Feasibility and efficacy of cardiopulmonary rehabilitation after COVID-19
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2020
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01A - Journal article
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American Journal of Physical Medicine
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Volume
99
Issue / Number
10
Pages / Duration
865-869
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Lippincott Williams & Wilkins
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Abstract
Abstract
The COVID-19 pandemic affects a large number of patients with a rapid progression of respiratory failure often requiring hospitalization or intensive care unit treatment in some patients. Survivors of severe COVID-19 experience persistent weakness and cardiorespiratory failure. Feasibility and potential benefit of cardiopulmonary rehabilitation after COVID-19 remains unclear. Therefore, we retrospectively analyzed a cohort of COVID-19 patients in a single-center inpatient rehabilitation clinic and describe performance and outcome during cardiopulmonary rehabilitation.
Patients were referred from acute care hospitals for rehabilitation after severe COVID-19. The cohort (N = 28) was divided in ventilated or not ventilated patients for further analysis. Fifty percent were female, the mean age was 66 yrs, and patients stayed in the acute hospital for 19.3 ± 10.7 days before referral for cardiopulmonary rehabilitation. Seventeen patients (61%) needed previous intensive care unit treatment in the acute care hospital. Risk factors, assessments, and questionnaires on admission were comparable in both groups. Significant enhancements were observed in 6-min walking test and feeling thermometer, which were independent of previous ventilation status.
In conclusion, comprehensive cardiopulmonary rehabilitation after COVID-19 is safe, feasible, and effective. Improvements in physical performance and subjective health status were independent of previous ventilation.
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1537-7385
0894-9115
0894-9115
Language
English
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No
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Published
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Peer review of the complete publication
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Closed
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Citation
Hermann, M., Pekacka-Egli, A. M., Witassek, F., Baumgaertner, R., Schoendorf, S., & Spielmanns, M. (2020). Feasibility and efficacy of cardiopulmonary rehabilitation after COVID-19. American Journal of Physical Medicine, 99(10), 865–869. https://doi.org/10.1097/phm.0000000000001549