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

Curci, Claudio; Negrini, Francesco; Ferrillo, Martina; Bergonzi, Roberto; Bonacci, Eleonora; Camozzi, Danila M; Ceravolo, Claudia; Franceschi, Silvia De; Guarnieri, Rodolfo; Moro, Paolo; Pisano, Fabrizio; Sire, Alessandro de

doi:10.23736/s1973-9087.20.06660-5

Cited by 88 publications

(108 citation statements)

References 37 publications

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“…Early rehabilitation treatment begins immediately after discharge from intensive care and clinically stable COVID-19 patients in the post-acute phase have undergone a rehabilitation protocol aimed at reducing dyspnea and improving gas exchange, muscle function and autonomy in activities of daily living (ADL) [5].…”

Section: Introductionmentioning

confidence: 99%

Psychological Distress and Work Environment Perception by Physical Therapists from Southern Italy during COVID-19 Pandemic: The C.A.L.A.B.R.I.A Study

Sire

Marotta

Lippi

et al. 2021

IJERPH

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The psychosocial impact of the work environment during the COVID-19 pandemic on health professionals is a growing issue. The present study examined specific psychosocial work environment indicators during the COVID-19 pandemic, through a multiple regression model of a self-administered cross-sectional online survey in a cohort of physical therapists from a region of Southern Italy from March 2020 to May 2021. The questionnaire contained items on work and healthcare issues related to COVID-19. Eighty physical therapists (29 male and 51 female), mean age 32.5 ± 10.1 years, were involved in this survey. The multiple regression analysis showed that “management activity” was significantly correlated to “therapist frustration” during the COVID-19 pandemic (ΔR2 = 0.16; p < 0.03). Findings of this study underline the importance of a healthy psychosocial work environment to enhance job satisfaction of all health professionals and to avoid role conflict and burnout syndrome during the COVID-19 pandemic.

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Section: Introductionmentioning

confidence: 99%

Psychological Distress and Work Environment Perception by Physical Therapists from Southern Italy during COVID-19 Pandemic: The C.A.L.A.B.R.I.A Study

Sire

Marotta

Lippi

et al. 2021

IJERPH

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“…2 However, as showed by a series of rapid living systematic reviews conducted by Cochrane Rehabilitation Field, the evidence on the type of outcome measures for limitations and functioning is still scarce. 4 Post-ICU COVID-19 patients could suffer from severe disabilities, firstly dyspnea during the activities of daily living and difficulty in walking and require an adequate pulmonary rehabilitation [5][6][7] ; however, the most severe cases require assisted ventilation, thereby limiting the ability to administer the common assessment tests to evaluate functional status.…”

mentioning

confidence: 99%

“…Moreover, walking tests, such as 6-min walk test or Timed Up and Go, might be impractical because some postacute COVID-19 patients showed to not be able to perform them, due to their severe impairment. [5][6][7]9 Furthermore, these tests require space to perform and may require management of several drips, drains, and oxygen delivery systems, while the patient is walking and turning that render the test difficult to carry out. 9 Nevertheless, CPAx 10 More in detail, CPAx is a bedside assessment tool firstly reported in 2013 10 to measure physical morbidity in critical care population, consisting of 10 items (respiratory function, cough, moving within the bed, supine to sitting on the edge of bed, dynamic sitting, standing balance, sit to stand, transferring from bed to chair, stepping, and grip strength) rated on a 6-point scale from complete dependency (level = 0) to independency (level = 5), as depicted by Figure 1.…”

mentioning

confidence: 99%

Chelsea physical assessment tool for evaluating functioning in post‐intensive care unit COVID‐19 patients

Sire

Giray

Taşkıran

2021

Journal of Medical Virology

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“…A Chinese study performed in 1,733 COVID-19 patients 6 months following COVID-19 observed that between 24–29% of patients had a 6MWT distance less than the lower normal range depending on depending on the severity of the SARS-CoV-2 infection [25]. In addition, the 6MWT has been employed as a useful investigation to monitor COVID-19 patients during rehabilitation [43, 44]. To date no guideline exists that recommends the 6MWT as a routine examination in patients following COVID-19.…”

Section: Results Of the Swiss National Survey Among Pulmonologistsmentioning

confidence: 99%

Swiss Recommendations for the Follow-Up and Treatment of Pulmonary Long COVID

et al. 2021

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Introduction: Emerging evidence suggests that long-term pulmonary symptoms and functional impairment occurs in a proportion of individuals following SARS-CoV-2 infection. Although the proportion of affected patients remains to be determined, physicians are increasingly being confronted with patients reporting respiratory symptoms and impairment beyond the acute phase of COVID-19. In face of limited evidence, the Swiss Society for Pulmonology established a working group to address this area of unmet need and formulated diagnostic and treatment recommendations for the care of patients with pulmonary long COVID (LC). Method: The Swiss COVID Lung Study group and Swiss Society for Pulmonology (SSP) formulated 13 questions addressing the diagnosis and treatment of pulmonary LC. A survey within the SSP special interest groups involved in care of LC patients was conducted in Switzerland. A CORE process/Delphi-like process was used to formulate recommendations. Forty experienced pulmonologists replied to the first survey and 22 completed the second follow-up survey. Agreement of ≥70% consensus led to formulation of a recommendation. Results: The participants in the survey reached consensus and formulated a strong recommendation for regarding the following points. Patients hospitalized for COVID-19 should have a pulmonary assessment including pulmonary function tests. Symptomatic subjects affected by COVID-19, including those with mild disease, should benefit from a pulmonary follow-up. Persistent respiratory symptoms after COVID-19 should be investigated by a pulmonary follow-up including plethysmography, diffusion capacity measurement, and blood gases analysis. Individuals having suffered from COVID-19 and who present with persistent respiratory symptoms should be offered a rehabilitation. Additional questions were given moderateor weak recommendations for. The panel did not reach sufficient consensus for pharmacological therapy (e.g., therapy specifically targeting lung fibrosis) to formulate recommendations for LC drug treatment. Conclusion: The formulated recommendations should serve as an interim guidance to facilitate diagnosis and treatment of patients with pulmonary LC. As new evidence emerges, these recommendations may need to be adapted.

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

Cited by 88 publications

References 37 publications

Psychological Distress and Work Environment Perception by Physical Therapists from Southern Italy during COVID-19 Pandemic: The C.A.L.A.B.R.I.A Study

Psychological Distress and Work Environment Perception by Physical Therapists from Southern Italy during COVID-19 Pandemic: The C.A.L.A.B.R.I.A Study

Chelsea physical assessment tool for evaluating functioning in post‐intensive care unit COVID‐19 patients

Swiss Recommendations for the Follow-Up and Treatment of Pulmonary Long COVID

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