Pulmonary rehabilitation outcomes of post-acute COVID-19 patients during different waves of the pandemic

Type
01A - Journal article
Editors
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Parent work
International Journal of Environmental Research and Public Health
Special issue
DOI of the original publication
Link
Series
Series number
Volume
20
Issue / Number
10
Pages / Duration
5907
Patent number
Publisher / Publishing institution
MDPI
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Abstract
(1) Background: Between the beginning of the coronavirus pandemic and summer 2022, we distinguished four pandemic waves, with different characteristics of the affected patients. This study investigated the impact of patient characteristics on the outcome of inpatient pulmonary rehabilitation (PR). (2) Methods: Using a prospective approach, the characteristics of post-acute COVID-19 patients of the different waves who participated in inpatient PR were compared based on their assessments and results collected as part of PR (Cumulative Illness Rating Scale (CIRS), six-minute walk test (6-MWT), Pulmonary Function Testing (PFT), and Functional Independent Measurement (FIM). (3) Results: A total of 483 patients were included in the analysis (Wave 1 n = 51, Wave 2 n = 202, Wave 3 n = 84, Wave 4 n = 146). Compared to Wave 3 + 4, patients of Wave 1 + 2 were older (69 vs. 63 years; p < 0.001), had a significantly lower CIRS (13.0 vs. 14.7 points; p = 0.004), had significant better PFT (FVC: 73 vs. 68%pred; p = 0.009; DLCOSB: 58 ± 18 vs. 50 ± 17%pred; p = 0.001), and showed significantly more comorbidities (2.0 vs. 1.6 n/pers.; p = 0.009). Wave 3 + 4 showed significantly greater improvements according to the 6-MWT (147 vs. 188 m; p < 0.001) and the FIM (5.6 vs. 21.1 points; p < 0.001). (4) Conclusions: Patients of the COVID-19 infection waves differed significantly according to their anthropometric data, incidence of comorbidities, and impact of the infection. All cohorts achieved clinically relevant and significant functional improvements during PR, with significant higher improvements in Wave 3 + 4.
Keywords
Subject (DDC)
610 - Medizin und Gesundheit
Project
Event
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ISBN
ISSN
1660-4601
1661-7827
Language
English
Created during FHNW affiliation
No
Strategic action fields FHNW
Publication status
Published
Review
Peer review of the complete publication
Open access category
Gold
License
'https://creativecommons.org/licenses/by/4.0/'
Citation
SPIELMANNS, Marc, Corina E. SCHAER, Anna Maria PEKACKA-EGLI, Sabine SPIELMANNS, Olberk IBISH, Guzel GAFINA, Antonela STIUBE und Matthias HERMANN, 2023. Pulmonary rehabilitation outcomes of post-acute COVID-19 patients during different waves of the pandemic. International Journal of Environmental Research and Public Health. 2023. Bd. 20, Nr. 10, S. 5907. DOI 10.3390/ijerph20105907. Verfügbar unter: https://doi.org/10.26041/fhnw-10001