AI Article Synopsis
- - The study investigated the effectiveness of acute rehabilitation, specifically physiotherapy (PT), for patients with severe COVID-19 in an ICU setting, comparing outcomes for those who received PT to those who did not.
- - A total of 98 patients were analyzed, with findings showing that the PT group, who were generally older and had more severe health challenges, demonstrated significant improvements in their activities of daily living (ADL) by discharge compared to their initial state.
- - Conclusions suggest that older patients with severe COVID-19, especially those with longer hospital stays or requiring mechanical ventilation, are likely to benefit from early physiotherapy intervention to mitigate declines in daily functioning.
Article Abstract
Objectives: The effectiveness of acute rehabilitation treatment for severe coronavirus disease 2019 (COVID-19) has not yet been established. This study examined the efficacy of treatment provided to patients with severe COVID-19 in an acute care facility.
Methods: A total of 98 patients with severe COVID-19 requiring inpatient management in our intensive care unit (ICU) were included between December 2020 and October 2021. They were divided into two groups: those who received physiotherapy (PT group; n=44) and those who did not receive physiotherapy (non-PT group; n=54). Their backgrounds, clinical characteristics, and activities of daily life (ADL) at discharge were compared to examine factors that influenced the need for physiotherapy (PT). We also evaluated the effect of PT on ADL by comparing the Barthel Index (BI) before PT and at discharge.
Results: The PT group patients were significantly older, had longer hospital and ICU stays, and used invasive mechanical ventilators (IMV) more frequently than those in the non-PT group. More patients in the non-PT group were able to walk at discharge than in the PT group. The PT group patients showed significant improvement in BI and ADL at discharge when compared with BI at the start of PT, regardless of whether an IMV was used.
Conclusions: Older patients with severe COVID-19 with prolonged hospitalization or ICU stay or on an IMV are prone to a decline in ADL and may need to be considered for early PT.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10800290 | PMC |
| http://dx.doi.org/10.2490/prm.20240003 | DOI Listing |
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