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Role of Rehabilitation Department for Adult Individuals With COVID-19: The Experience of the San Raffaele Hospital of Milan.
Metadata
Journalarchives of physical medicine and rehabilitation3.098Date
2020 Jun 04
4 months ago
Type
Journal Article
Volume
2020-09 / 101 : 1656-1661
Author
Iannaccone S 1, Castellazzi P 2, Tettamanti A 1, Houdayer E 3, Brugliera L 2, de Blasio F 4, Cimino P 2, Ripa M 5, Meloni C 2, Alemanno F 1, Scarpellini P 6
Affiliation
  • 2. Department of Rehabilitation and Functional Recovery, IRCCS San Raffaele Hospital, Milan, Italy.
  • 3. Department of Rehabilitation and Functional Recovery, IRCCS San Raffaele Hospital, Milan, Italy. Electronic address: [email protected]
  • 4. Respiratory Medicine and Pulmonary Rehabilitation Section, Clinic Center S.p.A. Private Hospital, Naples, Italy.
  • 5. Vita-Salute San Raffaele University, Milan, Italy.
  • 6. Department of Infectious Disease, IRCCS San Raffaele Hospital, Milan, Italy.
Doi
PMIDMESH
Adult
Aged
Betacoronavirus
Coronavirus Infections
Critical Pathways
Female
Hospitals
Humans
Italy
Male
Middle Aged
Pandemics
Physical and Rehabilitation Medicine
Pneumonia, Viral
Subacute Care
Telemedicine
Abstract
The rapid evolution of the health emergency linked to the spread of severe acute respiratory syndrome coronavirus 2 requires specifications for the rehabilitative management of patients with coronavirus disease 2019 (COVID-19). The symptomatic evolution of patients with COVID-19 is characterized by 2 phases: an acute phase in which respiratory symptoms prevail and a postacute phase in which patients can show symptoms related to prolonged immobilization, to previous and current respiratory dysfunctions, and to cognitive and emotional disorders. Thus, there is the need for specialized rehabilitative care for these patients. This communication reports the experience of the San Raffaele Hospital of Milan and recommends the setup of specialized clinical pathways for the rehabilitation of patients with COVID-19. In this hospital, between February 1 and March 2, 2020, about 50 patients were admitted every day with COVID-19 symptoms. In those days, about 400 acute care beds were created (intensive care/infectious diseases). In the following 30 days, from March 2 to mid-April, despite the presence of 60 daily arrivals to the emergency department, the organization of patient flow between different wards was modified, and several different units were created based on a more accurate integration of patients' needs. According to this new organization, patients were admitted first to acute care COVID-19 units and then to COVID-19 rehabilitation units, post-COVID-19 rehabilitation units, and/or quarantine/observation units. After hospital discharge, telemedicine was used to follow-up with patients at home. Such clinical pathways should each involve dedicated multidisciplinary teams composed of pulmonologists, physiatrists, neurologists, cardiologists, physiotherapists, neuropsychologists, occupational therapists, speech therapists, and nutritionists.
Keywords: Coronavirus Critical pathways Neuropsychology Physical therapy modalities Rehabilitation Telemedicine
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Arch Phys Med Rehabilarchives of physical medicine and rehabilitation
Metadata
LocationUnited States
FromW B SAUNDERS CO-ELSEVIER INC

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