Effects of Early Physical Therapy and Follow-Up in Acute Severe Coronavirus Disease 2019 Pneumonia: A Retrospective Observational Study
BackgroundRehabilitation in subjects with severe coronavirus disease 2019 (COVID-19) pneumonia has been widely recommended. However, data regarding the starting time of rehabilitation, subjects and healthcare workers’ safety, as well as rehabilitation program features are limited. We aimed to assess...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-04-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2022.866055/full |
| _version_ | 1819023881026928640 |
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| author | Jaume Bordas-Martínez Ana Luzardo-González Alejandro Arencibia Franco Tormo Lluís Matéu Vanesa Vicens-Zygmunt Guadalupe Bermudo Salud Santos María Molina-Molina Rosa Planas Guillermo Suarez-Cuartín |
| author_facet | Jaume Bordas-Martínez Ana Luzardo-González Alejandro Arencibia Franco Tormo Lluís Matéu Vanesa Vicens-Zygmunt Guadalupe Bermudo Salud Santos María Molina-Molina Rosa Planas Guillermo Suarez-Cuartín |
| author_sort | Jaume Bordas-Martínez |
| collection | DOAJ |
| description | BackgroundRehabilitation in subjects with severe coronavirus disease 2019 (COVID-19) pneumonia has been widely recommended. However, data regarding the starting time of rehabilitation, subjects and healthcare workers’ safety, as well as rehabilitation program features are limited. We aimed to assess the safety and characterize the effect of early and non-early physiotherapy on severe COVID-19 pneumonia subjects.MethodsA retrospective cohort study, including a consecutive sample of surviving subjects admitted to an acute care hospital due to severe COVID-19 pneumonia from March 13th to May 15th of 2020, is made. Subjects were separated into three groups: non-physical therapy, early physiotherapy (onset <7 days of admission), and non-early physiotherapy. Subject and therapist safety and length of hospital stay were the main evaluated outcomes.ResultsA total of 159 subjects were included (72% men; median age 62 years). Rehabilitation was performed on 108 subjects (32 early and 76 non-early physiotherapies). The length of hospital stay was 19 [interquartile range (IQR) 36.25] and 34 days (IQR 27.25) (p = 0.001) for early and non-early physiotherapy groups, respectively. No physiotherapist was infected and no subject adverse effect was identified. Multivariate analysis of subjects receiving physiotherapy during admission identified obesity [odds ratio (OR) 3.21; p-value 0.028], invasive mechanical ventilation (OR 6.25; p-value <0.001), and non-early physiotherapy (OR 3.54; p-value 0.017) as independent factors associated with a higher risk of prolonged hospital stay. Survivors’ follow-up after hospital discharge at 8 weeks was completed by 54% of subjects.ConclusionRehabilitation in acute severe COVID-19 pneumonia is safe for subjects and healthcare workers and could reduce the length of hospitalization stay, especially in those that may start early. |
| first_indexed | 2024-12-21T04:45:56Z |
| format | Article |
| id | doaj.art-ad410c4e09234a7087326e2fe772ad07 |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-12-21T04:45:56Z |
| publishDate | 2022-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-ad410c4e09234a7087326e2fe772ad072022-12-21T19:15:35ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-04-01910.3389/fmed.2022.866055866055Effects of Early Physical Therapy and Follow-Up in Acute Severe Coronavirus Disease 2019 Pneumonia: A Retrospective Observational StudyJaume Bordas-Martínez0Ana Luzardo-González1Alejandro Arencibia2Franco Tormo3Lluís Matéu4Vanesa Vicens-Zygmunt5Guadalupe Bermudo6Salud Santos7María Molina-Molina8Rosa Planas9Guillermo Suarez-Cuartín10Respiratory Department, Bellvitge University Hospital, IDIBELL, Hospitalet de Llobregat, University of Barcelona, Barcelona, SpainRehabilitation Department, Bellvitge University Hospital, IDIBELL, Hospitalet de Llobregat, University of Barcelona, Barcelona, SpainRehabilitation Department, Bellvitge University Hospital, IDIBELL, Hospitalet de Llobregat, University of Barcelona, Barcelona, SpainRehabilitation Department, Bellvitge University Hospital, IDIBELL, Hospitalet de Llobregat, University of Barcelona, Barcelona, SpainRehabilitation Department, Bellvitge University Hospital, IDIBELL, Hospitalet de Llobregat, University of