Assessment of activities of daily living in patients post COVID-19: a systematic review.

Activities of daily living COVID-19 Functional assessment Rehabilitation Systematic review

Journal

PeerJ
ISSN: 2167-8359
Titre abrégé: PeerJ
Pays: United States
ID NLM: 101603425

Informations de publication

Date de publication:
2021
Historique:
received: 23 11 2020
accepted: 08 02 2021
entrez: 19 4 2021
pubmed: 20 4 2021
medline: 20 4 2021
Statut: epublish

Résumé

Coronavirus disease has provoked much discussion since its first appearance. Despite it being widely studied all over the world, little is known about the impact of the disease on functional ability related to performing activities of daily living (ADL) in patients post COVID-19 infection. To understand the impact of COVID-19 on ADL performance of adult patients and to describe the common scales used to assess performance of ADL on patients post-COVID-19. A systematic review was conducted. We included studies that applied a physical capacity test in COVID-19 patients, post-infection. Two independent reviewers analyzed the studies, extracted the data, and assessed the quality of the evidence. A total of 1,228 studies were included, after removing duplicates, 1,005 abstracts were screened and of those 983 were excluded. A final number of nine studies which met the eligibility criteria were included. The findings revealed worsening of physical function and ADL performance in all patients post COVID-19 infection. All included studies found a reduction of ADL beyond the test or scale used, revealing a vital worsening of functional ability in ADL performance and consequently loss of independence in COVID-19 patients after the acute phase of infection. Functional ability status previous to COVID-19 is crucial for predicting the severity of the disease and mortality. Barthel Index and ADL score were the most used assessment tools across subjects with different intrinsic capacity and context levels.

Sections du résumé

BACKGROUND BACKGROUND
Coronavirus disease has provoked much discussion since its first appearance. Despite it being widely studied all over the world, little is known about the impact of the disease on functional ability related to performing activities of daily living (ADL) in patients post COVID-19 infection.
OBJECTIVES OBJECTIVE
To understand the impact of COVID-19 on ADL performance of adult patients and to describe the common scales used to assess performance of ADL on patients post-COVID-19.
METHODS METHODS
A systematic review was conducted. We included studies that applied a physical capacity test in COVID-19 patients, post-infection. Two independent reviewers analyzed the studies, extracted the data, and assessed the quality of the evidence.
RESULTS RESULTS
A total of 1,228 studies were included, after removing duplicates, 1,005 abstracts were screened and of those 983 were excluded. A final number of nine studies which met the eligibility criteria were included. The findings revealed worsening of physical function and ADL performance in all patients post COVID-19 infection.
CONCLUSION CONCLUSIONS
All included studies found a reduction of ADL beyond the test or scale used, revealing a vital worsening of functional ability in ADL performance and consequently loss of independence in COVID-19 patients after the acute phase of infection. Functional ability status previous to COVID-19 is crucial for predicting the severity of the disease and mortality. Barthel Index and ADL score were the most used assessment tools across subjects with different intrinsic capacity and context levels.

Identifiants

pubmed: 33868804
doi: 10.7717/peerj.11026
pii: 11026
pmc: PMC8034364
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e11026

Informations de copyright

© 2021 Pizarro-Pennarolli et al.

Déclaration de conflit d'intérêts

The authors declare that they have no competing interests.

