Department of Rehabilitation Medicine, Tokyo Medical and Dental University, Tokyo, Japan. E-mail:
J Rehabil Med. 2020 Sep 4;52(9):jrm00095. doi: 10.2340/16501977-2731.
To describe the effectiveness and risk management of remote rehabilitation for coronavirus disease (COVID-19) patients.
Single-centre, retrospective, observational study.
COVID-19 patients undergoing rehabilitation (24 April to 24 May 2020).
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.
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.
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.
描述远程康复治疗新型冠状病毒肺炎（COVID-19）患者的效果和风险管理。
单中心、回顾性、观察性研究。
接受康复治疗的 COVID-19 患者（2020 年 4 月 24 日至 5 月 24 日）。
评估所有在普通病房接受康复治疗的 COVID-19 住院患者。收集的数据包括年龄、性别、身体能力、康复方式（远程/直接）、是否需要插管或体外膜肺氧合、肺炎严重程度、康复开始时的氧疗、D-二聚体和 C 反应蛋白水平以及与康复相关的并发症。日常生活活动能力使用巴氏指数进行评估。
在总共 43 名患者中，14 名患者最初接受远程康复治疗，29 名患者接受直接康复治疗。在研究期间，有 4 名患者从直接康复转为远程康复，因此在研究结束时，远程康复组有 18 名患者，直接康复组有 25 名患者。远程康复组的患者明显比直接康复组的患者年轻。在需要插管的 12 名患者中，有 3 名接受了远程康复治疗。1 名体外膜肺氧合幸存者接受了直接康复治疗。所有接受远程康复治疗的患者均出院回家或入住酒店。由于日常生活活动恢复延迟，29 名患者中有 12 名被转至康复医院。没有发生严重不良事件。
在这项研究中，41.9%的 COVID-19 患者接受了有效的、安全的远程康复治疗，这使得 COVID-19 隔离区的康复治疗得到了改善。
