Outcomes of patients with COVID‐19 after inpatient rehabilitation
Background Rehabilitation outcomes of patients with coronavirus disease 2019 (COVID‐19) are unknown. Objective To describe patients with COVID‐19 who are undergoing inpatient rehabilitation and their rehabilitation outcomes. Design Retrospective observational cohort study of all inpatients from a re...
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| Veröffentlicht in: | PM & R 2022-02, Vol.14 (2), p.202-209 |
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| creator | Groah, Suzanne L. Pham, Cynthia T. Rounds, Amanda K. Semel, Jennifer J. |
| description | Background
Rehabilitation outcomes of patients with coronavirus disease 2019 (COVID‐19) are unknown.
Objective
To describe patients with COVID‐19 who are undergoing inpatient rehabilitation and their rehabilitation outcomes.
Design
Retrospective observational cohort study of all inpatients from a rehabilitation hospital between March 1 and September 30, 2020.
Setting
Inpatient rehabilitation hospital.
Patients
Among all inpatients, inclusion criteria are: ≥18 years of age and admission and discharge within the study time frame. The initial search yielded 920 patients; 896 met the inclusion criteria. Subjects were stratified by COVID‐19 status and rehabilitation impairment.
Main Outcome Measures
Data included age, gender, body mass index (BMI), length of stay (LOS), discharge location, and functional ability in self‐care and mobility (FA‐SC, FA‐Mob). One‐sample t‐tests were used to assess the difference of age, BMI, LOS, FA‐SC, FA‐Mob, and FA efficiency between COVID‐19+ and COVID‐19− patients.
Results
COVID‐19+ patients were younger (59.4 years vs 62.9 years; t[894] = −2.05, p = .04) with a higher mean BMI (32 vs 28; t[894] = 3.51, p |
| doi_str_mv | 10.1002/pmrj.12645 |
| format | Article |
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Rehabilitation outcomes of patients with coronavirus disease 2019 (COVID‐19) are unknown.
Objective
To describe patients with COVID‐19 who are undergoing inpatient rehabilitation and their rehabilitation outcomes.
Design
Retrospective observational cohort study of all inpatients from a rehabilitation hospital between March 1 and September 30, 2020.
Setting
Inpatient rehabilitation hospital.
Patients
Among all inpatients, inclusion criteria are: ≥18 years of age and admission and discharge within the study time frame. The initial search yielded 920 patients; 896 met the inclusion criteria. Subjects were stratified by COVID‐19 status and rehabilitation impairment.
Main Outcome Measures
Data included age, gender, body mass index (BMI), length of stay (LOS), discharge location, and functional ability in self‐care and mobility (FA‐SC, FA‐Mob). One‐sample t‐tests were used to assess the difference of age, BMI, LOS, FA‐SC, FA‐Mob, and FA efficiency between COVID‐19+ and COVID‐19− patients.
Results
COVID‐19+ patients were younger (59.4 years vs 62.9 years; t[894] = −2.05, p = .04) with a higher mean BMI (32 vs 28; t[894] = 3.51, p < .01) than COVID‐19− patients. COVID‐19+ patients had equivalent or superior improvements in FA‐SC and FA‐Mob, functional change efficiency, and LOS relative to COVID‐19− patients. When medically complex patients were compared, those with COVID‐19 had greater FA‐SC and FA‐Mob efficiencies than COVID‐19− patients. COVID‐19+ patients had similar rates of return to the community.
