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Remote rehabilitation for patients with COVID-19.

Identifieur interne : 000409 ( Main/Corpus ); précédent : 000408; suivant : 000410

Remote rehabilitation for patients with COVID-19.

Auteurs : Tomoko Sakai ; Chisato Hoshino ; Reiko Yamaguchi ; Masanobu Hirao ; Rui Nakahara ; Atsushi Okawa

Source :

RBID : pubmed:32871014

English descriptors

Abstract

OBJECTIVE

To describe the effectiveness and risk management of remote rehabilitation for coronavirus disease (COVID-19) patients.

DESIGN

Single-centre, retrospective, observational study.

PATIENTS

COVID-19 patients undergoing rehabilitation (24 April to 24 May 2020).

METHODS

All COVID-19 inpatients undergoing rehabilitation in the general ward were assessed. Data were collected on age, sex, physical ability, rehabilitation modality (remote/direct), need for intubation or extracorporeal membrane oxygenation, degree of pneumonia, oxygen therapy from the start of rehabilitation, D-dimer and C-reactive protein levels, and rehabilitation-related complications. Activities of daily living were measured using the Barthel Index.

RESULTS

Out of a total of 43 patients, 14 were initially provided with remote rehabilitation and 29 with direct rehabilitation. Four patients were switched from direct to remote rehabilitation during the study, thus at the end of the study there were 18 in the remote rehabilitation group and 25 in the direct rehabilitation group. Patients in remote rehabilitation were significantly younger than those in direct rehabilitation. Of 12 patients who required intubation, 3 were given remote rehabilitation. One extracorporeal membrane oxygenation survivor underwent direct rehabilitation. All patients on remote rehabilitation were discharged home or to a hotel. Twelve out of 29 patients were transferred to a rehabilitation hospital due to delayed recovery of activities of daily living. No serious adverse events occurred.

CONCLUSION

Effective and safe remote rehabilitation was performed in 41.9% of COVID-19 patients in this study, which resulted in improved rehabilitation in COVID-19 zones.


DOI: 10.2340/16501977-2731
PubMed: 32871014

Links to Exploration step

pubmed:32871014

Le document en format XML

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<name sortKey="Sakai, Tomoko" sort="Sakai, Tomoko" uniqKey="Sakai T" first="Tomoko" last="Sakai">Tomoko Sakai</name>
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<nlm:affiliation>Department of Rehabilitation Medicine, Tokyo Medical and Dental University, Tokyo, Japan. E-mail: t_sakai.orth@tmd.ac.jp.</nlm:affiliation>
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<name sortKey="Hoshino, Chisato" sort="Hoshino, Chisato" uniqKey="Hoshino C" first="Chisato" last="Hoshino">Chisato Hoshino</name>
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<name sortKey="Yamaguchi, Reiko" sort="Yamaguchi, Reiko" uniqKey="Yamaguchi R" first="Reiko" last="Yamaguchi">Reiko Yamaguchi</name>
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<name sortKey="Hirao, Masanobu" sort="Hirao, Masanobu" uniqKey="Hirao M" first="Masanobu" last="Hirao">Masanobu Hirao</name>
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<name sortKey="Nakahara, Rui" sort="Nakahara, Rui" uniqKey="Nakahara R" first="Rui" last="Nakahara">Rui Nakahara</name>
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<b>OBJECTIVE</b>
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<p>To describe the effectiveness and risk management of remote rehabilitation for coronavirus disease (COVID-19) patients.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>DESIGN</b>
</p>
<p>Single-centre, retrospective, observational study.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>PATIENTS</b>
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<p>COVID-19 patients undergoing rehabilitation (24 April to 24 May 2020).</p>
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<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
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<p>All COVID-19 inpatients undergoing rehabilitation in the general ward were assessed. Data were collected on age, sex, physical ability, rehabilitation modality (remote/direct), need for intubation or extracorporeal membrane oxygenation, degree of pneumonia, oxygen therapy from the start of rehabilitation, D-dimer and C-reactive protein levels, and rehabilitation-related complications. Activities of daily living were measured using the Barthel Index.</p>
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<p>
<b>RESULTS</b>
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<p>Out of a total of 43 patients, 14 were initially provided with remote rehabilitation and 29 with direct rehabilitation. Four patients were switched from direct to remote rehabilitation during the study, thus at the end of the study there were 18 in the remote rehabilitation group and 25 in the direct rehabilitation group. Patients in remote rehabilitation were significantly younger than those in direct rehabilitation. Of 12 patients who required intubation, 3 were given remote rehabilitation. One extracorporeal membrane oxygenation survivor underwent direct rehabilitation. All patients on remote rehabilitation were discharged home or to a hotel. Twelve out of 29 patients were transferred to a rehabilitation hospital due to delayed recovery of activities of daily living. No serious adverse events occurred.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
</p>
<p>Effective and safe remote rehabilitation was performed in 41.9% of COVID-19 patients in this study, which resulted in improved rehabilitation in COVID-19 zones.</p>
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