Inpatient Rehabilitation Outcomes After Severe COVID-19 Infections

Abramoff, Benjamin A.; Dillingham, Timothy R.; Caldera, Franklin E.; Ritchie, Marylyn D.; Pezzin, Liliana E.

doi:10.1097/phm.0000000000001885

Cited by 17 publications

(23 citation statements)

References 26 publications

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“…Consequences of severe COVID-19 infection may require hospitalization [1] and result in impaired physical and cognitive function, as well as limitations in activities of daily living [2][3][4]. These impairments have been shown to be most prominent in elderly patients and patients who have required treatment in intensive care units (ICUs) [2].…”

Section: Introductionmentioning

confidence: 99%

“…These impairments have been shown to be most prominent in elderly patients and patients who have required treatment in intensive care units (ICUs) [2]. Although COVID-19 patients benefit from in-hospital rehabilitation [4], most patients do not qualify for this. Studies have shown promising results in recovery from COVID-19 [5,6], whereas others point out that some groups may still suffer from persisting respiratory impairments [7] and have low participation in society [8].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Self-Assessed Aspects of Health 3 Months after COVID-19 Hospitalization—A Swedish Cross-Sectional Study

Larsson

Engwall

Palstam

et al. 2022

IJERPH

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It is not yet fully understood how the patients self-assess their overall health in the early recovery after COVID-19 and if certain patient groups are more prominent in perceived long-time effects of COVID-19. The aim of this study was to describe self-assessed aspects of health in body function, activity and participation 3 months after hospitalization due to COVID-19 and identify difference between groups depending in age, sex and level of hospital care. This cross-sectional study consists of self-assessed aspects of health and recovery in 168 participants (mean age 64 years old, 69% men) previously hospitalized patients due to COVID-19. We have previously published data, from hospital discharge, on this cohort were predominantly the older patients and previous ICU-treated participants were affected. In this study there were differences in between groups. Of the study population 72% perceived fatigue, 64% respiratory difficulties, 37% perceived symptoms of anxiety. Three-months after COVID-19 this cohort was overall still affected. The recovery process is multifaced and the cohort heterogeneous, hence the rehabilitation needs to be highly individualized, and the follow-up of this patient group is of importance regardless of age, sex and previous level of hospital care.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Self-Assessed Aspects of Health 3 Months after COVID-19 Hospitalization—A Swedish Cross-Sectional Study

Larsson

Engwall

Palstam

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…7 This study's results are consistent with those of Johnson et al, 19 which found that patients with COVID-19 who received a higher frequency of physical therapy services demonstrate improved mobility and increased likelihood of returning home instead of discharge to a rehabilitation facility. 9 Abramoff and colleagues 1 reported that patients who were hospitalized with COVID-19 reached the same functional level upon discharge as those hospitalized without COVID-19. 1 Another study by Busching et al found that rehabilitation can improve physical function and participation in daily activities for patients with COVID-19 including those with severe disease.…”

Section: Discussionmentioning

confidence: 99%

Acute Occupational and Physical Therapy for Patients With COVID-19: A Retrospective Cohort Study

Coakley¹,

Friedman²,

McLoughlin³

et al. 2023

Archives of Physical Medicine and Rehabilitation

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“…The authors reported positive motor progression and negative correlation between grip strength and the number of days spent in intensive care, both at admission and discharge. In Philadelphia, rehabilitation outcomes of COVID-19 patients ( n = 43) were compared to non–COVID-19 inpatient rehabilitation patients ( n = 247) with impairment codes that were frequent for the COVID-19 patients [ 17 ]. While COVID-19 patients had greater deficits at admission, they eventually reached similar functional outcomes compared with the non–COVID-19 patients.…”

Section: Introductionmentioning

confidence: 99%

Correlations between Electro-Diagnostic Findings, the Severity of Initial Infection, and the Rehabilitation Outcomes among COVID-19 Patients

Shabat

Meiner

Tsenter

et al. 2022

Biology

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Patients with Coronavirus-2019 (COVID-19) manifest many neuromuscular complications. We evaluated the correlations between electromyography and nerve conduction measurements among COVID-19 patients and the severity of the initial infection, as well as the rehabilitation outcomes, and searched for the factors which best predict the rehabilitation outcomes. A total of 19 COVID-19 patients (16 men; mean ± SD age 59.1 ± 10.4), with WHO clinical progression scale of 6.8 ± 2.3, received rehabilitation for 3.9 ± 2.5 months. The Functional Independence Measure (FIM), the 10 m walk test, the 6 minute walk test, and grip force were collected before and after the rehabilitation period. Motor Nerve Conduction (MNC), Sensory Nerve Conduction (SNC) and electromyographic abnormalities were measured. All of the MNC measures of the median nerve correlated with the WHO clinical progression scale and duration of acute hospitalization. The MNC and SNC measures correlated with the rehabilitation duration and with FIM at discharge. The MNC distal latency of the median and the peroneal nerves and the MNC velocity of the median and tibial nerves predicted 91.6% of the variance of the motor FIM at discharge. We conclude that nerve conduction measurements, especially in COVID-19 patients with severe illness, are important in order to predict prognosis and rehabilitation outcomes.

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Inpatient Rehabilitation Outcomes After Severe COVID-19 Infections

Abstract: Supplemental digital content is available in the text.

Cited by 17 publications

References 26 publications

Self-Assessed Aspects of Health 3 Months after COVID-19 Hospitalization—A Swedish Cross-Sectional Study

Self-Assessed Aspects of Health 3 Months after COVID-19 Hospitalization—A Swedish Cross-Sectional Study

Acute Occupational and Physical Therapy for Patients With COVID-19: A Retrospective Cohort Study

Correlations between Electro-Diagnostic Findings, the Severity of Initial Infection, and the Rehabilitation Outcomes among COVID-19 Patients

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