Management of post-acute COVID-19 patients in geriatric rehabilitation: EuGMS guidance

Haastregt, Jolanda C. M. van; Everink, Irma H. J.; Schols, Jos M. G. A.; Grund, Stefan; Gordon, Adam L; Poot, Else; Martin, Finbarr C.; O’Neill, Desmond; Petrovic, Mirko; Bachmann, Stefan; Balen, Romke van; Isselt, Leonoor van Dam van; Dockery, Frances; Holstege, Marije S.; Landi, Francesco; Pérez, Laura Mónica; Roquer, Esther; Smalbrugge, Martin; Achterberg, Wilco P.

doi:10.1007/s41999-021-00575-4

Cited by 26 publications

(21 citation statements)

References 47 publications

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“…A number of studies emphasize the need for early, intensive medical rehabilitation in patients after acute COVID-19, to reduce the functional disability duration. Even elderly patients, who usually have comorbidities/frailty, benefit from tailored geriatric rehabilitation treatment [ 13 , 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Rehabilitation of Post-COVID-19 Musculoskeletal Sequelae in Geriatric Patients: A Case Series Study

Cevei

Onofrei

Gherle

et al. 2022

IJERPH

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The musculoskeletal system is affected in over 40% of patients with Coronavirus disease 2019 (COVID-19). There is an increased need for post-acute rehabilitation after COVID-19, especially in elderly people with underlying health problems. The aim of this study was to evaluate the benefits of an early and goal-orientated rehabilitation program using combined approaches, robotic medical devices together with other rehabilitation techniques and therapies, in elderly people after acute COVID-19. Ninety-one patients (62.64 ± 14.21 years) previously diagnosed with severe SARS-CoV-2 infection were admitted to the Medical Rehabilitation Clinical Hospital Baile Felix, Romania, for medical rehabilitation, but only six patients (85.33 ± 3.07 years) met the inclusion criteria and participated in the study. The rehabilitation treatment was complex, performed over 4 weeks, and included combined approaches: exercise therapy, robotic gait training, occupational therapy, and massages. Activity and participation evaluation were performed using the Barthel Index and Functional Independence Measure for activities of daily living (ADLs). Assessments were performed at admission and discharge from the rehabilitation clinic. Lokomat patients’ reports revealed that the patients had improved motor control (with one exception). The measurement of functional ability revealed an improvement in most cases. This study presents some of the first data on outcomes of COVID-19 patients’ musculoskeletal rehabilitation in our country. Early complex medical rehabilitation improved functional independence and autonomy in ADLs in very old patients, post-COVID-19.

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Section: Introductionmentioning

confidence: 99%

Rehabilitation of Post-COVID-19 Musculoskeletal Sequelae in Geriatric Patients: A Case Series Study

Cevei

Onofrei

Gherle

et al. 2022

IJERPH

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“…The consequent pent up demand has not become apparent, but would likely contribute to an epidemic of frailty and disability in the not too distant future [8]. Furthermore, older adults who survive COVID 19 infection have persistent symptoms and functional impairment, particularly those with multi morbidity and frailty, requiring a period of post acute care [9,10]. Such services must be regarded as essential and not take a second place to acute care.…”

Section: Needs Of Older People Who Are Sick Requiring Health Care Dur...mentioning

confidence: 99%

Are COVID 19 Pandemic Policies Good for Public Health

2022

PSMPH

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“…The American Geriatrics Society (AGS) released recommendations to address geriatric care in different settings such as nursing homes (NHS) and long-term care facilities (LTCFs) during the COVID-19 pandemic [17]. Despite the potential capability of the telehealth model to address the specific needs of geriatric patients, no guidelines have focused on the telehealth model [18][19][20].…”

Section: Introductionmentioning

confidence: 99%

Telehealth use and Models for Geriatric Patients Since the COVID-19 Pandemic: A Systematic Review

Ajaz

Bouchama

Khalid

et al. 2022

JAMMR

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Introduction: The gaps in geriatric care provision has become prominent with the onset of the coronavirus disease 2019 (COVID-19 pandemic). Despite the potential capability of the telehealth model to address the specific needs of geriatric patients, only a few geriatric guidelines have focused on the telehealth model during the pandemic. The following systematic review explores the current evidence of telehealth use and applications in geriatric care, which emerged post the COVID-19 pandemic. Methods: Three databases, including PubMed, Cochrane, and Google Scholar, were searched by three independent reviewers to identify relevant studies. Results: Seven studies were included in this review; two focused on the effectiveness of telehealth, three focused on the experiences of patients and providers, and two focused on the use of telehealth. Telehealth did not underperform compared to traditional care models in terms of self-efficacy, patient convenience, reduction in deferred care, increased efficiency of healthcare delivery, reduced travel issues, and improved health education. However, common challenges were disparities in access in favor of urban, cognitively sound, and younger geriatric patients. Conclusion: The current systematic review reported the latest evidence on telehealth use and access across geriatric care since the onset of the COVID-19 pandemic. Telemedicine is gaining support from literature for being non-inferior to traditional healthcare methods, as observed in our findings.

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Management of post-acute COVID-19 patients in geriatric rehabilitation: EuGMS guidance

Cited by 26 publications

References 47 publications

Rehabilitation of Post-COVID-19 Musculoskeletal Sequelae in Geriatric Patients: A Case Series Study

Rehabilitation of Post-COVID-19 Musculoskeletal Sequelae in Geriatric Patients: A Case Series Study

Are COVID 19 Pandemic Policies Good for Public Health

Telehealth use and Models for Geriatric Patients Since the COVID-19 Pandemic: A Systematic Review

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