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J Int Med Res . Evaluation of the predictive factors of the short-term effects of a multidisciplinary rehabilitation in COVID-19 survivors

tetano

Editor, Senior Moderator
J Int Med Res


. 2022 Nov;50(11):3000605221138843.
doi: 10.1177/03000605221138843.
Evaluation of the predictive factors of the short-term effects of a multidisciplinary rehabilitation in COVID-19 survivors


Valentina Barbieri[SUP] 1 2 [/SUP], Luca Scarabel[SUP] 1 3 [/SUP], Laura Bertella[SUP] 1 [/SUP], Federica Scarpina[SUP] 4 5 [/SUP], Nicola Schiavone[SUP] 3 [/SUP], Laura Perucca[SUP] 2 6 [/SUP], Paolo Rossi[SUP] 1 [/SUP]



Affiliations

Abstract

Objective: Functional impairments after coronavirus disease 2019 (COVID-19) constitute a major concern in rehabilitative settings; however, evidence assessing the efficacy of rehabilitation programs is lacking. The aim of this study was to verify the clinical characteristics that may represent useful predictors of the short-term effectiveness of multidisciplinary rehabilitation.
Methods: In this real-practice retrospective pre-post intervention cohort study, the short-term effectiveness of a multidisciplinary patient-tailored rehabilitation program was assessed through normalized variations in the Functional Independence Measure in post-acute care patients who had overcome severe COVID-19. Biochemical markers, motor and nutritional characteristics, and the level of comorbidity were evaluated as predictors of functional outcome. Length of stay in the rehabilitation ward was also considered.
Results: Following rehabilitation, all participants (n = 53) reported a significant decrease in the level of disability in both motor and cognitive functioning. However, neither motor and nutritional characteristics nor comorbidities played a significant role in predicting the overall positive change registered after rehabilitation.
Conclusions: The results support the existing sparse evidence addressing the importance of an early rehabilitation program for patients who received intensive care and post-acute care due to severe COVID-19.

Keywords: COVID-19; Functional Independence Measure; functional impairment; multidisciplinary rehabilitation; post-acute care; rehabilitation effectiveness..
 
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