Barcelona, Barcelona, SpainRespiratory Department, Bellvitge University Hospital, IDIBELL, Hospitalet de Llobregat, University of Barcelona, Barcelona, SpainRespiratory Department, Bellvitge University Hospital, IDIBELL, Hospitalet de Llobregat, University of Barcelona, Barcelona, SpainRespiratory Department, Bellvitge University Hospital, IDIBELL, Hospitalet de Llobregat, University of Barcelona, Barcelona, SpainRespiratory Department, Bellvitge University Hospital, IDIBELL, Hospitalet de Llobregat, University of Barcelona, Barcelona, SpainRehabilitation Department, Bellvitge University Hospital, IDIBELL, Hospitalet de Llobregat, University of Barcelona, Barcelona, SpainRespiratory Department, Bellvitge University Hospital, IDIBELL, Hospitalet de Llobregat, University of Barcelona, Barcelona, SpainBackgroundRehabilitation in subjects with severe coronavirus disease 2019 (COVID-19) pneumonia has been widely recommended. However, data regarding the starting time of rehabilitation, subjects and healthcare workers’ safety, as well as rehabilitation program features are limited. We aimed to assess the safety and characterize the effect of early and non-early physiotherapy on severe COVID-19 pneumonia subjects.MethodsA retrospective cohort study, including a consecutive sample of surviving subjects admitted to an acute care hospital due to severe COVID-19 pneumonia from March 13th to May 15th of 2020, is made. Subjects were separated into three groups: non-physical therapy, early physiotherapy (onset <7 days of admission), and non-early physiotherapy. Subject and therapist safety and length of hospital stay were the main evaluated outcomes.ResultsA total of 159 subjects were included (72% men; median age 62 years). Rehabilitation was performed on 108 subjects (32 early and 76 non-early physiotherapies). The length of hospital stay was 19 [interquartile range (IQR) 36.25] and 34 days (IQR 27.25) (p = 0.001) for early and non-early physiotherapy groups, respectively. No physiotherapist was infected and no subject adverse effect was identified. Multivariate analysis of subjects receiving physiotherapy during admission identified obesity [odds ratio (OR) 3.21; p-value 0.028], invasive mechanical ventilation (OR 6.25; p-value <0.001), and non-early physiotherapy (OR 3.54; p-value 0.017) as independent factors associated with a higher risk of prolonged hospital stay. Survivors’ follow-up after hospital discharge at 8 weeks was completed by 54% of subjects.ConclusionRehabilitation in acute severe COVID-19 pneumonia is safe for subjects and healthcare workers and could reduce the length of hospitalization stay, especially in those that may start early.https://www.frontiersin.org/articles/10.3389/fmed.2022.866055/fullearly physical therapyrehabilitationpulmonary rehabilitationCOVID-19SARS-CoV-2 |
| spellingShingle | Jaume Bordas-Martínez Ana Luzardo-González Alejandro Arencibia Franco Tormo Lluís Matéu Vanesa Vicens-Zygmunt Guadalupe Bermudo Salud Santos María Molina-Molina Rosa Planas Guillermo Suarez-Cuartín Effects of Early Physical Therapy and Follow-Up in Acute Severe Coronavirus Disease 2019 Pneumonia: A Retrospective Observational Study Frontiers in Medicine early physical therapy rehabilitation pulmonary rehabilitation COVID-19 SARS-CoV-2 |
| title | Effects of Early Physical Therapy and Follow-Up in Acute Severe Coronavirus Disease 2019 Pneumonia: A Retrospective Observational Study |
| title_full | Effects of Early Physical Therapy and Follow-Up in Acute Severe Coronavirus Disease 2019 Pneumonia: A Retrospective Observational Study |
| title_fullStr | Effects of Early Physical Therapy and Follow-Up in Acute Severe Coronavirus Disease 2019 Pneumonia: A Retrospective Observational Study |
| title_full_unstemmed | Effects of Early Physical Therapy and Follow-Up in Acute Severe Coronavirus Disease 2019 Pneumonia: A Retrospective Observational Study |
| title_short | Effects of Early Physical Therapy and Follow-Up in Acute Severe Coronavirus Disease 2019 Pneumonia: A Retrospective Observational Study |
| title_sort | effects of early physical therapy and follow up in acute severe coronavirus disease 2019 pneumonia a retrospective observational study |
| topic | early physical therapy rehabilitation pulmonary rehabilitation COVID-19 SARS-CoV-2 |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2022.866055/full |
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