https://doi.org/10.4081/monaldi.2021.1817

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

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Vol. 91 No. 4 (2021)
Submitted: February 23, 2021
Accepted: March 29, 2021
Published: April 9, 2021
disability, coronavirus, rehabilitation, outcome, physical function
Abstract Views: 3693
PDF: 691
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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.

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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

Bertacchini, Laura, Mara Paneroni, Laura Comini, Simonetta Scalvini, and Michele Vitacca. 2021. “Recovering of Oxygenation, Physical Function and Disability in Patients With Covid-19”. Monaldi Archives for Chest Disease 91 (4). https://doi.org/10.4081/monaldi.2021.1817.
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