From the Department of Physical Medicine and Rehabilitation, University of Pennsylvania-Perelman School of Medicine, Philadelphia, Pennsylvania (BAA, TRD, FEC); Department of Genetics, University of Pennsylvania, Philadelphia, Pennsylvania (MDR); Institute for Health and Equity, Milwaukee, Wisconsin (LEP); and Collaborative for Healthcare Delivery Science, Medical College of Wisconsin, Milwaukee, Wisconsin (LEP).
Am J Phys Med Rehabil. 2021 Dec 1;100(12):1109-1114. doi: 10.1097/PHM.0000000000001885.
The aim of the study was to describe the characteristics and functional outcomes of patients undergoing acute inpatient rehabilitation after hospitalization for COVID-19.
Using a retrospective chart review, patients were identified who were admitted to inpatient rehabilitation after COVID-19. Patient information collected included sociodemographic characteristics, comorbidities, length of stay, discharge disposition, self-care, mobility, and cognitive functioning. These patients were compared with patients (controls) without COVID-19 with similar impairment codes treated at the same facility before the COVID-19 pandemic.
There were 43 patients who were admitted to the inpatient rehabilitation hospital after COVID-19 infection and 247 controls. Patients who had COVID-19 were significantly more likely to be African American and to have been admitted to a long-term acute care hospital. They also had a longer length of rehabilitation stay. The groups did not differ by age, sex, or insurance. Functionally, although presenting with significantly worse mobility, self-care, and motor scores, the patients previously infected with COVID-19 had similar functional outcomes at time of discharge to the control group.
Although patients with a history of COVID-19 had worse function at time of admission to acute rehabilitation, inpatient rehabilitation significantly improved their function to comparable levels as patients who did not have COVID-19.
Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME.
Upon completion of this article, the reader should be able to: (1) Identify how characteristics of patients with COVID-19 admitted to acute rehabilitation differ from those with similar admission codes but without COVID-19; (2) Describe changes in functional measures at admission and discharge of COVID-19 patients compared with patients without COVID-19; and (3) Recognize how inpatient rehabilitation may help reduce inequities in outcomes after severe COVID-19 infection.
Advanced.
The Association of Academic Physiatrists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.The Association of Academic Physiatrists designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
本研究旨在描述因 COVID-19 住院后接受急性住院康复治疗患者的特征和功能结局。
通过回顾性病历审查，确定了因 COVID-19 住院后转入住院康复治疗的患者。收集的患者信息包括社会人口统计学特征、合并症、住院时间、出院去向、自理能力、活动能力和认知功能。将这些患者与在 COVID-19 大流行之前在同一机构接受类似损伤代码治疗且没有 COVID-19 的患者（对照组）进行比较。
共有 43 名患者因 COVID-19 感染后转入住院康复医院，247 名对照者。感染 COVID-19 的患者更有可能是非洲裔美国人，并且更有可能被收入长期急性护理医院。他们的康复住院时间也更长。两组在年龄、性别或保险方面没有差异。从功能上看，虽然 COVID-19 患者的活动能力、自理能力和运动评分明显更差，但与对照组相比，这些患者在出院时的功能结局相似。
尽管患有 COVID-19 的患者在急性康复入院时的功能更差，但住院康复治疗显著改善了他们的功能，使其达到与未患 COVID-19 的患者相似的水平。
索取 CME 学分：在线完成自我评估活动和评估，网址为 http://www.physiatry.org/JournalCME。
CME 目标：完成本文后，读者应能够：（1）确定因 COVID-19 入院的急性康复患者的特征与因类似入院代码但无 COVID-19 的患者有何不同；（2）描述与无 COVID-19 的患者相比，COVID-19 患者入院和出院时的功能测量变化；（3）认识到住院康复治疗如何有助于减少严重 COVID-19 感染后的结果不平等。
级别：高级。
认证：学术物理治疗协会（Association of Academic Physiatrists）经继续医学教育认证委员会（Accreditation Council for Continuing Medical Education）认证，可为医生提供继续医学教育。学术物理治疗协会将这项基于期刊的 CME 活动最多指定为 1.0 项 AMA PRA 类别 1 学分。医生应仅根据其参与活动的程度申报学分。
