SavedAdd your journal

Journals / Respiratory Case Reports / 2022 / Cilt: 11 - Sayı: 1

Post Intensive Care Tele Pulmonary Rehabilitation in Post-COVID-19: A Case Series

Post COVID-19 Hastalarında Yoğun Bakım Sonrası Tele Pulmoner Rehabilitasyon: Olgu Serisi

Mustafa Engin ŞAHİN
Pınar ERGÜN
Seher SATAR
Pages
1–8
Publication Date
2022-10-18
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

A decrease in the severity of COVID-19-related fatigue was also noted

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Muscle weakness acquired in intensive care, post-intensive care syndrome, psychological dysfunction and changes in body composition are the main rea-sons cited in Pulmonary Rehabilitation (PR) applica-tions after discharge in cases followed up in the in-tensive care unit (ICU) due to COVID-19 pneumonia.
📊
Key Findings & Data:At the end of the total 18 sessions, a decrease was noted in the perception of dyspnea, and an increase in exer-cise capacity and muscle strength.
💡
Conclusion & Impact:A decrease in the severity of COVID-19-related fatigue was also noted
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Muscle weakness acquired in intensive care, post-intensive care syndrome, psychological dysfunction and changes in body composition are the main rea-sons cited in Pulmonary Rehabilitation (PR) applica-tions after discharge in cases followed up in the in-tensive care unit (ICU) due to COVID-19 pneumonia. Although the limitations of face-to-face PR applica-tions during the pandemic have made tele-PR more common, the appropriate patient profile for PR is still unknown. In this case series, video conferencing-mediated tele-PR was applied as a hybrid approach and compared with PR in a face-to-face format in five cases referred after ICU. After the initial and final evaluations and the first two exercise sessions were performed in the outpatient PR unit, the program was continued via a video-conferencing method. At the end of the total 18 sessions, a decrease was noted in the perception of dyspnea, and an increase in exer-cise capacity and muscle strength. A decrease in the severity of COVID-19-related fatigue was also noted

Özet

COVID-19 pnömonisi nedeniyle yoğun bakım ünite-sinde takip edilen olgularda taburculuk sonrası Pul-moner Rehabilitasyon (PR) uygulama gerekçelerinin başında yoğun bakımda edinilmiş kas güçsüzlüğü, yoğun bakım sonrası sendrom (PICS), psikolojik dis-fonksiyon, vücut kompozisyonu değişiklikleri yer al-maktadır. Pandemi sürecinde yüz yüze PR uygulama-larındaki kısıtlılıklar tele-PR’ yi öne çıkarsa da, PR için uygun hasta profili hala bilinmiyor. Bu olgu serisinde YBÜ sonrası yönlendirilen beş olguda video konfe-rans aracılı tele-PR yüz yüze formatla hibrid olarak uygulanmıştır. Ayaktan PR ünitesinde ilk ve son değer-lendirmeler ile ilk iki egzersiz seansı yapıldıktan sonra video konferans yöntemiyle programa devam edildi. Toplam 18 seans sonunda nefes darlığı algısında azalma, egzersiz kapasitesinde ve kas kuvvetinde artış oldu. COVID-19 ilişkili yorgunluk şiddetinde azalma saptandı.

🔖

Cite This Article

ŞAHİN, M. E., ERGÜN, P., SATAR, S. (2022). Post Intensive Care Tele Pulmonary Rehabilitation in Post-COVID-19: A Case Series. Respiratory Case Reports, Cilt: 11 - Sayı: 1, 1–8. https://ajindex.com/articles/588855

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (2)

  1. Günlük Rapor / Daily Report. https://covid19.saglik.gov.tr/TR-68444/gunluk-rapor--daily-report.html (accessed 23 Aug 2021)
  2. Vetter P, Vu DL, L'Huillier AG, Schibler M, Kaiser L, Jacquerioz F. Clinical features of covid-19. BMJ 2020; 369:m1470. [CrossRef] 3. Khan M, Khan H, Khan S, Nawaz M. Epidemiological and clinical characteristics of coronavirus disease (COVID-19) cases at a screening clinic during the early outbreak period: a single-centre study. J Med Microbiol 2020; 69:1114-23. [CrossRef] 4. ain V, Yuan J-M. Predictive symptoms and comorbidities for severe COVID-19 and intensive care unit admission: a systematic review and meta-analysis. Int J Public Health 2020; 65:533-46. [CrossRef] 5. Kress JP, Hall JB. ICU-acquired weakness and recovery from critical illness. N Engl J Med 2014; 370:1626-35. [CrossRef] 6. Raman B, Cassar MP, Tunnicliffe EM, Filippini N, Grif-fanti L, Alfaro-Almagro F, et al. Medium-term effects of SARS-CoV-2 infection on multiple vital organs, exercise capacity, cognition, quality of life and mental health, post-hospital discharge. EClinicalMedicine 2021; 31:100683. [CrossRef] 7. Thornton J. Covid-19: the challenge of patient rehabilita-tion after intensive care. BMJ 2020; 369:m1787. [CrossRef] 8. Vogiatzis I, Rochester CL, Spruit MA, Troosters T, Clini EM; American Thoracic Society/European Respiratory Society Task Force on Policy in Pulmonary Rehabilitation. Increasing implementation and delivery of pulmonary re-habilitation: key messages from the new ATS/ERS policy statement. Eur Respir J 2016; 47:1336-41. [CrossRef] 9. Vasilopoulou M, Papaioannou AI, Kaltsakas G, Louvaris Z, Chynkiamis N, Spetsioti S, et al. Home-based main-tenance tele-rehabilitation reduces the risk for acute exacerbations of COPD, hospitalisations and emergency department visits. Eur Respir J 2017; 49:1602129. [CrossRef] 10. Salawu A, Green A, Crooks MG, Brixey N, Ross DH, Si-van M. A proposal for multidisciplinary tele-rehabilitation in the assessment and rehabilitation of COVID-19 survi-vors. Int J Environ Res Public Health 2020; 17:4890. [CrossRef] 11. Kurtaiş Aytür Y, Köseoğlu BF, Özyemişçi Taşkıran Ö, Or-du-Gökkaya NK, Ünsal Delialioğlu S, Sonel Tur B et al. Pulmonary rehabilitation principles in SARS-COV-2 infec-tion (COVID-19): A guideline for the acute and subacute rehabilitation. Turk J Phys Med Rehabil 2020; 66:104-20. [CrossRef] 12. COVID-19: interim guidance on rehabilitation in the hospital and post-hospital phase from a European Respi-ra