Recovering of oxygenation, physical function and disability in patients with COVID-19

https://doi.org/10.4081/monaldi.2021.1817

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Abstract

The present cases report describes middle-time course of respiratory and physical variables in eight COVID-19 patients who were transferred from ICU of COVID Hub in our subacute COVID-19 unit. Secondly, they were admitted in a pulmonary rehabilitation unit and, at discharge, a tele-rehabilitation program was provided as a continuum of care at home. Time course of oxygenation, physical function and disability were recorded. As expected, the acute event produced in these patients a dramatic worsening in oxygenation and physical activities, with a substantial improvement in oxygenation and mild disability after the sub-acute stay.  After rehabilitation program, the patients showed additional improvement in particular in physical function. Anyway, this recover was not complete for all patients. The majority of COVID-19 survivors experienced ARF recovered oxygenation, physical function and disability within a median time of 137 days. A minority needs further follow up and rehabilitation maintenance due to incomplete recovery.

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References

Lian J, Jin X, Hao S, Jia H, et al. Epidemiological, clinical, and virological characteristics of 465 hospitalized cases of coronavirus disease 2019 (COVID-19) from Zhejiang province in China. Influenza Other Respir Viruses 2020;14:564-574.

Lian J, Jin X, Hao S, Cai H, et al. Analysis of epidemiologic and clinic features in older patients with coronavirus disease 2019 (COVID-19) outside Wuhan. Clin Infect Dis 2020;71:740-7.

Beeching NJ, Fletcher TE, Fowler R. Coronavirus disease 2019 (COVID-19). BMJ Best Practices 2020. Accessed on: 31 December 2020. Available from: https://bestpractice.bmj.com/topics/en-gb/3000168

Belli S, Balbi B, Prince I, et al. Low physical functioning and impaired performance of activities of daily life in COVID-19 patients who survived hospitalisation. Eur Respir J 2020;56:2002096.

Paneroni M, Simonelli C, Saleri M, et al. Muscle strength and physical performance in patients without previous disabilities recovering from COVID-19 pneumonia. Am J Phys Med Rehabil 2021;100:105-9.

Huang C, Huang L, Wang Y, et al. 6-month consequences of COVID-19 in patients discharged from hospital: a cohort study. Lancet 2021;397:220-32.

Liu K, Zhang W, Yang Y, et al. Respiratory rehabilitation in elderly patients with COVID-19: A randomized controlled study. Complement Ther Clin Pract 2020;39:101166.

Lazzeri M, Lanza A, Bellini R, et al. Respiratory physiotherapy in patients with COVID-19 infection in acute setting: a Position Paper of the Italian Association of Respiratory Physiotherapists (ARIR). Monaldi Arch Chest Dis 2020;90:1285.

Vitacca M, Carone M, Clini EM, et al. Joint statement on the role of respiratory rehabilitation in the COVID-19 crisis: The Italian position paper. Respiration 2020;99:493-9.

Maltais F, LeBlanc P, Jobin J, et al. Intensity of training and physiologic adaptation in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 1997;155:555-61.

Guralnik JM, Simonsick EM, Ferrucci L, et al. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol 1994;49:M85-94.

Shah S, Vanclay F, Cooper B. Improving the sensitivity of the Barthel Index for stroke rehabilitation. J Clin Epidemiol 1989;42:703-9.

Gandotra S, Lovato J, Case D, et al. physical function trajectories in survivors of acute respiratory failure. Ann Am Thorac Soc 2019;6:471-7.

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Published
2021-04-09
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Section
COVID-19 - Collection of articles on the Coronavirus outbreak
Keywords:
disability, coronavirus, rehabilitation, outcome, physical function
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How to Cite
Bertacchini, Laura, Mara Paneroni, Laura Comini, Simonetta Scalvini, and Michele Vitacca. 2021. “Recovering of Oxygenation, Physical Function and Disability in Patients With COVID-19”. Monaldi Archives for Chest Disease, April. https://doi.org/10.4081/monaldi.2021.1817.

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