Issue 20-2, 2021

Original article

https://doi.org/10.38025/2078-1962-2021-20-2-4-10

Rehabilitation of Patients with Severe Disability after COVID-19 in Rehabilitation Department. Multiple Case Study

View article (Download PDF file)



Download XML file

1 Yuliya M. Getmanskaya, 1 ORCIDIuly Treger

1 Medical University Center Soroka, Beer Sheva, Israel


ABSTRACT

The COVID-19 pandemic has significantly affected all aspects of life around the world including both the medical system as a whole and individual medical specialties. Understandably, medical rehabilitation was forced to adapt to the new disease, to develop adequate algorithms and technologies that can increase the level of independence and quality of life being disrupted as a result of coronavirus infection.

AIM. To analyze, organize and present the results of in-patient rehabilitation of patients after severe forms of COVID-19 infection by reporting the real cases from the clinical practice.

MATERIAL AND METHODS. COVID-19 infection is a multi-systemic disease, which, in many cases requires for inpatient multidisciplinary rehabilitation program. Patients after severe forms of infection suffer different symptoms in variable combinations. According to main disabling signs we can classify all our patients in 3 groups: (1) general weakness or deconditioning, (2) respiratory disorders due to lung disease, and (3) patients with different neurological complications. Patients in all groups demonstrate serious psychological compliances which indefinitely have negative influence on rehabilitation process. The paper presents clinical cases specific to each of the groups.

RESULTS. All hospitalized patients showed good functional improvement through quite standard length of stay in the department all patients were discharged home with the opportunity to return to relatively normal daily activities.

CONCLUSION. Patients after severe COVID-19 infection require professional multidisciplinary in-patient rehabilitation. All of them demonstrate good functional improvement and, after quite short period of hospitalization, can be discharged home.



KEYWORDS: Medical rehabilitation, inpatient rehabilitation, severe functional decline, COVID-19 infection

FUNDING: The study had no sponsorship.

CONFLICT OF INTEREST: The authors declare no apparent or potential conflicts of interest related to the publication of this article.

FOR CITATION: Getmanskaya Yu.M., Treger I. Rehabilitation of Patients with Severe Disability after COVID-19 in Rehabilitation Department. Multiple Case Study. Bulletin of Rehabilitation Medicine. 2021; 20 (2): 4-10. https://doi.org/10.38025/2078-1962-2021-20-2-4-10

FOR CORRESPONDENCE:

Iuly Treger, e-mail: treiuly@yandex.ru


References:

  1. World Health Organization. Director-General’s remarks at the media briefing on 2019-nCoV on 11 February 2020. http://www.who.int/dg/speeches/detail/who-director-general-s-remarks-at-the-media-briefing-on-2019-n... (Accessed on February 12, 2020).
  2. Wu Z., McGoogan J.M. Characteristics of and Important Lessons from the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. JAMA. 2020; 323(13): 1239-1242. https://doi.org/10.1001/jama.2020.2648
  3. CDC COVID-19 Response Team. Severe outcomes among patients with coronavirus disease 2019 (COVID-19). United States. Morbidity and Mortality Weekly Report. 2020; 69(12): 343-346. https://doi.org/10.15585/mmwr.mm6912e2
  4. Rodriguez-Morales A.J., Cardona-Ospina J.A., Gutierrez-Ocampo E. et al. Clinical, laboratory and imaging features of COVID-19: a systematic review and meta-analysis. Travel Medicine and Infectious Disease. 2020; (34):101623. https://doi.org/10.1016/j.tmaid.2020.101623
  5. Beeching N.F.T., Fowler R. Coronavirus disease 2019 (COVID-19). BMJ Best Practices. Available at: https://bestpractice.bmj.com/topics/en-gb/3000168 (Accessed March 3, 2020)
  6. Denehy L., Elliott D. Strategies for post ICU rehabilitation. Current Opinion in Critical Care. 2012; 18(5): 503-508. https://doi.org/10.1097/MCC.0b013e328357f064
  7. Jackson J.C., Ely E.W., Morey M.C. et al. Cognitive and physical rehabilitation of intensive care unit survivors: results of the return randomized controlled pilot investigation. Critical Care Medicine. 2012; (40): 1088-1097. https://doi.org/10.1097/CCM.0b013e3182373115
  8. Shmonin A.A., Maltseva M.N., Melnikova E.V., Mishina I.E., Ivanova G.E. Medicinskaya Reabilitaciya pri Koronavirusnoj Infekcii: Novye Zadachi dlya Fizicheskoj i Reabilitacionnoj Mediciny v Rossii [Medical Rehabilitation for Coronavirus Infection: New Challenges for Physical and Rehabilitation Medicine in Russia]. Bulletin of Rehabilitation Medicine. 2020; 3(97): 14-21. https://doi.org/10.38025/ 2078-1962-2020-97-3-14-21 (In Russ.).
  9. Fesyun A.D., Lobanov A.A., Rachin A.P., Yakovlev M.Yu., Andronov S.V., Konchugova T.V., Gilmutdinova I.R., Barashkov G.N., Mitroshkina E.E., Bogdanova E.N., Lebedev Ya.O., Nikitina A.M. Vyzovy i podhody k medicinskoj reabilitacii pacientov, perenesshih oslozhneniya Covid-19 [Challenges and approaches to medical rehabilitation of patients with Covid-19 complications]. Bulletin of Rehabilitation Medicine. 2020; 3(97): 3-13. https://doi.org/10.38025/2078-1962-2020-97-3-3-13 (In Russ.).
  10. Rawal G., Yadav S., Kumar R. Post-intensive care syndrome: an overview. Journal of Translational Internal Medicine. 2017; (5): 90-92. https://doi.org/10.1515/jtim-2016-0016
  11. Herridge M.S., Moss M., Hough C.L. et al. Recovery and outcomes after the acute respiratory distress syndrome (ARDS) in patients and their family caregivers. Intensive Care Medicine. 2016; (42): 725-738. https://doi.org/10.1007/s00134-016-4321-8
  12. Zorowitz R.D. ICU-acquired weakness: a rehabilitation perspective of diagnosis, treatment, and functional management. Chest. 2016; (150): 966-971. https://doi.org/10.1016/j.chest.2016.06.006
  13. Stevens R.D., Dowdy D.W., Michaels R.K. et al. Neuromuscular dysfunction acquired in critical illness: a systematic review. Intensive Care Medicine. 2007; (33): 1876-1891. https://doi.org/10.1007/s00134-007-0772-2



Creative Commons License
The content is available under the Creative Commons Attribution 4.0 License.

©


This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.