Protocol proposal to the initial assessment of the post-intensive care syndrome in COVID-19 patients, in an inpatient rehabilitation setting

Carneiro, Irna Carla do Rosário Souza; Costa, Ana João; Lima, Ana Ruth Vieira de; Vaz, Inês Machado

doi:10.1016/j.rh.2020.09.003

Cited by 5 publications

(5 citation statements)

References 6 publications

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“…There have been recommendations for a standardized set of comprehensive measures for the COVID patient population to more uniformly analyze treatment protocols and efficacy. 31 In addition, patients admitted to acute rehabilitation are possibly a selected group more likely to benefit from such services. For this reason, our findings may not be generalizable to the larger population of SARS-CoV-2 infected–patients.…”

Section: Discussionmentioning

confidence: 99%

“…Given its retrospective nature, patients were only evaluated in a limited number of domains. There have been recommendations for a standardized set of comprehensive measures for the COVID patient population to more uniformly analyze treatment protocols and efficacy 31 . In addition, patients admitted to acute rehabilitation are possibly a selected group more likely to benefit from such services.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Inpatient Rehabilitation Outcomes After Severe COVID-19 Infections

Abramoff

Dillingham

Caldera

et al. 2021

Am J Phys Med Rehabil

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Inpatient Rehabilitation Outcomes After Severe COVID-19 Infections

Abramoff

Dillingham

Caldera

et al. 2021

Am J Phys Med Rehabil

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“…Although these are the challenges of the "new disease" there are many studies that testify to the benefits of cardiovascular training on the financial capacity of patients after COVID-19 pneumonia. [6][7][8][9][10][11][12][13] These positive effects can be explained by understanding the mechanisms of action of applied therapeutic interventions in the plan of cardio-respiratory rehabilitation. Cardiovascular training improves the functional capacity of patients after COVID-19 pneumonia in several ways.…”

Section: Discussionmentioning

confidence: 99%

“…[14][15][16][17] One of the limiting factors is the short follow-up period, although there are studies that report positive short-term effects of applied cardiovascular training in post-COVID-19 patients. [8][9][10][11] Besides, the period of time between the end of acute rehabilitation and starting post-acute rehabilitation is a parameter that should be considered in the future. This is especially important from the aspect of the found average values of the 6-MWT at admission.…”

Section: Discussionmentioning

confidence: 99%

Effect of cardiovascular training on functional capacity in post-acute rehabilitation of COVID-19 patients

Dragičević-Cvjetković¹,

Stevandić²

2021

Scripta Medica

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Introduction: In the overall strategy of developing the optimal treatment of patients after COVID-19 infection, recommended by the World Health Organization, rehabilitation plays one of the key roles in improving the functional capacity of these patients and thus their quality of life. The aim of this study was to investigate the effect of cardiovascular training during post-acute rehabilitation on the functional capacity of patients after moderate COVID-19 pneumonia. Methods: The prospective study included 84 patients of both sexes, mean age 57.92 ± 11.79 years, who were hospitalised at the Institute of Physical Medicine and Rehabilitation ''Dr Miroslav Zotović'' Banja Luka due to moderate pneumonia caused by the COVID-19 virus and after they finished acute rehabilitation. All patients underwent cardiovascular training three times per week and occupational therapy during 28 days of stationary post-acute rehabilitation. The follow-up parameter was a six-minute walk (6-MWT) test at admission and discharge from post-acute rehabilitation. Student t-test for paired samples was used for statistical analysis, and the value of p < 0.05 was taken as statistical significance. Results: The functional capacity of the cardiovascular and respiratory system was statistically significantly improved at discharge compared to admission (p < 0.05). Conclusion: Targeted cardiovascular training during post-acute rehabilitation leads to improvement of functional capacities of patients after moderate COVID-19 pneumonia.

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“…Patients were evaluated at admission (T0), at discharge (T1), and three months after discharge (T2). The rehabilitation program protocol and the evaluations performed between T0 and T1 were already described by the authors elsewhere [ 4 , 10 ]. Three months after the discharge, all patients were called to a physical medicine and rehabilitation consultation and were asked to perform the tests in on an outpatient basis.…”

Section: Methodsmentioning

confidence: 99%

Post-intensive Care Unit COVID-19 Survivors: Functional Status and Respiratory Function Three Months After an Inpatient Rehabilitation Program

Costa¹,

Gonçalves²,

Rodrigues³

et al. 2022

Cureus

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Introduction and objectivesLong-term coronavirus disease 2019 (COVID-19) sequelae have become an increasing concern, with persistent dyspnoea and fatigue being the most common and long-lasting symptoms reported. The aim of this study was to evaluate the functional status and respiratory function three months after discharge from an inpatient rehabilitation program. Materials and methodsThis was a prospective study including post-ICU COVID-19 survivors consecutively admitted to an inpatient and multimodal rehabilitation program in a rehabilitation center. Evaluation of functional status (brief balance evaluation systems test (brief-BESTEST), timed up and go (TUG) test, 1 min sit to stand test (1STST), 6 min walking test (6MWT)); respiratory muscle strength (maximum expiratory pressure (MEP), maximum inspiratory pressure (MIP)); cough effectiveness (peak cough flow (PCF)); and fatigue (fatigue assessment scale (FAS)) were assessed at admission (T0), discharge (T1), and three months after discharge (T2). ResultsA total of 36 patients were included. Between T1 and T2, there was a significant improvement in MEP (84.47±20.89 vs 97.23±24.63 cmH 2 O, p<0.001), PCF (367.83±117.24 vs 441.33±132.90 L/min, p=0.003), functional capacity (1STST (19.90±6.37 vs 23.13±6.07, p=0.004), and 6MWT (459.25±153.70 vs 500.00±163.74 meters, p=0.003)). No differences were seen in MIP, brief-BESTEST, or TUG. Patients presented a higher median final FAS score at T2 compared to T1: 21.50±5 vs 18.60±2.65, p=0.002. ConclusionsPost-ICU COVID-19 survivors admitted to an inpatient rehabilitation program maintained a good functional recovery at the three-month follow-up. Despite overall improvement, we found higher scores of FAS, suggesting worse fatigue levels.

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Protocol proposal to the initial assessment of the post-intensive care syndrome in COVID-19 patients, in an inpatient rehabilitation setting

Cited by 5 publications

References 6 publications

Inpatient Rehabilitation Outcomes After Severe COVID-19 Infections

Inpatient Rehabilitation Outcomes After Severe COVID-19 Infections

Effect of cardiovascular training on functional capacity in post-acute rehabilitation of COVID-19 patients

Post-intensive Care Unit COVID-19 Survivors: Functional Status and Respiratory Function Three Months After an Inpatient Rehabilitation Program

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