Rehabilitation for Patients with COVID-19: A Japanese Single-center Experience.
coronavirus disease 2019
infection
physiotherapy
rehabilitation
risk management
Journal
Progress in rehabilitation medicine
ISSN: 2432-1354
Titre abrégé: Prog Rehabil Med
Pays: Japan
ID NLM: 101707740
Informations de publication
Date de publication:
2021
2021
Historique:
received:
15
10
2020
accepted:
02
02
2021
entrez:
8
3
2021
pubmed:
9
3
2021
medline:
9
3
2021
Statut:
epublish
Résumé
The aim of the study was to describe the characteristics and efficiency of rehabilitation for patients diagnosed with moderate-to-severe coronavirus disease (COVID-19). We retrospectively assessed the medical records of patients with COVID-19 who underwent rehabilitation for early mobilization and to maintain activities of daily living at our hospital between April 21 and August 20, 2020. The following patient data were evaluated: age, sex, diseases, and the total number of sessions completed by patients with severe COVID-19 in the intensive care unit (ICU) and by patients with moderate disease in the general COVID-19 wards. The number of daily sessions performed by physiotherapists was also evaluated. Of 161 patients with COVID-19 admitted during the study period, 95 underwent rehabilitation (78 in the general COVID-19 wards and 17 in the ICU). These 95 COVID-19 patients completed 1035 rehabilitation sessions in total (882 in the general ward and 153 in the ICU). Polymerase chain reaction test results for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) were positive for 79 patients on the initiation of rehabilitation. Moreover, 86 sessions were supervised remotely, thereby reducing the duration of the medical staff's stay in the SARS-CoV-2 isolation area. Patients with COVID-19 in the ICU received significantly more daily physiotherapy sessions than general ward patients (P<0.001). Each physiotherapist performed, on average, 4.6 sessions daily, with 4.3 daily sessions being performed wearing personal protective equipment (PPE). COVID-19 rehabilitation required more efforts as wearing PPE was necessary for most cases although tried with remote rehabilitation in some cases. Overall, a longer rehabilitation period was needed for ICU patients.
Identifiants
pubmed: 33681507
doi: 10.2490/prm.20210013
pii: 20210013
pmc: PMC7925246
doi:
Types de publication
Journal Article
Langues
eng
Pagination
20210013Informations de copyright
©2021 The Japanese Association of Rehabilitation Medicine.
Déclaration de conflit d'intérêts
CONFLICTS OF INTEREST : The authors have no conflicts of interest to declare.
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