TY - JOUR
T1 - Rehabilitation at the Time of Pandemic
T2 - Patient Journey Recommendations
AU - Negm, Ahmed M.
AU - Salopek, Adrian
AU - Zaide, Mashal
AU - Meng, Victoria J.
AU - Prada, Carlos
AU - Chang, Yaping
AU - Zanwar, Preeti
AU - Santos, Flavia H.
AU - Philippou, Elena
AU - Rosario, Emily R.
AU - Faieta, Julie
AU - Pinto, Shanti M.
AU - Falvey, Jason R.
AU - Kumar, Amit
AU - Reistetter, Timothy A.
AU - Dal Bello-Haas, Vanina
AU - Bhandari, Mohit
AU - Bean, Jonathan F.
AU - Heyn, Patricia C.
N1 - Publisher Copyright:
Copyright © 2022 Negm, Salopek, Zaide, Meng, Prada, Chang, Zanwar, Santos, Philippou, Rosario, Faieta, Pinto, Falvey, Kumar, Reistetter, Dal Bello-Haas, Bhandari, Bean and Heyn.
PY - 2022/4/12
Y1 - 2022/4/12
N2 - Purpose: The World Health Organization (WHO) declared severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) a pandemic in March 2020, causing almost 3.5 million coronavirus disease (COVID-19) related deaths worldwide. The COVID-19 pandemic has imposed a significant burden on healthcare systems, economies, and social systems in many countries around the world. The access and delivery of rehabilitation care were severely disrupted, and patients have faced several challenges during the COVID-19 outbreak. These challenges include addressing new functional impairments faced by survivors of COVID-19 and infection prevention to avoid the virus spread to healthcare workers and other patients not infected with COVID-19. In this scoping review, we aim to develop rehabilitation recommendations during the COVID-19 pandemic across the continuum of rehabilitation care. Materials and Methods: Established frameworks were used to guide the scoping review methodology. Medline, Embase, Pubmed, CINAHL databases from inception to August 1, 2020, and prominent rehabilitation organizations’ websites were searched. Study Selection: We included articles and reports if they were focused on rehabilitation recommendations for COVID-19 survivors or the general population at the time of the COVID-19 pandemic. Data Extraction: Two of our team members used the pre-tested data extraction form to extract data from included full-text articles. The strength and the quality of the extracted recommendations were evaluated by two reviewers using the GRADE (Grading of Recommendations, Assessment, Development and Evaluation) approach. Results: We retrieved 6,468 citations, of which 2,086 were eligible after removing duplicates. We excluded 1,980 citations based on the title and the abstract. Of the screened full-text articles, we included 106 studies. We present recommendations based on the patient journey at the time of the pandemic. We assessed the evidence to be of overall fair quality and strong for the recommendations. Conclusion: We have combined the latest research results and accumulated expert opinions on rehabilitation to develop acute and post-acute rehabilitation recommendations in response to the global COVID-19 pandemic. Further updates are warranted in order to incorporate the emerging evidence into rehabilitation guidelines.
AB - Purpose: The World Health Organization (WHO) declared severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) a pandemic in March 2020, causing almost 3.5 million coronavirus disease (COVID-19) related deaths worldwide. The COVID-19 pandemic has imposed a significant burden on healthcare systems, economies, and social systems in many countries around the world. The access and delivery of rehabilitation care were severely disrupted, and patients have faced several challenges during the COVID-19 outbreak. These challenges include addressing new functional impairments faced by survivors of COVID-19 and infection prevention to avoid the virus spread to healthcare workers and other patients not infected with COVID-19. In this scoping review, we aim to develop rehabilitation recommendations during the COVID-19 pandemic across the continuum of rehabilitation care. Materials and Methods: Established frameworks were used to guide the scoping review methodology. Medline, Embase, Pubmed, CINAHL databases from inception to August 1, 2020, and prominent rehabilitation organizations’ websites were searched. Study Selection: We included articles and reports if they were focused on rehabilitation recommendations for COVID-19 survivors or the general population at the time of the COVID-19 pandemic. Data Extraction: Two of our team members used the pre-tested data extraction form to extract data from included full-text articles. The strength and the quality of the extracted recommendations were evaluated by two reviewers using the GRADE (Grading of Recommendations, Assessment, Development and Evaluation) approach. Results: We retrieved 6,468 citations, of which 2,086 were eligible after removing duplicates. We excluded 1,980 citations based on the title and the abstract. Of the screened full-text articles, we included 106 studies. We present recommendations based on the patient journey at the time of the pandemic. We assessed the evidence to be of overall fair quality and strong for the recommendations. Conclusion: We have combined the latest research results and accumulated expert opinions on rehabilitation to develop acute and post-acute rehabilitation recommendations in response to the global COVID-19 pandemic. Further updates are warranted in order to incorporate the emerging evidence into rehabilitation guidelines.
KW - COVID-19
KW - GRADE
KW - ICU rehabilitation
KW - occupational therapy
KW - pandemic
KW - physiotherapy
KW - rehabilitation
KW - scoping review
UR - http://www.scopus.com/inward/record.url?scp=85128873316&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85128873316&partnerID=8YFLogxK
U2 - 10.3389/fnagi.2022.781226
DO - 10.3389/fnagi.2022.781226
M3 - Review article
C2 - 35493939
AN - SCOPUS:85128873316
SN - 1663-4365
VL - 14
JO - Frontiers in Aging Neuroscience
JF - Frontiers in Aging Neuroscience
M1 - 781226
ER -