Cargando…

Acute Occupational and Physical Therapy for Patients With COVID-19: A Retrospective Cohort Study

OBJECTIVE: To describe the function of patients with COVID-19 admitted to an acute care hospital early in the pandemic and to characterize change in function among those admitted to intensive care units (ICU) and to non-critical care services. DESIGN: This descriptive, retrospective cohort study exa...

Descripción completa

Detalles Bibliográficos
Autores principales: Coakley, Katie, Friedman, Laura, McLoughlin, Kaitlyn, Wozniak, Amy, Hutchison, Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: by the American Congress of Rehabilitation Medicine. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9340124/
https://www.ncbi.nlm.nih.gov/pubmed/35926570
http://dx.doi.org/10.1016/j.apmr.2022.07.010
_version_ 1784760330433331200
author Coakley, Katie
Friedman, Laura
McLoughlin, Kaitlyn
Wozniak, Amy
Hutchison, Paul
author_facet Coakley, Katie
Friedman, Laura
McLoughlin, Kaitlyn
Wozniak, Amy
Hutchison, Paul
author_sort Coakley, Katie
collection PubMed
description OBJECTIVE: To describe the function of patients with COVID-19 admitted to an acute care hospital early in the pandemic and to characterize change in function among those admitted to intensive care units (ICU) and to non-critical care services. DESIGN: This descriptive, retrospective cohort study examined patients infected with SARS-CoV-2 admitted to a tertiary care medical center during the first wave of the pandemic in 2020. Included patients were stratified into 4 cohorts based on whether or not they received therapy during their hospitalization and whether or not their hospitalization included time in the ICU. Data on demographic characteristics, functional impairments, medical interventions, and functional outcomes were collected. SETTING: Hospital. PARTICIPANTS: 432 adult patients were included in this study (N=432). RESULTS: ICU patients receiving therapy were more likely to have impaired cognition, impaired strength, and impaired sensation than non-ICU patients receiving therapy. Patients made improvements from evaluation to discharge on the Functional Status Score for the ICU, Activity Measure for Post-Acute Care Daily Activity, and AM-PAC Basic Mobility Short Forms. CONCLUSION: Patients admitted with COVID-19 experienced significant functional impairments but also demonstrated improvement during the course of their hospitalizations. This study can facilitate health care provider awareness of the detrimental functional effects of COVID-19 and the potential role of rehabilitation services for these patients.
format Online
Article
Text
id pubmed-9340124
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher by the American Congress of Rehabilitation Medicine.
record_format MEDLINE/PubMed
spelling pubmed-93401242022-08-01 Acute Occupational and Physical Therapy for Patients With COVID-19: A Retrospective Cohort Study Coakley, Katie Friedman, Laura McLoughlin, Kaitlyn Wozniak, Amy Hutchison, Paul Arch Phys Med Rehabil Original Research OBJECTIVE: To describe the function of patients with COVID-19 admitted to an acute care hospital early in the pandemic and to characterize change in function among those admitted to intensive care units (ICU) and to non-critical care services. DESIGN: This descriptive, retrospective cohort study examined patients infected with SARS-CoV-2 admitted to a tertiary care medical center during the first wave of the pandemic in 2020. Included patients were stratified into 4 cohorts based on whether or not they received therapy during their hospitalization and whether or not their hospitalization included time in the ICU. Data on demographic characteristics, functional impairments, medical interventions, and functional outcomes were collected. SETTING: Hospital. PARTICIPANTS: 432 adult patients were included in this study (N=432). RESULTS: ICU patients receiving therapy were more likely to have impaired cognition, impaired strength, and impaired sensation than non-ICU patients receiving therapy. Patients made improvements from evaluation to discharge on the Functional Status Score for the ICU, Activity Measure for Post-Acute Care Daily Activity, and AM-PAC Basic Mobility Short Forms. CONCLUSION: Patients admitted with COVID-19 experienced significant functional impairments but also demonstrated improvement during the course of their hospitalizations. This study can facilitate health care provider awareness of the detrimental functional effects of COVID-19 and the potential role of rehabilitation services for these patients. by the American Congress of Rehabilitation Medicine. 2023-01 2022-08-01 /pmc/articles/PMC9340124/ /pubmed/35926570 http://dx.doi.org/10.1016/j.apmr.2022.07.010 Text en © 2022 by the American Congress of Rehabilitation Medicine. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Original Research
Coakley, Katie
Friedman, Laura
McLoughlin, Kaitlyn
Wozniak, Amy
Hutchison, Paul
Acute Occupational and Physical Therapy for Patients With COVID-19: A Retrospective Cohort Study
title Acute Occupational and Physical Therapy for Patients With COVID-19: A Retrospective Cohort Study
title_full Acute Occupational and Physical Therapy for Patients With COVID-19: A Retrospective Cohort Study
title_fullStr Acute Occupational and Physical Therapy for Patients With COVID-19: A Retrospective Cohort Study
title_full_unstemmed Acute Occupational and Physical Therapy for Patients With COVID-19: A Retrospective Cohort Study
title_short Acute Occupational and Physical Therapy for Patients With COVID-19: A Retrospective Cohort Study
title_sort acute occupational and physical therapy for patients with covid-19: a retrospective cohort study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9340124/
https://www.ncbi.nlm.nih.gov/pubmed/35926570
http://dx.doi.org/10.1016/j.apmr.2022.07.010
work_keys_str_mv AT coakleykatie acuteoccupationalandphysicaltherapyforpatientswithcovid19aretrospectivecohortstudy
AT friedmanlaura acuteoccupationalandphysicaltherapyforpatientswithcovid19aretrospectivecohortstudy
AT mcloughlinkaitlyn acuteoccupationalandphysicaltherapyforpatientswithcovid19aretrospectivecohortstudy
AT wozniakamy acuteoccupationalandphysicaltherapyforpatientswithcovid19aretrospectivecohortstudy
AT hutchisonpaul acuteoccupationalandphysicaltherapyforpatientswithcovid19aretrospectivecohortstudy