The COVID-19 response must be disability inclusive

Armitage, Richard; Nellums, Laura B

doi:10.1016/s2468-2667(20)30076-1

Cited by 314 publications

(364 citation statements)

References 1 publication

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“…The global outbreak of the COVID‐19 virus and the restrictive measures imposed by governments aimed at containing its spread have a strong impact on the provision of social care and support services for people with disabilities around the world (Armitage and Nellums 2020; European Association of Service Providers for Persons with Disabilities 2020). It seems likely that also people with intellectual disabilities (IDs) have been (or still are) at risk of experiencing a discontinuation of support to some extent.…”

Section: Introductionmentioning

confidence: 99%

The use of online support by people with intellectual disabilities living independently during COVID‐19

Zaagsma

Volkers²,

Swart³

et al. 2020

J intellect Disabil Res

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Background During the COVID‐19 outbreak, service providers in the Netherlands had to switch towards providing remote support for people with intellectual disabilities living independently. This study aims to provide insight into the use of online support during the outbreak. Methods We analysed quantitative data on planned and unplanned contacts between the online support service DigiContact and its service users. Results The results indicate that the COVID‐19 outbreak and the related containment measures had a strong impact on online support use, specifically on the unplanned use of online support. Conclusion Offering online support as a standard component of services for independently living people with intellectual disability enables service providers to be flexible and responsive towards fluctuations in both support needs and onsite support availability during a social crisis such as COVID‐19.

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Section: Introductionmentioning

confidence: 99%

The use of online support by people with intellectual disabilities living independently during COVID‐19

Zaagsma

Volkers²,

Swart³

et al. 2020

J intellect Disabil Res

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“…4,5 COVID-19 may range from a mild disease with flulike symptoms to a critical care respiratory condition requiring specialized management at intensive care units (ICUs), [6][7][8] with poor long-term outcomes and residual chronic disability. 9,10 Besides the respiratory manifestations with severe disabling complications, another major concern is represented by evidence of consistent hemostatic changes in patients with severe or critical COVID-19, likely related to a prothrombotic switch. 11,12 Among COVID-19 patients, it is reasonable to assume that those with a very severe disease could exhibit high risk of venous thromboembolism (VTE), including deep vein thrombosis (DVT) and/or pulmonary embolism (PE).…”

mentioning

confidence: 99%

COVID-19 and Venous Thromboembolism: A Meta-analysis of Literature Studies

Minno

Ambrosino

Calcaterra

et al. 2020

Semin Thromb Hemost

245

209

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Coronavirus disease 2019 (COVID-19) may have a wide spectrum of clinical presentations, leading in some cases to a critical condition with poor long-term outcomes and residual disability requiring post-acute rehabilitation. A major concern in severe COVID-19 is represented by a concomitant prothrombotic state. However, contrasting data are available about the prevalence of venous thromboembolism (VTE), including deep vein thrombosis (DVT) and/or pulmonary embolism (PE). A detailed search on the association of COVID-19 with thromboembolic complications was conducted in the main electronic databases (PubMed, Web of Science, and Scopus) according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The weighted mean prevalence (WMP) with 95% confidence interval (95% CI) was calculated with the random-effects model. Twenty studies enrolling 1,988 COVID-19 patients were included. The WMP of VTE was 31.3% (95% CI: 24.3–39.2%). The WMP of DVT was 19.8% (95% CI: 10.5–34.0%), whereas the WMP of PE was 18.9% (95% CI: 14.4–24.3%). Similar results were obtained when specifically analyzing studies on patients admitted to intensive care units and those on patients under antithrombotic prophylaxis. Regression models showed that an increasing age was associated with a higher prevalence of VTE (Z-score: 3.11, p = 0.001), DVT (Z-score: 2.33, p = 0.002), and PE (Z-score: 3.03, p = 0.002), while an increasing body mass index was associated with an increasing prevalence of PE (Z-score = 2.01, p = 0.04). Male sex did not impact the evaluated outcomes. The rate of thromboembolic complications in COVID-19 patients is definitely high. Considering the risk of fatal and disabling complications, adequate screening procedures and antithrombotic strategies should be implemented.

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“…The COVID-19 pandemic has forced rapid and drastic changes in health care delivery; many clinicians are turning to telemedicine as a potential stopgap to provide urgent outpatient management to their patients, including screening for possible COVID-19 symptoms [24]. Unfortunately, the same health disparities that people with SCI and other disabilities face at baseline may hinder their access to this technology as well [25]. In conclusion, we believe the most appropriate global guidance for persons with SCI is to include atypical symptomatology for COVID-19 symptoms and expand the criteria for testing.…”

mentioning

confidence: 99%