Efficacy of Early Inpatient Rehabilitation of Post COVID 19 Survivors-Single Center Retrospective Analysis

Cao, Ning; Barcikowski, Jaclyn; Womble, Franklin; Martinez, Bianca; Sergeyenko, Yevgeniya; Koffer, Jacob H; Kwasniewski, Michael; Watanabe, Thomas K.; Xiao, R.; Esquenazi, Alberto

doi:10.1097/phm.0000000000002122

Cited by 3 publications

(1 citation statement)

References 22 publications

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“…Studies have shown that COVID-19 patients make significant gains during inpatient rehabilitation. 102 This is true even for patients who have the most severe illness at the time of admission to rehabilitation. 103 Rehabilitation hospitals and systems experienced substantial strain during the heights of the COVID-19 pandemic.…”

Section: Recommendations To Promote Neurologic Recovery After Covid-19mentioning

confidence: 99%

Neurorecovery after Critical COVID-19 Illness

2023

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With the hundreds of millions of people worldwide who have been, and continue to be, affected by pandemic coronavirus disease (COVID-19) and its chronic sequelae, strategies to improve recovery and rehabilitation from COVID-19 are critical global public health priorities. Neurologic complications have been associated with acute COVID-19 infection, usually in the setting of critical COVID-19 illness. Neurologic complications are also a core feature of the symptom constellation of long COVID and portend poor outcomes. In this article, we review neurologic complications and their mechanisms in critical COVID-19 illness and long COVID. We focus on parallels with neurologic disease associated with non-COVID critical systemic illness. We conclude with a discussion of how recent findings can guide both neurologists working in post-acute neurologic rehabilitation facilities and policy makers who influence neurologic resource allocation.

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Section: Recommendations To Promote Neurologic Recovery After Covid-19mentioning

confidence: 99%

Neurorecovery after Critical COVID-19 Illness

2023

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Characteristics Associated with Long-Term Outcomes in Severe COVID-19 Patients after a Post-Acute Care Hospitalization: A Prospective Cohort Study

Rosa Ramos,

Laporte,

Ribeiro de Souza

et al. 2024

Journal of the American Medical Directors Association

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Multidisciplinary inpatient rehabilitation for older adults with COVID-19: a systematic review and meta-analysis of clinical and process outcomes

et al. 2023

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Background Older adults are at increased risk for disease severity and poorer prognosis following COVID-19 infection. The aim of this systematic review and meta-analysis is to explore the impact of multidisciplinary rehabilitation in the acute or post-acute hospital setting for older adults with COVID-19. Methods The Cochrane library, EMBASE, Cinahl and Medline (via EBSCO), PubMed, and Web of Science were systematically searched in June 2022 and a repeat search was completed in March 2023. Screening, data extraction and quality appraisal were conducted independently by two reviewers. Studies reporting outcomes for older adults following multidisciplinary rehabilitation (provided by two or more Health and Social Care Professionals) were included. Both observational and experimental study designs were included. The primary outcome was functional ability. Secondary outcomes included discharge disposition, acute hospital and rehabilitation unit length of stay, mortality, primary and secondary healthcare utilisation, and long-term effects of COVID-19. Results Twelve studies met the inclusion criteria, comprising a total of 570 older adults. Where reported, older adults stayed in the acute hospital for a mean of 18 days (95%CI, 13.35- 23.13 days) and in rehabilitation units for 19 days (95%CI, 15.88–21.79 days). There was a significant improvement in functional ability among older adults with COVID-19 who received multidisciplinary rehabilitation (REM, SMD = 1.46, 95% CI 0.94 to 1.98). The proportion of older adults who were discharged directly home following rehabilitation ranged from 62 to 97%. Two studies reported a 2% inpatient mortality rate of older persons during rehabilitative care. No study followed up patients after the point of discharge and no study reported on long term effects of COVID-19. Conclusions Multidisciplinary rehabilitation may result in improved functional outcomes on discharge from rehabilitation units/centres for older adults with COVID-19. Findings also highlight the need for further research into the long-term effect of rehabilitation for older adults following COVID-19. Future research should comprehensively describe multidisciplinary rehabilitation in terms of disciplines involved and the intervention provided.

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Efficacy of Early Inpatient Rehabilitation of Post COVID 19 Survivors-Single Center Retrospective Analysis

Cited by 3 publications

References 22 publications

Neurorecovery after Critical COVID-19 Illness

Neurorecovery after Critical COVID-19 Illness

Characteristics Associated with Long-Term Outcomes in Severe COVID-19 Patients after a Post-Acute Care Hospitalization: A Prospective Cohort Study

Multidisciplinary inpatient rehabilitation for older adults with COVID-19: a systematic review and meta-analysis of clinical and process outcomes

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