A Proposal for Multidisciplinary Tele-Rehabilitation in the Assessment and Rehabilitation of COVID-19 Survivors
A Proposal for Multidisciplinary Tele-Rehabilitation in the Assessment and Rehabilitation of COVID-19 Survivors
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DOI：
10.3390/ijerph17134890
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发表时间：
2020-07-01
影响因子：
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通讯作者：
Sivan, Manoj
中科院分区：
文献类型：
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作者：
Salawu, Abayomi;Green, Angela;Sivan, Manoj
2020年2月，宣布了由冠状病毒(严重急性呼吸综合征-CoV-2)感染引起的一种名为新冠肺炎的新型高传染性疾病的全球大流行。虽然主要通过呼吸系统传播，但身体的其他器官系统也会受到影响。20%的受影响患者在病情严重时需要住院接受机械通风。大约一半的疾病幸存者有残留的功能缺陷，需要多学科的专家康复。提供所需康复投入的劳动力超出了现有社区服务的能力。监测这些患者的严格医疗随访指南要求在出院后12周内进行预定的审查。由于这些事件发生的时间有限，现有的护理途径不太可能满足需求。在此提出一种创新的综合出院后护理路径，以促进急性医疗队(呼吸系统和重症监护)和多学科康复专科小组的后续工作。这种途径将使监测和提供全面的医疗评估和多学科康复成为可能。本文提出利用数字通信技术将远程康复模式集成到路径中，为这些患者提供快速的远程评估和高效的治疗服务。远程康复为新冠肺炎幸存者出院后的专业康复需求提供了一个快速有效的选择。
A global pandemic of a new highly contagious disease called COVID-19 resulting from coronavirus (severe acute respiratory syndrome (SARS)-Cov-2) infection was declared in February 2020. Though primarily transmitted through the respiratory system, other organ systems in the body can be affected. Twenty percent of those affected require hospitalization with mechanical ventilation in severe cases. About half of the disease survivors have residual functional deficits that require multidisciplinary specialist rehabilitation. The workforce to deliver the required rehabilitation input is beyond the capacity of existing community services. Strict medical follow-up guidelines to monitor these patients mandate scheduled reviews within 12 weeks post discharge. Due to the restricted timeframe for these events to occur, existing care pathway are unlikely to be able to meet the demand. An innovative integrated post-discharge care pathway to facilitate follow up by acute medical teams (respiratory and intensive care) and a specialist multidisciplinary rehabilitation team is hereby proposed. Such a pathway will enable the monitoring and provision of comprehensive medical assessments and multidisciplinary rehabilitation. This paper proposes that a model of tele-rehabilitation is integrated within the pathway by using digital communication technology to offer quick remote assessment and efficient therapy delivery to these patients. Tele-rehabilitation offers a quick and effective option to respond to the specialist rehabilitation needs of COVID-19 survivors following hospital discharge.