From the Department of Communication Sciences and Disorders, Speech and Hearing Clinic, University of Hawaii at Mānoa, John A. Burns School of Medicine, Honolulu, Hawaii (HLL); Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University School of Medicine, Richmond, Virginia (HLL, DXC); Burke Rehabilitation Hospital, White Plains, New York (MO-P); The Arthur S. Abramson Department of Rehabilitation Medicine, Albert Einstein College of Medicine, Montefiore Health System, Bronx, New York (MO-P); US Department of Veterans Affairs, Montrose, Virginia (DXC); and Long-term Impact of Military-relevant Brain Injury Consortium - Chronic Effects of Neurotrauma Consortium (LIMBIC-CENC), Richmond, Virginia (DXC).
Am J Phys Med Rehabil. 2020 Jul;99(7):571-572. doi: 10.1097/PHM.0000000000001460.
The global outbreak of coronavirus disease 2019 has created an unprecedented challenge to the society. Currently, the United States stands as the most affected country, and the entire healthcare system is affected, from emergency department, intensive care unit, postacute care, outpatient, to home care. Considering the debility, neurological, pulmonary, neuromuscular, and cognitive complications, rehabilitation professionals can play an important role in the recovery process for individuals with coronavirus disease 2019. Clinicians across the nation's rehabilitation system have already begun working to initiate intensive care unit-based rehabilitation care and develop programs, settings, and specialized care to meet the short- and long-term needs of these individuals. We describe the anticipated rehabilitation demands and the strategies to meet the needs of this population. The complications from coronavirus disease 2019 can be reduced by (1) delivering interdisciplinary rehabilitation that is initiated early and continued throughout the acute hospital stay, (2) providing patient/family education for self-care after discharge from inpatient rehabilitation at either acute or subacute settings, and (3) continuing rehabilitation care in the outpatient setting and at home through ongoing therapy either in-person or via telehealth.
2019 年冠状病毒病的全球爆发给社会带来了前所未有的挑战。目前，美国是受影响最严重的国家，整个医疗保健系统都受到了影响，从急诊、重症监护室、急性后期护理、门诊到家庭护理。考虑到虚弱、神经、肺部、神经肌肉和认知并发症，康复专业人员可以在 2019 年冠状病毒病患者的康复过程中发挥重要作用。全国康复系统的临床医生已经开始努力开展以重症监护病房为基础的康复护理，并制定方案、设置和专门护理，以满足这些患者的短期和长期需求。我们描述了预期的康复需求和满足这一人群需求的策略。通过以下方式可以减少 2019 年冠状病毒病的并发症：（1）提供早期开始并贯穿整个急性住院期间的跨学科康复；（2）在急性或亚急性环境中从住院康复出院后为患者/家属提供自我护理教育；（3）通过面对面或通过远程医疗继续在门诊和家庭环境中进行康复护理。
