A safe and effective micro-choice based rehabilitation for patients with long COVID: results from a quasi-experimental study.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
09 06 2023
Historique:
received: 15 03 2023
accepted: 26 05 2023
medline: 12 6 2023
pubmed: 10 6 2023
entrez: 9 6 2023
Statut: epublish

Résumé

At least 65 million people suffer from long COVID. Treatment guidelines are unclear, especially pertaining to recommendations of increased activity. This longitudinal study evaluated safety, changes in functional level and sick leave following a concentrated rehabilitation program for patients with long COVID. Seventy-eight patients (19-67 years) participated in a 3-day micro-choice based rehabilitation program with 7-day and 3-month follow-up. Fatigue, functional levels, sick leave, dyspnea and exercise capacity were assessed. No adverse events were reported and 97.4% completed the rehabilitation. Fatigue measured with Chalder Fatigue Questionnaire decreased at 7-days [mean difference (MD = - 4.5, 95% CI - 5.5 to - 3.4) and 3-month (MD = - 5.5, 95% CI - 6.7 to - 4.3). Sick leave rates and dyspnea were reduced (p < 0.001) and exercise capacity and functional level increased (p < 0.001) at 3-month follow-up regardless of severity of fatigue at baseline. Micro-choice based concentrated rehabilitation for patients with long COVID was safe, highly acceptable and showed rapid improvements in fatigue and functional levels, sustaining over time. Even though this is a quasi-experimental study, the findings are of importance addressing the tremendous challenges of disability due to long COVID. Our results are also highly relevant for patients, as they provide the base for an optimistic outlook and evidence supported reason for hope.

Identifiants

pubmed: 37296140
doi: 10.1038/s41598-023-35991-y
pii: 10.1038/s41598-023-35991-y
pmc: PMC10252160
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

9423

Informations de copyright

© 2023. The Author(s).

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Auteurs

Bente Frisk (B)

Department of Health and Functioning, Western Norway University for Applied Sciences, Bergen, Norway.
Helse i Hardanger, Øystese, Norway.

Marte Jürgensen (M)

Helse i Hardanger, Øystese, Norway.
Divison of Psychiatry, Haukeland University Hospital, PO Box 1400, 5021, Bergen, Norway.

Birgitte Espehaug (B)

Department of Health and Functioning, Western Norway University for Applied Sciences, Bergen, Norway.

Kiri Lovise Njøten (KL)

Department of Health and Functioning, Western Norway University for Applied Sciences, Bergen, Norway.
Helse i Hardanger, Øystese, Norway.

Eirik Søfteland (E)

Helse i Hardanger, Øystese, Norway.
Department of Medicine, Haukeland University Hospital, Bergen, Norway.
Department of Clinical Science, University of Bergen, Bergen, Norway.

Bernt Bøgvald Aarli (BB)

Department of Clinical Science, University of Bergen, Bergen, Norway.
Department of Thoracic Medicine, Haukeland University Hospital, Bergen, Norway.

Gerd Kvale (G)

Divison of Psychiatry, Haukeland University Hospital, PO Box 1400, 5021, Bergen, Norway. gerd.kvale@helse-bergen.no.
Department of Clinical Psychology, University of Bergen, Bergen, Norway. gerd.kvale@helse-bergen.no.

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