Physiotherapy - Case Reports
April 9, 2021
Vol. 91 No. 4 (2021)
https://doi.org/10.4081/monaldi.2021.1817

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

<a href='https://it.freepik.com/vettori/sfondo'>Sfondo vettore creata da pikisuperstar - it.freepik.com</a>
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
disability, coronavirus, rehabilitation, outcome, physical function
3941
Views
719
Downloads

Authors

Laura Bertacchini
https://orcid.org/0000-0001-9086-4416
Respiratory Rehabilitation, ICS Maugeri IRCCS, Institute of Lumezzane (BS), Italy.
Mara Paneroni
https://orcid.org/0000-0003-3982-2098
Respiratory Rehabilitation, ICS Maugeri IRCCS, Institute of Lumezzane (BS), Italy.
Laura Comini
https://orcid.org/0000-0001-6237-4428
Scientific Direction, ICS Maugeri IRCCS, Institute of Lumezzane (BS), Italy.
Simonetta Scalvini
https://orcid.org/0000-0002-9389-7915
Care Continuity Unit and Telemedicine Service, ICS Maugeri IRCCS, Institute of Lumezzane (BS), Italy.
Michele Vitacca
michele.vitacca@icsmaugeri.it
https://orcid.org/0000-0002-9389-7915
Respiratory Rehabilitation, ICS Maugeri IRCCS, Institute of Lumezzane (BS), Italy.

The present case 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.

Altmetrics

Downloads

Download data is not yet available.

Citations

Crossref
Scopus
Google Scholar
Europe PMC
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. DOI: https://doi.org/10.1111/irv.12758
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. DOI: https://doi.org/10.1093/cid/ciaa242
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. DOI: https://doi.org/10.1183/13993003.02096-2020
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. DOI: https://doi.org/10.1097/PHM.0000000000001641
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. DOI: https://doi.org/10.1016/S0140-6736(20)32656-8
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. DOI: https://doi.org/10.1016/j.ctcp.2020.101166
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. DOI: https://doi.org/10.4081/monaldi.2020.1285
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. DOI: https://doi.org/10.1159/000508399
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. DOI: https://doi.org/10.1164/ajrccm.155.2.9032194
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. DOI: https://doi.org/10.1093/geronj/49.2.M85
Shah S, Vanclay F, Cooper B. Improving the sensitivity of the Barthel Index for stroke rehabilitation. J Clin Epidemiol 1989;42:703-9. DOI: https://doi.org/10.1016/0895-4356(89)90065-6
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. DOI: https://doi.org/10.1513/AnnalsATS.201806-375OC

How to Cite



“Recovering of Oxygenation, Physical Function and Disability in Patients With Covid-19”. 2021. Monaldi Archives for Chest Disease 91 (4). https://doi.org/10.4081/monaldi.2021.1817.
Copyright (c) 2021 The Author(s) Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.