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Titre : | Do Patients With COVID-19 Benefit from Rehabilitation? Functional Outcomes of the First 100 Patients in a COVID-19 Rehabilitation Unit (2021) |
Auteurs : | Violaine Piquet ; Cédric Luczak ; Fabien Seiler ; Jordan Monaury ; Alexandre Martini ; Anthony B. Ward ; Jean-Michel Gracies ; Damien Motavasseli |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 102, n° 6, 2021) |
Article en page(s) : | p. 1067-1074 |
Note générale : | https://doi.org/10.1016/j.apmr.2021.01.069 |
Langues: | Anglais |
Descripteurs : |
HE Vinci COVID-19 ; Pandémies ; Réadaptation |
Résumé : |
Objective
To determine the benefits associated with brief inpatient rehabilitation for coronavirus 2019 (COVID-19) patients. Design Retrospective chart review. Setting A newly created specialized rehabilitation unit in a tertiary care medical center. Participants Consecutive sample of patients (N=100) with COVID-19 infection admitted to rehabilitation. Intervention Inpatient rehabilitation for postacute care COVID-19 patients. Main Outcome Measures Measurements at admission and discharge comprised a Barthel Activities of Daily Living Index (including baseline value before COVID-19 infection), time to perform 10 sit-to-stands with associated cardiorespiratory changes, and grip strength (dynamometry). Correlations between these outcomes and the time spent in the intensive care unit (ICU) were explored. Results Upon admission to rehabilitation, 66% of the patients were men, the age was 66±22 years, mean delay from symptom onset was 20.4±10.0 days, body mass index was 26.0±5.4 kg/m2, 49% had hypertension, 29% had diabetes, and 26% had more than 50% pulmonary damage on computed tomographic scans. The mean length of rehabilitation stay was 9.8±5.6 days. From admission to discharge, the Barthel index increased from 77.3±26.7 to 88.8±24.5 (P<.001 without recovering baseline values p there was a improvement in sit-to-stand frequency to hz decrease post-test respiratory rate and increase grip strength kg at both admission discharge barthel score correlated with which negatively time spent the icu> Conclusions Inpatient rehabilitation for COVID-19 patients was associated with substantial motor, respiratory, and functional improvement, especially in severe cases, although there remained mild persistent autonomy loss upon discharge. After acute stages, COVID-19, primarily a respiratory disease, might convert into a motor impairment correlated with the time spent in intensive care. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999321001349#! |