Conclusions
Patients with COVID‐19 who meet the admission criteria for inpatient rehabilitation can benefit from inpatient rehabilitation similarly to their non‐COVID‐19 counterparts with similar rehabilitation‐specific diagnoses.</description><identifier>ISSN: 1934-1482</identifier><identifier>EISSN: 1934-1563</identifier><identifier>DOI: 10.1002/pmrj.12645</identifier><identifier>PMID: 34021974</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Activities of Daily Living ; COVID-19 ; Humans ; Inpatients ; Length of Stay ; Original ; Recovery of Function ; Rehabilitation Centers ; Retrospective Studies ; SARS-CoV-2 ; Treatment Outcome</subject><ispartof>PM & R, 2022-02, Vol.14 (2), p.202-209</ispartof><rights>2021 American Academy of Physical Medicine and Rehabilitation.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4205-b898c4fbbc29dbda5f1f8181bd9d9fc2e79172eb2c855fd70b791b3af93621183</citedby><cites>FETCH-LOGICAL-c4205-b898c4fbbc29dbda5f1f8181bd9d9fc2e79172eb2c855fd70b791b3af93621183</cites><orcidid>0000-0003-1213-1959</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpmrj.12645$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpmrj.12645$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34021974$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Groah, Suzanne L.</creatorcontrib><creatorcontrib>Pham, Cynthia T.</creatorcontrib><creatorcontrib>Rounds, Amanda K.</creatorcontrib><creatorcontrib>Semel, Jennifer J.</creatorcontrib><title>Outcomes of patients with COVID‐19 after inpatient rehabilitation</title><title>PM & R</title><addtitle>PM R</addtitle><description>Background
Rehabilitation outcomes of patients with coronavirus disease 2019 (COVID‐19) are unknown.
Objective
To describe patients with COVID‐19 who are undergoing inpatient rehabilitation and their rehabilitation outcomes.
Design
Retrospective observational cohort study of all inpatients from a rehabilitation hospital between March 1 and September 30, 2020.
Setting
Inpatient rehabilitation hospital.
Patients
Among all inpatients, inclusion criteria are: ≥18 years of age and admission and discharge within the study time frame. The initial search yielded 920 patients; 896 met the inclusion criteria. Subjects were stratified by COVID‐19 status and rehabilitation impairment.
Main Outcome Measures
Data included age, gender, body mass index (BMI), length of stay (LOS), discharge location, and functional ability in self‐care and mobility (FA‐SC, FA‐Mob). One‐sample t‐tests were used to assess the difference of age, BMI, LOS, FA‐SC, FA‐Mob, and FA efficiency between COVID‐19+ and COVID‐19− patients.
Results
COVID‐19+ patients were younger (59.4 years vs 62.9 years; t[894] = −2.05, p = .04) with a higher mean BMI (32 vs 28; t[894] = 3.51, p < .01) than COVID‐19− patients. COVID‐19+ patients had equivalent or superior improvements in FA‐SC and FA‐Mob, functional change efficiency, and LOS relative to COVID‐19− patients. When medically complex patients were compared, those with COVID‐19 had greater FA‐SC and FA‐Mob efficiencies than COVID‐19− patients. COVID‐19+ patients had similar rates of return to the community.
Conclusions
Patients with COVID‐19 who meet the admission criteria for inpatient rehabilitation can benefit from inpatient rehabilitation similarly to their non‐COVID‐19 counterparts with similar rehabilitation‐specific diagnoses.</description><subject>Activities of Daily Living</subject><subject>COVID-19</subject><subject>Humans</subject><subject>Inpatients</subject><subject>Length of Stay</subject><subject>Original</subject><subject>Recovery of Function</subject><subject>Rehabilitation Centers</subject><subject>Retrospective Studies</subject><subject>SARS-CoV-2</subject><subject>Treatment Outcome</subject><issn>1934-1482</issn><issn>1934-1563</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtKAzEUhoMoVqsbH0BmKcLUnExmmmwEqXeUiqjbkGQSG5lLTaaW7nwEn9EncWpb0Y2rJCcf3_n5EdoD3AOMydG49C89IBlN19AW8ITGkGbJ-upOGemg7RBeMM4osGwTdRKKCfA-3UKD4aTRdWlCVNtoLBtnqiZEU9eMosHw6er08_0DeCRtY3zkqiUQeTOSyhWuad91tYM2rCyC2V2eXfR4fvYwuIxvhhdXg5ObWFOC01gxzjS1SmnCc5XL1IJlwEDlPOdWE9Pn0CdGEc3S1OZ9rNqBSqTlSUYAWNJFxwvveKJKk-s2iZeFGHtXSj8TtXTi70_lRuK5fhOMUJImvBUcLAW-fp2Y0IjSBW2KQlamngTRQkCAYYZb9HCBal-H4I39WQNYzFsX89bFd-stvP872A-6qrkFYAFMXWFm_6jE3e399UL6BSg_jyg</recordid><startdate>202202</startdate><enddate>202202</enddate><creator>Groah, Suzanne L.