Post-COVID-19 recovery and geriatric rehabilitation care: a European inter-country comparative study.

COVID-19 Europe Geriatric rehabilitation Recovery

Journal

European geriatric medicine
ISSN: 1878-7649
Titre abrégé: Eur Geriatr Med
Pays: Switzerland
ID NLM: 101533694

Informations de publication

Date de publication:
13 Aug 2024
Historique:
received: 19 03 2024
accepted: 24 07 2024
medline: 13 8 2024
pubmed: 13 8 2024
entrez: 13 8 2024
Statut: aheadofprint

Résumé

There is variation in organization of geriatric rehabilitation across Europe. The purpose of this study was to describe the selection criteria for referral to geriatric rehabilitation, care provided, and recovery trajectories of post-COVID-19 patients referred to geriatric rehabilitation in Europe. This observational cohort study included 723 patients in 59 care facilities for geriatric rehabilitation across 10 countries. Patient data were collected from medical records on admission to geriatric rehabilitation (between September 2020 and October 2021), discharge, 6 weeks and 6 months follow-up. The primary and secondary outcomes were recovery in daily functioning (Barthel Index) and Quality of Life (EQ-5D-5L) from admission to discharge. These were examined using linear mixed models with two levels (measurements nested in patients) and country as an independent variable. Random intercept and random linear slope parameters were added when they improved model fit. A survey about organization of geriatric rehabilitation for post-COVID-19 patients was filled out by country coordinators and data were analyzed using descriptive statistics and inductive coding of answers to open questions. Patients had a mean age of 75.7 years old and 52.4% were male. Many countries used various combinations of the selection criteria, such as functional status, age, frailty, Comprehensive Geriatric Assessment, comorbidities, and cognitive impairments. Most patients received physiotherapy (88.8%) and occupational therapy (69.7%), but there was substantial variance between countries in the percentages of patients that received protein or calorie enriched diets, oxygen therapy, and other treatment components. In all countries, patients showed recovery in daily functioning and quality of life, although there was variation in between countries in rate of recovery. Daily functioning seemed to increase most rapidly in the Czech Republic, Germany, and Russia. The steepest increases in quality of life were seen in the Czech Republic, Germany, and Spain. Post-COVID-19 patients showed recovery during geriatric rehabilitation, albeit at variable rates. The observed variation may be explained by the heterogeneity in selection criteria and care provided. This study highlights the need for harmonization of measurements in geriatric rehabilitation order to perform explanatory research and optimize geriatric rehabilitation throughout Europe to ensure optimal patient recovery.

Identifiants

pubmed: 39136862
doi: 10.1007/s41999-024-01030-w
pii: 10.1007/s41999-024-01030-w
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : ZonMw
ID : 10430102110005
Pays : Netherlands
Organisme : ZonMw
ID : 640001003
Pays : Netherlands
Organisme : Leiden University Fund (Leiden Empowerment Fund)
ID : LEF2106-2-47

Informations de copyright

© 2024. The Author(s).

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Auteurs

Lisa S van Tol (LS)

Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands. L.S.van_Tol@lumc.nl.
Center for Medicine for Older People, Leiden University Medical Center, Leiden, The Netherlands. L.S.van_Tol@lumc.nl.
University Network for the Care Sector South-Holland, Leiden University Medical Center, Leiden, The Netherlands. L.S.van_Tol@lumc.nl.

Tiangao Lin (T)

Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
Center for Medicine for Older People, Leiden University Medical Center, Leiden, The Netherlands.
University Network for the Care Sector South-Holland, Leiden University Medical Center, Leiden, The Netherlands.
Department of Physical Medicine and Rehabilitation, Sir Run Run Shaw Hospital, Hangzhou, China.

Monique A A Caljouw (MAA)

Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
Center for Medicine for Older People, Leiden University Medical Center, Leiden, The Netherlands.
University Network for the Care Sector South-Holland, Leiden University Medical Center, Leiden, The Netherlands.

Matteo Cesari (M)

IRCCS Istituti Clinici Maugeri, University of Milan, Milan, Italy.

Frances Dockery (F)

Beaumont Hospital & Royal College of Surgeons in Ireland, Dublin, Ireland.

Irma H J Everink (IHJ)

Department of Health Services Research, Maastricht University, Maastricht, The Netherlands.

Bahaa N Francis (BN)

Fliman Geriatric Rehabilitation Center, Haifa, Israel.
Geriatric Division, Holy Family Hospital, Bar Ilan University, Safad, Israel.

Adam L Gordon (AL)

Academic Unit of Injury, Recovery and Inflammation Sciences (IRIS), School of Medicine, University of Nottingham, Nottingham, UK.
NIHR Applied Research Collaboration-East Midlands (ARC-EM), Nottingham, UK.

Stefan Grund (S)

Center for Geriatric Medicine, Agaplesion Bethanien Hospital Heidelberg, Geriatric Center at the Heidelberg University, Heidelberg, Germany.

Luba Matchekhina (L)

Russian Gerontology Research and Clinical Centre, Pirogov Russian National Research Medical University, Moscow, Russia.

L Mónica Perez Bazan (LMP)

RE-FiT Barcelona Research Group, Parc Sanitari Pere Virgili Hospital and Vall d'Hebron Institut de Recerca (VHIR), Barcelona, Spain.

Eva Topinková (E)

Department of Geriatrics, First Faculty of Medicine, Charles University and General Faculty Hospital, Prague, Czech Republic.
Faculty of Health and Social Sciences, University of South Bohemia, Ceske Budejovice, Czech Republic.

Mark A Vassallo (MA)

Karin Grech Hospital, Pieta, Malta.

Wilco P Achterberg (WP)

Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
Center for Medicine for Older People, Leiden University Medical Center, Leiden, The Netherlands.
University Network for the Care Sector South-Holland, Leiden University Medical Center, Leiden, The Netherlands.

Miriam L Haaksma (ML)

Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
Center for Medicine for Older People, Leiden University Medical Center, Leiden, The Netherlands.
University Network for the Care Sector South-Holland, Leiden University Medical Center, Leiden, The Netherlands.

Classifications MeSH