Hull University Teaching Hospital National Health Service (NHS) Trust, Hull HU16 5JQ, UK.
Hull York Medical School, University of Hull, Hull HU6 7RX, UK.
Int J Environ Res Public Health. 2020 Jul 7;17(13):4890. doi: 10.3390/ijerph17134890.
A global pandemic of a new highly contagious disease called COVID-19 resulting from coronavirus (severe acute respiratory syndrome (SARS)-Cov-2) infection was declared in February 2020. Though primarily transmitted through the respiratory system, other organ systems in the body can be affected. Twenty percent of those affected require hospitalization with mechanical ventilation in severe cases. About half of the disease survivors have residual functional deficits that require multidisciplinary specialist rehabilitation. The workforce to deliver the required rehabilitation input is beyond the capacity of existing community services. Strict medical follow-up guidelines to monitor these patients mandate scheduled reviews within 12 weeks post discharge. Due to the restricted timeframe for these events to occur, existing care pathway are unlikely to be able to meet the demand. An innovative integrated post-discharge care pathway to facilitate follow up by acute medical teams (respiratory and intensive care) and a specialist multidisciplinary rehabilitation team is hereby proposed. Such a pathway will enable the monitoring and provision of comprehensive medical assessments and multidisciplinary rehabilitation. This paper proposes that a model of tele-rehabilitation is integrated within the pathway by using digital communication technology to offer quick remote assessment and efficient therapy delivery to these patients. Tele-rehabilitation offers a quick and effective option to respond to the specialist rehabilitation needs of COVID-19 survivors following hospital discharge.
2020 年 2 月，一种名为 COVID-19 的新型高传染性疾病被宣布为全球大流行，该疾病由冠状病毒（严重急性呼吸系统综合征（SARS）-Cov-2）感染引起。尽管主要通过呼吸系统传播，但身体的其他器官系统也可能受到影响。受影响的人中有 20%需要住院治疗，在严重的情况下需要机械通气。大约一半的疾病幸存者有残留的功能缺陷，需要多学科专家康复。提供所需康复投入的劳动力超出了现有社区服务的能力。严格的医疗随访指南要求在出院后 12 周内进行定期检查。由于这些事件发生的时间限制，现有的护理途径不太可能满足需求。因此提出了一种创新的出院后护理途径，以便由急性医疗团队（呼吸科和重症监护科）和专业的多学科康复团队进行后续跟踪。这样的途径将能够进行监测，并提供全面的医疗评估和多学科康复。本文提出在该途径中整合远程康复模式，使用数字通信技术为这些患者提供快速远程评估和高效治疗。远程康复为满足 COVID-19 幸存者出院后的专家康复需求提供了一种快速有效的选择。