</creator><creator>Pham, Cynthia T.</creator><creator>Rounds, Amanda K.</creator><creator>Semel, Jennifer J.</creator><general>John Wiley & Sons, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-1213-1959</orcidid></search><sort><creationdate>202202</creationdate><title>Outcomes of patients with COVID‐19 after inpatient rehabilitation</title><author>Groah, Suzanne L. ; Pham, Cynthia T. ; Rounds, Amanda K. ; Semel, Jennifer J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4205-b898c4fbbc29dbda5f1f8181bd9d9fc2e79172eb2c855fd70b791b3af93621183</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Activities of Daily Living</topic><topic>COVID-19</topic><topic>Humans</topic><topic>Inpatients</topic><topic>Length of Stay</topic><topic>Original</topic><topic>Recovery of Function</topic><topic>Rehabilitation Centers</topic><topic>Retrospective Studies</topic><topic>SARS-CoV-2</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Groah, Suzanne L.</creatorcontrib><creatorcontrib>Pham, Cynthia T.</creatorcontrib><creatorcontrib>Rounds, Amanda K.</creatorcontrib><creatorcontrib>Semel, Jennifer J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>PM & R</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Groah, Suzanne L.</au><au>Pham, Cynthia T.</au><au>Rounds, Amanda K.</au><au>Semel, Jennifer J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcomes of patients with COVID‐19 after inpatient rehabilitation</atitle><jtitle>PM & R</jtitle><addtitle>PM R</addtitle><date>2022-02</date><risdate>2022</risdate><volume>14</volume><issue>2</issue><spage>202</spage><epage>209</epage><pages>202-209</pages><issn>1934-1482</issn><eissn>1934-1563</eissn><abstract>Background
Rehabilitation outcomes of patients with coronavirus disease 2019 (COVID‐19) are unknown.
Objective
To describe patients with COVID‐19 who are undergoing inpatient rehabilitation and their rehabilitation outcomes.
Design
Retrospective observational cohort study of all inpatients from a rehabilitation hospital between March 1 and September 30, 2020.
Setting
Inpatient rehabilitation hospital.
Patients
Among all inpatients, inclusion criteria are: ≥18 years of age and admission and discharge within the study time frame. The initial search yielded 920 patients; 896 met the inclusion criteria. Subjects were stratified by COVID‐19 status and rehabilitation impairment.
Main Outcome Measures
Data included age, gender, body mass index (BMI), length of stay (LOS), discharge location, and functional ability in self‐care and mobility (FA‐SC, FA‐Mob). One‐sample t‐tests were used to assess the difference of age, BMI, LOS, FA‐SC, FA‐Mob, and FA efficiency between COVID‐19+ and COVID‐19− patients.
Results
COVID‐19+ patients were younger (59.4 years vs 62.9 years; t[894] = −2.05, p = .04) with a higher mean BMI (32 vs 28; t[894] = 3.51, p < .01) than COVID‐19− patients. COVID‐19+ patients had equivalent or superior improvements in FA‐SC and FA‐Mob, functional change efficiency, and LOS relative to COVID‐19− patients. When medically complex patients were compared, those with COVID‐19 had greater FA‐SC and FA‐Mob efficiencies than COVID‐19− patients. COVID‐19+ patients had similar rates of return to the community.
Conclusions
Patients with COVID‐19 who meet the admission criteria for inpatient rehabilitation can benefit from inpatient rehabilitation similarly to their non‐COVID‐19 counterparts with similar rehabilitation‐specific diagnoses.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>34021974</pmid><doi>10.1002/pmrj.12645</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-1213-1959</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1934-1482 |
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| issn | 1934-1482 1934-1563 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8242539 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Activities of Daily Living COVID-19 Humans Inpatients Length of Stay Original Recovery of Function Rehabilitation Centers Retrospective Studies SARS-CoV-2 Treatment Outcome |
| title | Outcomes of patients with COVID‐19 after inpatient rehabilitation |
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