Holtslag H R, van den Borst B, Reijers M H E, Dettling D S
Amsterdam UMC, locatie AMC, afd. Revalidatiegeneeskunde, Amsterdam.
Contact: H.R. Holtslag (
Ned Tijdschr Geneeskd. 2020 Oct 29;164:D5393.
In the early phase of the COVID-19 pandemic, knowledge about the natural course of recovery of COVID-19 is limited. We therefore describe - based on generic knowledge of post IC syndrome (PICS) and (pulmonary) rehabilitation - the possibilities to organize personalized rehabilitation programs in several care settings. To illustrate variety in need for rehabilitation, we described three cases of critical COVID-19 disease survivors after treatment in the intensive care unit. Some patients require immediate rehabilitation following hospitalization, but rehabilitation may also be initiated in the home environment. For the latter population monitoring of progress and recovery should be organized to assess whether a more intensified multidisciplinary rehabilitation program is needed. This may be initiated in one of the medical rehabilitation centers or in pulmonary rehabilitation centers. Post-COVID-19 rehabilitation, regardless of the specific form, should be patient-centered and multidisciplinary organized.
在新冠疫情的早期阶段,关于新冠康复的自然病程的知识有限。因此,基于对重症后综合征(PICS)和(肺部)康复的一般认识,我们描述了在多种护理环境中组织个性化康复计划的可能性。为了说明康复需求的多样性,我们描述了三例在重症监护病房接受治疗后新冠重症幸存者的案例。一些患者在住院后需要立即进行康复,但康复也可以在家庭环境中启动。对于后者,应组织对康复进展和恢复情况的监测,以评估是否需要更强化的多学科康复计划。这可以在其中一个医学康复中心或肺部康复中心启动。无论具体形式如何,新冠康复都应以患者为中心并进行多学科组织。