Ursescu Clara, Teodoru Gigi, Bucurica Sandica, Nica Remus Iulian, Lazăr Ștefan Dragoș, Popescu Marius Nicolae, Ciobanu Ileana, Berteanu Mihai
Department of Rehabilitation Medicine, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Department of Rehabilitation Medicine, University Emergency Central Military Hospital "Dr. Carol Davila", 010825 Bucharest, Romania.
Diagnostics (Basel). 2024 Jul 17;14(14):1540. doi: 10.3390/diagnostics14141540.
The COVID-19 pandemic has led to approximately 3.5 million cases in Romania, causing systemic inflammation and over 200 symptoms affecting various body systems. This complexity has challenged rehabilitation systems, necessitating personalized plans tailored to each patient's illness stage and impairment level. The ISPRM-developed ClinFIT COVID-19 instrument, aligned with the ICF categories, assists in assessing patients during acute, post-acute, and long-term phases.
This study aimed to evaluate and assess functional impairments in post-COVID-19 patients in Romania, with a secondary goal of generating rehabilitation directions.
Data were collected from patients at two Bucharest medical centers, including those with persistent symptoms post-acute phase. Participants were assessed using the adapted ClinFIT COVID-19 instrument, and descriptive statistics were applied.
Findings revealed diverse functional impairments in physical, psychological, and social domains among post-COVID-19 patients, with severe impairments more common in those with long-term COVID-19. Complete impairment in complex movement and paid work was noted, affecting one-third of salaried employees and forcing some to retire. In the acute phase, the most frequent functional impairments were sleep, attention, pain sensation, and exercise tolerance functions. In contrast, the most severely affected functions were exercise tolerance and mobility joint functions. Age did not positively correlate with any of the analyzed functions. In the post-acute phase, sleep, energy, and drive functions remained the most frequently affected functions, while the most severely affected was, by far, the moving around function. In the post-acute period, respiratory and respiratory muscle functions strongly correlated with all tasks related to physical activity. In the long COVID-19 phase, remunerative employment was the most severely affected function, while attention functions remained the most frequently affected, similar to the acute phase. The ClinFIT COVID-19 instrument effectively captured these impairments, underscoring the need for comprehensive rehabilitation strategies.
新冠疫情在罗马尼亚已导致约350万例病例，引发全身炎症，并出现200多种影响身体各系统的症状。这种复杂性给康复系统带来了挑战，需要根据每位患者的疾病阶段和损伤程度制定个性化计划。国际物理医学与康复医学学会（ISPRM）开发的ClinFIT新冠康复评估工具与国际功能、残疾和健康分类（ICF）类别相一致，有助于在急性期、急性后期和长期阶段对患者进行评估。
本研究旨在评估罗马尼亚新冠康复患者的功能障碍，并生成康复指导意见作为次要目标。
从布加勒斯特的两个医疗中心收集患者数据，包括急性期后仍有持续症状的患者。使用经过改编的ClinFIT新冠康复评估工具对参与者进行评估，并应用描述性统计方法。
研究结果显示，新冠康复患者在身体、心理和社会领域存在多种功能障碍，长期新冠患者中严重障碍更为常见。复杂运动和有偿工作方面出现完全障碍，影响了三分之一的受薪员工，甚至迫使一些人退休。在急性期，最常见的功能障碍是睡眠、注意力、痛觉和运动耐量功能。相比之下，受影响最严重的功能是运动耐量和关节活动功能。年龄与任何一项分析功能均无正相关。在急性后期，睡眠、精力和动力功能仍然是最常受影响的功能，而受影响最严重的则是四处活动功能。在急性后期，呼吸和呼吸肌功能与所有与体力活动相关的任务密切相关。在长期新冠阶段，有偿就业是受影响最严重的功能，而注意力功能仍然是最常受影响的，与急性期相似。ClinFIT新冠康复评估工具有效地捕捉到了这些障碍，凸显了全面康复策略的必要性。