Références

J Gerontol A Biol Sci Med Sci. 2021 Feb 25;76(3):e4-e12
pubmed: 32845301
Aging (Albany NY). 2020 Jun 23;12(12):11306-11313
pubmed: 32576712
Arch Phys Med Rehabil. 2020 Aug;101(8):1470-1471
pubmed: 32466834
Qual Life Res. 2013 Sep;22(7):1717-27
pubmed: 23184421
JAMA. 2020 Aug 11;324(6):603-605
pubmed: 32644129
Infect Dis Poverty. 2020 Mar 17;9(1):29
pubmed: 32183901
Syst Rev. 2016 Dec 5;5(1):210
pubmed: 27919275
Pulmonology. 2021 Jul-Aug;27(4):328-337
pubmed: 33262076
Stroke. 2020 Sep;51(9):2649-2655
pubmed: 32755456
Intensive Care Med. 2020 Jan;46(1):57-69
pubmed: 31784798
J Med Virol. 2021 Feb;93(2):1013-1022
pubmed: 32729939
JAMA. 2020 Feb 25;323(8):709-710
pubmed: 31999307
PLoS Med. 2009 Jul 21;6(7):e1000097
pubmed: 19621072
Stroke. 2017 Jul;48(7):2007-2012
pubmed: 28626052
Am J Phys Med Rehabil. 2021 Apr 1;100(4):313-320
pubmed: 33496442
J Rehabil Med. 2019 Mar 13;51(3):193-200
pubmed: 30843597
Arch Bronconeumol. 2021 Jan;57:7-8
pubmed: 34629627
Eur Respir J. 2020 Oct 15;56(4):
pubmed: 32764112
Front Aging Neurosci. 2019 Nov 15;11:318
pubmed: 31803048
Eur Respir J. 2020 Jul 2;56(1):
pubmed: 32398306
Complement Ther Clin Pract. 2020 May;39:101166
pubmed: 32379637
Eur J Phys Rehabil Med. 2020 Oct;56(5):633-641
pubmed: 32667150
Aust Crit Care. 2011 Aug;24(3):155-66
pubmed: 21723143
Eur Respir Rev. 2020 Oct 5;29(157):
pubmed: 33020069
J Am Med Dir Assoc. 2019 Apr;20(4):420-425.e1
pubmed: 30448338
Arch Phys Med Rehabil. 2000 Dec;81(12 Suppl 2):S21-9
pubmed: 11128901
J Infect. 2020 Dec;81(6):e4-e6
pubmed: 32853602
Am J Respir Crit Care Med. 2016 Oct 1;194(7):831-844
pubmed: 26974173
J Rehabil Med. 2020 Sep 4;52(9):jrm00095
pubmed: 32871014
Eur Geriatr Med. 2020 Oct;11(5):857-862
pubmed: 32666303
Aging Clin Exp Res. 2018 Sep;30(9):1041-1051
pubmed: 29214518

Auteurs

Catalina Pizarro-Pennarolli (C)

Department of Physical Therapy, Faculty of Medicine, Universidad de Chile, Santiago, Chile.

Carlos Sánchez-Rojas (C)

Department of Physical Therapy, Faculty of Medicine, Universidad de Chile, Santiago, Chile.

Rodrigo Torres-Castro (R)

Department of Physical Therapy, Faculty of Medicine, Universidad de Chile, Santiago, Chile.
International Physiotherapy Research Network (PhysioEvidence), Barcelona, España.

Roberto Vera-Uribe (R)

Department of Physical Therapy, Faculty of Medicine, Universidad de Chile, Santiago, Chile.
International Physiotherapy Research Network (PhysioEvidence), Barcelona, España.

Diana C Sanchez-Ramirez (DC)

Department of Respiratory Therapy, College of Rehabilitation Sciences, University of Manitoba, Winnipeg, MB, Canada.

Luis Vasconcello-Castillo (L)

Department of Physical Therapy, Faculty of Medicine, Universidad de Chile, Santiago, Chile.
International Physiotherapy Research Network (PhysioEvidence), Barcelona, España.

Lilian Solís-Navarro (L)

Department of Physical Therapy, Faculty of Medicine, Universidad de Chile, Santiago, Chile.

Gonzalo Rivera-Lillo (G)

Department of Physical Therapy, Faculty of Medicine, Universidad de Chile, Santiago, Chile.
Research and Development Unit, Clínica Los Coihues, Santiago, Chile.
Department of Neuroscience, Faculty of Medicine, Universidad de Chile, Santiago, Chile.

Classifications MeSH