REMOTE REHABILITATION FOR PATIENTS WITH COVID-19
REMOTE REHABILITATION FOR PATIENTS WITH COVID-19
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DOI：
10.2340/16501977-2731
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发表时间：
2020-09-01
影响因子：
3.5
通讯作者：
OKAWA, Atsushi
中科院分区：
文献类型：
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作者：
SAKAI, Tomoko;HOSHINO, Chisato;OKAWA, Atsushi
目的：为了描述普通病房中冠状病毒病（COVID-19）患者远程康复的有效性和风险管理。设计：单中心、回顾性、观察性研究。患者：接受康复治疗的COVID-19患者（2020年4月24日至5月24日）。方法：对东京医科齿科大学普通病房中接受康复治疗的所有COVID-19住院患者进行评估。收集了年龄、性别、身体能力、康复方式（远程/直接）、插管或体外膜肺氧合的需要、肺炎程度、康复开始时的氧疗、D-二聚体和C-反应蛋白水平以及康复相关并发症的数据。日常生活活动进行了测量，使用Barthel指数。结果：在总共43例患者中，14人最初提供了远程康复和29个直接（动手）康复。在研究期间，4名患者从直接康复转为远程康复，因此在研究结束时，远程康复组有18名患者，直接康复组有25名患者。远程康复组的患者年龄明显小于直接康复组。在12例需要插管的患者中，3例接受了远程康复治疗。1例体外膜肺氧合幸存者接受了直接康复治疗。所有接受远程康复治疗的患者均出院回家或入住酒店。29例直接康复的患者中有12例因日常生活活动延迟恢复而转入康复医院。结论：本研究中41.9%的COVID-19患者进行了有效和安全的远程康复，这有助于COVID-19专科普通病房的康复。
Objective: To describe the effectiveness and risk management of remote rehabilitation for coronavirus disease (COVID-19) patients in general wards.Design: Single-centre, retrospective, observational study.Patients: COVID-19 patients undergoing rehabilitation (24 April to 24 May 2020).Methods: All COVID-19 inpatients undergoing rehabilitation in the general ward of Tokyo Medical and Dental University were assessed. Data were collected on age, sex, physical ability, rehabilitation modality (remote/direct), need for intubation or extracorporeal membrane oxygenation, degree of pneumonia, oxygen therapy from the start of rehabilitation, D-dimer and C-reactive protein levels, and rehabilitation-related complications. Activities of daily living were measured using the Barthel Index.Results: Out of a total of 43 patients, 14 were initially provided with remote rehabilitation and 29 with direct (hands-on) rehabilitation. Four patients were switched from direct to remote rehabilitation during the study, thus at the end of the study there were 18 in the remote rehabilitation group and 25 in the direct rehabilitation group. Patients in remote rehabilitation were significantly younger than those in direct rehabilitation. Of 12 patients who required intubation, 3 were given remote rehabilitation. One extracorporeal membrane oxygenation survivor underwent direct rehabilitation. All patients on remote rehabilitation were discharged home or to a hotel. Twelve out of 29 patients on direct rehabilitation were transferred to a rehabilitation hospital due to delayed recovery of activities of daily living. No serious adverse events occurred.Conclusion: Effective and safe remote rehabilitation was performed in 41.9% of COVID-19 patients in this study, which resulted in which facilitated rehabilitation in COVID-19 specialized general wards.