Prevent Senior Institute, São Paulo, Brazil.
Prevent Senior Institute, São Paulo, Brazil.
Arch Phys Med Rehabil. 2021 Jul;102(7):1308-1316. doi: 10.1016/j.apmr.2021.03.001. Epub 2021 Mar 10.
To report symptoms, disability, and rehabilitation referral rates after coronavirus disease 2019 (COVID-19) hospitalization in a large, predominantly older population.
Cross-sectional study, with postdischarge telemonitoring of individuals hospitalized with confirmed COVID-19 at the first month after hospital discharge, as part of a comprehensive telerehabilitation program.
Private verticalized health care network specialized in the older population.
Individuals hospitalized because of COVID-19. We included 1696 consecutive patients, aged 71.8±13.0 years old and 56.1% female. Comorbidities were present in 82.3% of the cases (N=1696).
Not applicable.
Dependence for basic activities of daily living (ADL) and instrumental activities of daily living (IADL) using the Barthel Index and Lawton's Scale. We compared the outcomes between participants admitted to the intensive care unit (ICU) vs those admitted to the ward.
Participant were followed up for 21.8±11.7 days after discharge. During postdischarge assessment, independence for ADL was found to be lower in the group admitted to the ICU than the ward group (61.1% [95% confidence interval (CI), 55.8%-66.2%] vs 72.7% [95% CI, 70.3%-75.1%], P<.001). Dependence for IADL was also more frequent in the ICU group (84.6% [95% CI, 80.4%-88.2%] vs 74.5%, [95% CI, 72.0%-76.8%], P<.001). Individuals admitted to ICU required more oxygen therapy (25.5% vs 12.6%, P<.001), presented more shortness of breath during routine (45.2% vs 34.5%, P<.001) and nonroutine activities (66.3% vs 48.2%, P<.001), and had more difficulty standing up for 10 minutes (49.3% vs 37.9% P<.001). The rehabilitation treatment plan consisted mostly of exercise booklets, which were offered to 65.5% of participants. The most referred rehabilitation professionals were psychologists (11.8%), physical therapists (8.0%), dietitians (6.8%), and speech-language pathologists (4.6%).
Individuals hospitalized because of COVID-19 present high levels of disability, dyspnea, dysphagia, and dependence for both ADL and IADL. Those admitted to the ICU presented more advanced disability parameters.
报告在一个以老年人为主的大型人群中，新冠肺炎（COVID-19）住院后的症状、残疾和康复转诊率。
横断面研究，对确诊 COVID-19 住院患者出院后第一个月进行远程监测，作为综合远程康复计划的一部分。
专门针对老年人的私人垂直化医疗保健网络。
因 COVID-19 住院的患者。我们纳入了 1696 名连续患者，年龄为 71.8±13.0 岁，56.1%为女性。82.3%的患者有合并症（N=1696）。
不适用。
使用巴氏指数和洛顿量表评估基本日常生活活动（ADL）和工具性日常生活活动（IADL）的依赖程度。我们比较了入住重症监护病房（ICU）和普通病房的患者之间的结果。
患者在出院后随访 21.8±11.7 天。在出院后评估中，入住 ICU 的患者 ADL 独立性低于普通病房组（61.1%[95%置信区间（CI），55.8%-66.2%] vs 72.7%[95%CI，70.3%-75.1%]，P<.001）。IADL 的依赖程度在 ICU 组也更为常见（84.6%[95%CI，80.4%-88.2%] vs 74.5%[95%CI，72.0%-76.8%]，P<.001）。入住 ICU 的患者需要更多的氧疗（25.5% vs 12.6%，P<.001），在常规（45.2% vs 34.5%，P<.001）和非常规活动（66.3% vs 48.2%，P<.001）中更易出现呼吸急促，站立 10 分钟的难度更大（49.3% vs 37.9%，P<.001）。康复治疗计划主要包括运动手册，65.5%的患者接受了该计划。转诊的康复专业人员主要是心理学家（11.8%）、物理治疗师（8.0%）、营养师（6.8%）和言语治疗师（4.6%）。
因 COVID-19 住院的患者表现出高度的残疾、呼吸困难、吞咽困难以及 ADL 和 IADL 的依赖。入住 ICU 的患者表现出更严重的残疾参数。
