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引用本文的文献

1
Multidisciplinary inpatient rehabilitation for older adults with COVID-19: a systematic review and meta-analysis of clinical and process outcomes.多学科住院康复治疗 COVID-19 老年患者:临床和治疗过程结局的系统评价和荟萃分析。
BMC Geriatr. 2023 Jun 27;23(1):391. doi: 10.1186/s12877-023-04098-4.

COVID-19 幸存者早期住院康复治疗的疗效:单中心回顾性分析。

Efficacy of Early Inpatient Rehabilitation of Post-COVID-19 Survivors: Single-Center Retrospective Analysis.

机构信息

From the MossRehab, Elkins Park, Pennsylvania (NC, JB, FW, BM, YS, JHK, MK, TW, AE); Temple University Hospital, Philadelphia, Pennsylvania (FW, BM, JHK); and Biostatistics and Epidemiology at the Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania (RX).

出版信息

Am J Phys Med Rehabil. 2023 Jun 1;102(6):498-503. doi: 10.1097/PHM.0000000000002122. Epub 2022 Oct 21.

DOI:10.1097/PHM.0000000000002122
PMID:36282676
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10184709/
Abstract

OBJECTIVE

The aim of this study was to understand the demographic, clinical characteristics, and effectiveness of early inpatient rehabilitation of post-COVID survivors.

DESIGN

A single-center retrospective chart review analysis of 100 patients admitted to a newly created acute COVID rehabilitation unit (CORE+) from April to December 2020 was conducted.

RESULTS

The demographic and clinical characteristics and complications of 100 post-COVID patients were reviewed. Functional outcomes of GG Self-care and Mobility Activities Items (Section GG0130 and GG0170) of the Centers for Medicare & Medicaid Services of the Inpatient Rehabilitation Facility Patient Assessment Instrument (Version 3.0) at admission and discharge, prevalence of oxygen requirement, the need for cognitive and neuropsychology support by discharge, and dispositions after completion of inpatient rehabilitation facility stay were analyzed. The functional outcomes of 59 primary pulmonary manifestations of COVID patients were further analyzed based on the presence of intensive care unit stay before transfer to the COVID rehabilitation unit. Most patients demonstrated significant functional gains after completion of inpatient rehabilitation facility stay; however, a considerable number of patients continued to require cognitive support by discharge.

CONCLUSION

The data suggested the benefit of early rehabilitation for hospitalized post-COVID patients. Services need to be geared to include patients' cognitive deficits.

摘要

目的

本研究旨在了解新冠康复患者的人口统计学、临床特征和早期住院康复的效果。

设计

对 2020 年 4 月至 12 月期间入住新成立的急性新冠康复病房(CORE+)的 100 名患者进行单中心回顾性图表分析。

结果

回顾了 100 名新冠患者的人口统计学和临床特征及并发症。分析了医疗保险和医疗补助服务中心住院康复设施患者评估工具(第 3.0 版)入院和出院时 GG 自理和移动活动项目(第 GG0130 和 GG0170 节)的功能结果、出院时的氧气需求发生率、认知和神经心理学支持的需求以及出院后的处置情况。还根据转至新冠康复病房前是否入住重症监护病房进一步分析了 59 例新冠患者的主要肺部表现的功能结果。大多数患者在完成住院康复治疗后表现出明显的功能改善,但仍有相当数量的患者在出院时需要认知支持。

结论

数据表明,对住院新冠患者进行早期康复是有益的。服务需要针对患者的认知缺陷进行调整。