TY - JOUR
T1 - Rehabilitation in Acute COVID-19 Patients
T2 - A Japanese Retrospective, Observational, Multi-Institutional Survey
AU - Yamada, Yuka
AU - Kawakami, Michiyuki
AU - Tashiro, Syoichi
AU - Omori, Maiko
AU - Matsuura, Daisuke
AU - Abe, Reon
AU - Osada, Maiko
AU - Tashima, Hiroyuki
AU - Shimomura, Tadasuke
AU - Mori, Naoki
AU - Wada, Ayako
AU - Ishikawa, Aiko
AU - Tsuji, Tetsuya
N1 - Publisher Copyright:
© 2021 American Congress of Rehabilitation Medicine
PY - 2022/5
Y1 - 2022/5
N2 - Objective: : To investigate the changes in activities of daily living (ADLs) and the conditions of rehabilitation for acute COVID-19 patients in Japan. Design: : Retrospective, observational survey. Setting: : Four tertiary hospitals with intensive care units and one secondary hospital in Japan. Participants: : COVID-19 patients (N=478) admitted to 5 hospitals Interventions: : Not applicable. Main Outcome Measures: : Walking ability and swallowing status were assessed using the FIM locomotion item and Food Intake Scale at admission and discharge. The physiatrists of each hospital were also surveyed regarding the factors that influenced decisions to provide rehabilitation. Results: : Excluding patients who died, the proportion of critical patients who could walk independently at discharge was 63%, and the proportion of those who were able to take 3 meals orally at discharge was 90%. Rehabilitation was provided to 13.4% of all patients and to 58.3% of patients with critical symptoms. Conclusions: : After COVID-19 treatment, patients, especially those with critical symptoms, still have functional disabilities related to walking and swallowing. It is possible that sufficient rehabilitation could not be provided during the period studied.
AB - Objective: : To investigate the changes in activities of daily living (ADLs) and the conditions of rehabilitation for acute COVID-19 patients in Japan. Design: : Retrospective, observational survey. Setting: : Four tertiary hospitals with intensive care units and one secondary hospital in Japan. Participants: : COVID-19 patients (N=478) admitted to 5 hospitals Interventions: : Not applicable. Main Outcome Measures: : Walking ability and swallowing status were assessed using the FIM locomotion item and Food Intake Scale at admission and discharge. The physiatrists of each hospital were also surveyed regarding the factors that influenced decisions to provide rehabilitation. Results: : Excluding patients who died, the proportion of critical patients who could walk independently at discharge was 63%, and the proportion of those who were able to take 3 meals orally at discharge was 90%. Rehabilitation was provided to 13.4% of all patients and to 58.3% of patients with critical symptoms. Conclusions: : After COVID-19 treatment, patients, especially those with critical symptoms, still have functional disabilities related to walking and swallowing. It is possible that sufficient rehabilitation could not be provided during the period studied.
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U2 - 10.1016/j.apmr.2021.11.004
DO - 10.1016/j.apmr.2021.11.004
M3 - Article
C2 - 34896082
AN - SCOPUS:85122249533
SN - 0003-9993
VL - 103
SP - 929
EP - 936
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
IS - 5
ER -