaluated as outcome measures: Barthel Index (BI), modified Medical Research Council Dyspnoea Scale, 6-Minute Walking Test (6-MWT) and Borg Rating of Perceived Exertion (RPE) scale. We also assessed: type of respiratory supports needed, pulmonary function, coagulation and inflammation markers and length of stay (LOS) in Rehabilitation Unit.
RESULTS: We included 41 post-acute COVID-19 patients (25 male and 19 female), mean aged 72.15±11.07 years. Their mean LOS in the Rehabilitation Unit was 31.97±9.06 days, as 39 successfully completed the rehabilitation treatment and 2 deceased. We found statistically significant improvement in BI (84.87±15.56 vs 43.37±26.00; p<0.0001), 6-MWT (303.37±112.18 vs 240.0±81.31 meters; p=0.028), Borg RPE scale (12.23±2.51 vs 16.03±2.28; p<0.0001).
CONCLUSIONS: These findings suggest that post-acute COVID-19 patients might beneficiate of a motor and respiratory rehabilitation treatment. However, further studies are advised to better understand long-term sequelae of the disease.
CLINICAL REHABILITATION IMPACT: This study provides evidence on the role of rehabilitation COVID-19 post-acute inpatients through a patient-tailored treatment.


KEY WORDS: COVID-19; Severe acute respiratory syndrome Coronavirus 2; Coronavirus; Rehabilitation; Physical and rehabilitation medicine

top of page