Rehabilitation in Severely Ill Inpatients With COVID-19

Seoul National University Bundang Hospital37 enrolled

Overview

Inpatient rehabilitation of severe-to-critical COVID-19 patients(A longitudinal, single-center retrospective cohort)

Patients who underwent intensive care at least two days and classified as severe-to-critical COVID-19 (WHO ordinal scale 5-7) were enrolled. Patients received comprehensive rehabilitation including active exercise program, nutritional support, and psychological support.

Study Type

OBSERVATIONAL

Enrollment

Conditions

COVID-19

Interventions

Rehabilitative interventionOTHER

Active rehabilitation programs were done for all patients. Participants were asked to attend exercise program at PT room or bedside. Exercise program was offered once or twice daily on weekdays, by trained kinesiologists. In PT programs, most patients performed strengthening exercise of lower extremities, balance training, sit-up training, sit-to-stand training and gait training for about 30 minutes. Each program was individualized to participants' current physical function. In bedside programs, patients also underwent strengthening exercise and balance training without gait training for about 10 minutes. The duration of exercise program at PT room depends on the patient's condition(upto 1 month).

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: COVID-19 patients who 1. underwent intensive care at least two days, 2. eventually got negative conversion with two consecutive tests, 3. were classified as severe COVID-19 (WHO ordinal scale 5-7) and 4. participated in the inpatient rehabilitation program were included. Exclusion Criteria: COVID-19 patients who died (WHO ordinal scale 8) before discharge were excluded

Locations (1)

Seoul National University Bundang Hospital

Seongnam-si, South Korea

Outcomes

Primary Outcomes

Change of Functional Ambulation Classification

0\~5 score. FAC 0(Nonfunctional ambulator), FAC1(Ambulator, dependent on physical assistance - Indicates a patient who requires continuous manual contact to support body weight as well as to maintain balance or to assist coordination), FAC 2(Ambulator, dependent on physical assistance - Indicates a patient who requires intermittent or continuous light touch to assist balance or coordination), FAC3(Ambulator, dependent on supervision), FAC4(Ambulator, independent level surface only), FAC5(Ambulator, independent). Higher score means better outcome.