The Important Impact of COVID-19 Pandemic on the Reorganization of a Rehabilitation Unit in a National Healthcare System Hospital in Italy: Lessons From Our Experience.


Journal

American journal of physical medicine & rehabilitation
ISSN: 1537-7385
Titre abrégé: Am J Phys Med Rehabil
Pays: United States
ID NLM: 8803677

Informations de publication

Date de publication:
01 04 2021
Historique:
pubmed: 27 1 2021
medline: 24 3 2021
entrez: 26 1 2021
Statut: ppublish

Résumé

Since March 2020, when COVID-19 pandemic broke out, the world's healthcare systems' main concern has been fighting the pandemic. However, patients with other diseases, also requiring rehabilitation evaluations and treatments, continued to need care. Our rehabilitation unit managed to maintain contact with patients through alternative communication methods even during the lockdown period and in a situation of staff shortage. If face-to-face evaluations and treatments were necessary, preventive measures were followed to avoid hospital-associated contagion. Rehabilitation beds were cleared to leave them to the acute wards, and consultations for the acute care patients were carried out using personal protective equipment. In the future, the lessons from our experience could contribute toward drawing a plan of measures applicable in similar situations and some of these actions could become part of the rehabilitative practice.

Identifiants

pubmed: 33496441
doi: 10.1097/PHM.0000000000001707
pii: 00002060-202104000-00004
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

327-330

Informations de copyright

Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

Références

World Health Organization: WHO announces COVID-19 outbreak a pandemic. Available at: https://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/news/news/2020/3/who-announces-covid-19-outbreak-a-pandemic . Accessed January 2, 2021
World Health Organization: World Health Organization, Coronavirus disease 2019 (COVID-19) situation dashboard. Available at: https://covid19.who.int/ . Accessed January 2, 2021
Coronavirus: Primi due casi in Italia. Corriere Della Sera [in Italian]. 2020. Available at: https://www.corriere.it/cronache/20_gennaio_30/coronavirus-italia-corona-9d6dc436-4343-11ea-bdc8-faf1f56f19b7.shtml . Accessed January 2, 2021
Anzolin E, Amante A: Coronavirus outbreak grows in northern Italy, 16 cases reported in one day. Thomson Reuters Foundation News. 2020. Available at: https://news.trust.org/item/20200221165731-rzbol . Accessed January 2, 2021
Coronavirus: Colpite tutte le regioni. La Protezione civile: ecco i numeri aggiornati. Avvenire [in Italian]. 2020. Available at: https://www.avvenire.it/attualita/pagine/coronavirus-aggiornamento-5-marzo-2020 . Accessed January 2, 2021
Vermund SH, Pitzer VE: Asymptomatic transmission and the infection fatality risk for COVID-19: implications for school reopening. Clin Infect Dis 2020;ciaa855. doi: 10.1093/cid/ciaa855
doi: 10.1093/cid/ciaa855
Boldrini P, Bernetti A, Fiore P; SIMFER Executive Committee, SIMFER Committee for International Affairs: Impact of COVID-19 outbreak on rehabilitation services and physical and rehabilitation medicine physicians’ activities in Italy. An official document of the Italian PRM Society (SIMFER). Eur J Phys Rehabil Med 2020;56:316–8
Leocani L, Diserens K, Moccia M, et al.: Disability through COVID-19 pandemic: neurorehabilitation cannot wait. Eur J Neurol 2020;27:e50–1
Goemé L, Biebouw S, Linden P, et al.: The impact of COVID-19 on rehabilitation: the Belgian experience. Eur J Phys Rehabil Med 2020;56:371–2
Prince D, Hsieh J: Early rehabilitation in the intensive care unit. Curr Phys Med Rehabil Rep 2015;3:214–21
Wang CY, Chen YC, Wang CH: Early rehabilitation in acute care inpatient wards may be crucial to functional recovery 3 months after ischemic stroke. Phys Ther 2021;101:pzaa197
Stein JV, Christopher J, Barbuto S: Rehabilitation medicine response to the COVID-19 pandemic. Am J Phys Med Rehabil 2020;99:573–9
Miles A, Connor NP, Desai RV, et al.: Dysphagia care across the continuum: a multidisciplinary dysphagia research society taskforce report of service-delivery during the COVID-19 global pandemic. Dysphagia 2020;1–13. doi: 10.1007/s00455-020-10153-8
doi: 10.1007/s00455-020-10153-8
McNeary L, Maltser S, Verduzco-Gutierrez M: Navigating coronavirus disease 2019 (Covid-19) in physiatry: a CAN report for inpatient rehabilitation facilities. PM R 2020;12:512–5
Asly M, Hazim A: Rehabilitation of post-COVID-19 patients. Pan Afr Med J 2020;36:168
Yonter SJ, Alter K, Bartels MN, et al.: What now for rehabilitation specialists? Coronavirus disease 2019 questions and answers. Arch Phys Med Rehabil 2020;101:2233–42
Decreto del Presidente del Consiglio dei Ministri 9 marzo 2020Ulteriori disposizioni attuative del decreto-legge 23 febbraio 2020, n. 6, recante misure urgenti in materia di contenimento e gestione dell’emergenza epidemiologica da COVID-19, applicabili sull’intero territorio nazionale. (20A01558) March 9, 2020; GU n.62. Available at: https://www.gazzettaufficiale.it/atto/stampa/serie_generale/originario . Accessed January 2, 2021
Wang D, Hu B, Hu C, et al.: Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA 2020;323:1061–9
Decreto del Presidente del Consiglio dei Ministri 1 marzo 2020 Ulteriori disposizioni attuative del decreto-legge 23 febbraio 2020, n. 6, recante misure urgenti in materia di contenimento e gestione dell’emergenza epidemiologica da COVID-19. (20A01381) March 1, 2020; GU Serie Generale n.52. Available at: https://www.gazzettaufficiale.it/eli/id/2020/03/01/20A01381/sg . Accessed January 2, 2021
Negrini S, Grabljevec K, Boldrini P: Up to 2.2 million people experiencing disability suffer collateral damage each day of COVID-19 lockdown in Europe. Eur J Phys Rehabil Med 2020;56:361–5
Covid-19. Phase two: what’s opening and what you can do. 2020. Available at: http://www.salute.gov.it/portale/nuovocoronavirus/dettaglioNotizieNuovoCoronavirus.jsp?id=4670 . Accessed January 2, 2021

Auteurs

Maria Chiara Maccarone (MC)

From the Physical Medicine and Rehabilitation School, University of Padova, Padua, Italy (MCM); and Rehabilitation Unit, Department of Neuroscience, University of Padova, Padua, Italy (SM).

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH