When Physical Medicine and Rehabilitation Became Medicine—Life in the Time of Coronavirus Disease of 2019

Balkaya, Ihsan Y; Fernández, José Antonio Morales; Gerguis, Wessam; Kaner, Mahmut T.; Lamagna, Matthew; Lekshminarayanan, Anusha; He, Meng; Mohar, Sebastián; Randev, Sonika; Sanchez, I. Acosta; Brahmbhatt, Sumankumar; Islam, Mohammed Monirul; Frankenthaler, Michael; Diamond, Paul T.; Altschuler, Eric Lewin

doi:10.1097/phm.0000000000001454

Cited by 4 publications

(5 citation statements)

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“…They further contemplate work reorganization in outpatient and inpatient facilities during the pandemic, recommending the adoption of safety measures for patients and staff. Balkaya et al (35), by virtue of their transition from rehabilitation to the medical unit, describe their positive experience in managing COVID-19 patients, based on close interaction with internal medicine and other units and a detailed transfer protocol, and suggest that patients with higher medical acuity are referred to medical service care. They further noticed that understanding the patient's physiatric background (including a detailed physiatric history, physical examination, assessment and plan) is an extremely effective tool and resource, even when applied to non-rehabilitation medical patient care.…”

Section: Resultsmentioning

confidence: 99%

Rehabilitation setting during and after Covid-19: An overview on recommendations

Agostini

Mangone²,

Ruiu³

et al. 2021

J Rehabil Med

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Objective The aim of this review is to identify the best evidence to define rehabilitative approaches to acute and post-acute phases of coronavirus 2019 (COVID-19) disease. Methods A literature search (of PubMed, Google Scholar, PEDro and Cochrane databases) was performed for relevant publications from January to April 2020. Results A total of 2,835 articles were retrieved, and the search resulted in a final total 31 published articles. A narrative synthesis of the selected articles was then performed. Some studies examine the effect of the pandemic on rehabilitation services and provide suggestions for a new reorganization of these services. Other studies focus on COVID-19 sequelae, formulating recommendations for rehabilitative interventions. Conclusion For COVID-19 patients, an integrated rehabilitative process is recommended, involving a multidisciplinary and multi-professional team providing neuromuscular, cardiac, respiratory, and swallowing interventions, and psychological support, in order to improve patients’ quality of life. The intervention of a physician expert in rehabilitation should assess the patient, and a dedicated intervention set up after thorough assessment of the patient’s clinical condition, in collaboration with all rehabilitation team professionals. LAY ABSTRACT Rehabilitation, in a multidisciplinary and multi-professional setting, plays a pivotal role in the management of Covid-19 patients, focusing on respiratory and motor functions and it is therefore crucial to establish treatment strategies to guarantee an optimal recovery of these patients. We performed a review of the scientific literature. All the studies concerning respiratory rehabilitation treatments for Covid-19 patients were included. Respiratory rehabilitation has the goal of improve respiratory symptoms, preserve function and reduce complications and disability; it also has positive effects on the psychological sphere, reducing anxiety and depression that can frequently develop in this context.

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Section: Resultsmentioning

confidence: 99%

Rehabilitation setting during and after Covid-19: An overview on recommendations

Agostini

Mangone²,

Ruiu³

et al. 2021

J Rehabil Med

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“…Según nuestro estudio, casi la mitad de las salas de tratamiento de rehabilitación de los hospitales españoles encuestados se utilizaron para desplegar camas de ingreso de pacientes siendo otro motivo más de la anulación de los tratamientos. Esta también ha sido la norma en los Servicios de Rehabilitación de la ciudad de Nueva York 10 .…”

Section: Discussionunclassified

Luchando contra la COVID-19: labor asistencial de los médicos rehabilitadores españoles. Estudio transversal

et al. 2020

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Objetivo El objetivo de este estudio es analizar el impacto y la organización tanto asistencial como docente en los Servicios de Medicina Física y Rehabilitación de España ante el nuevo y cambiante escenario debido a la pandemia por la COVID-19. Métodos Se realiza una encuesta dirigida a los tutores de los Servicios de Rehabilitación. Un total de 31 preguntas divididas en 6 apartados: información general de los Servicios, adaptación del Servicio durante el periodo COVID, labor asistencial de los médicos rehabilitadores, abordaje rehabilitador de pacientes COVID, consecuencia de la pandemia sobre la salud de los rehabilitadores y labores de tutoría durante ese periodo. Resultados Se recibieron un total de 54 encuestas. Casi la mitad de los Servicios cancelaron todas las consultas presenciales (40%) y las salas de terapias se destinaron a camas de pacientes COVID (48%). En 30 hospitales (55,6%) los facultativos han trabajado en plantas COVID. La gran mayoría de los Servicios han elaborado material gráfico y audiovisual con ejercicios, así como protocolos de derivación y tratamiento rehabilitador de pacientes COVID ingresados. Casi la mitad de los Servicios encuestados han tenido algún caso de ansiedad en el personal médico. Las labores de tutoría se han anulado (40,7%) o disminuido (35,2%). Conclusiones La organización de los Servicios de Rehabilitación para hacer frente a la pandemia ha sido similar en todo el territorio español. La respuesta de los Servicios a la crisis sanitaria ha visualizado la versatilidad de trabajo de los médicos rehabilitadores.

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“…5 To accommodate the surge in COVID-19 cases, some IRFs, particularly in the hardest hit cities, transitioned to medical wards. 6 A rise in cases in the region necessitated the accelerated opening of a new rehabilitation hospital to enable our hospital system to repurpose the hospital-based rehabilitation units as COVID-19 care units. Opening the new rehabilitation center during the public health emergency came with unique challenges, including treating critically ill patients during a rapid increase in rehabilitation hospital capacity, organizing appropriate and effective lines of communication, adhering to stringent infection control measures in a new environment, supporting patients facing pandemic-induced socioeconomic hurdles, and adjusting to necessary changes among teams of health care workers.…”

Section: Problemmentioning

confidence: 99%

“…To accommodate the surge in COVID‐19 cases, some IRFs, particularly in the hardest hit cities, transitioned to medical wards 6 . A rise in cases in the region necessitated the accelerated opening of a new rehabilitation hospital to enable our hospital system to repurpose the hospital‐based rehabilitation units as COVID‐19 care units.…”

Section: Problemmentioning

confidence: 99%

Opening Up during Lockdown: Launching a New Rehabilitation Hospital in the Midst of the COVID‐19 Pandemic

Appeadu

Lê

Rosales

et al. 2020

PM&R

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When Physical Medicine and Rehabilitation Became Medicine—Life in the Time of Coronavirus Disease of 2019

Cited by 4 publications

References 0 publications

Rehabilitation setting during and after Covid-19: An overview on recommendations

Rehabilitation setting during and after Covid-19: An overview on recommendations

Luchando contra la COVID-19: labor asistencial de los médicos rehabilitadores españoles. Estudio transversal

Opening Up during Lockdown: Launching a New Rehabilitation Hospital in the Midst of the COVID‐19 Pandemic

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