Rehabilitation to enable recovery from COVID-19: a rapid systematic review.
Rehabilitation to enable recovery from COVID-19: a rapid systematic review.
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DOI：
10.1016/j.physio.2021.01.007
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发表时间：
2021-06
期刊：
影响因子：
3.3
通讯作者：
Lamb SE
中科院分区：
文献类型：
--
作者：
Goodwin VA;Allan L;Bethel A;Cowley A;Cross JL;Day J;Drummond A;Hall AJ;Howard M;Morley N;Thompson Coon J;Lamb SE
建立在重症呼吸道疾病患者中进行康复干预的证据，并考虑该证据是否可推广至COVID-19患者。作者进行了快速系统评价。Medline（通过OvidSP）、CINAHL Complete（通过EBSCOhost）、科克伦图书馆、科克伦系统评价数据库和CENTRAL（通过Wiley）、Epistemonikos（通过Epistemonikos.org）、PEDro（通过pedro.org.au）和OTseeker（通过otseeker.com）检索至2020年5月7日。作者纳入了系统性综述、随机对照试验和定性研究，涉及需要重症监护的呼吸系统疾病成人，他们接受康复治疗以增强或恢复由此产生的身体损伤或功能。数据由一位作者提取，由第二位作者检查。TIDier用于指导干预描述。研究质量进行了评估，使用关键技能评估计划（CASP）工具。筛选了6903篇标题和摘要;纳入了24篇系统评价、11篇RCT和8篇定性研究。在ICU中进行渐进式运动计划，早期动员和多组分干预可以提高功能独立性。在ICU后的医院环境中，除了康复外，营养补充可以改善日常生活活动的表现。ICU入院后出院后康复的证据尚不确定。那些接受康复治疗的人很重视康复治疗，这给他们带来了希望和信心。运动、早期动员和多组分方案可能会改善因严重呼吸道疾病而进入ICU后的恢复，这些疾病可能普遍适用于COVID-19患者。康复干预措施可以为个人带来希望和信心，但需要个性化的方法和使用行为改变策略。需要对ICU后环境和COVID-19患者进行进一步研究。
注册：开放科学框架https://osf.io/prc2y
To establish the evidence for rehabilitation interventions tested in populations of patients admitted to ICU and critical care with severe respiratory illness, and consider whether the evidence is generalizable to patients with COVID-19. The authors undertook a rapid systematic review. Medline (via OvidSP), CINAHL Complete (via EBSCOhost), Cochrane Library, Cochrane Database of Systematic Reviews and CENTRAL (via Wiley), Epistemonikos (via Epistemonikos.org), PEDro (via pedro.org.au) and OTseeker (via otseeker.com) searched to 7 May 2020. The authors included systematic reviews, RCTs and qualitative studies involving adults with respiratory illness requiring intensive care who received rehabilitation to enhance or restore resulting physical impairments or function. Data were extracted by one author and checked by a second. TIDier was used to guide intervention descriptions. Study quality was assessed using Critical Skills Appraisal Programme (CASP) tools. Six thousand nine hundred and three titles and abstracts were screened; 24 systematic reviews, 11 RCTs and eight qualitative studies were included. Progressive exercise programmes, early mobilisation and multicomponent interventions delivered in ICU can improve functional independence. Nutritional supplementation in addition to rehabilitation in post-ICU hospital settings may improve performance of activities of daily living. The evidence for rehabilitation after discharge from hospital following an ICU admission is inconclusive. Those receiving rehabilitation valued it, engendering hope and confidence. Exercise, early mobilisation and multicomponent programmes may improve recovery following ICU admission for severe respiratory illness that could be generalizable to those with COVID-19. Rehabilitation interventions can bring hope and confidence to individuals but there is a need for an individualised approach and the use of behaviour change strategies. Further research is needed in post-ICU settings and with those who have COVID-19.
Registration: Open Science Framework https://osf.io/prc2y
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作者：
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