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Rehabilitation at the Time of Pandemic: Patient Journey Recommendations

Negm, Ahmed M; Salopek, Adrian; Zaide, Mashal; Meng, Victoria J; Prada, Carlos; Chang, Yaping; Zanwar, Preeti; ... Heyn, Patricia C; + view all (2022) Rehabilitation at the Time of Pandemic: Patient Journey Recommendations. Frontiers in Aging Neuroscience , 14 , Article 781226. 10.3389/fnagi.2022.781226. Green open access

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Abstract

Purpose: The World Health Organization (WHO) declared severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) a pandemic in March 2020, causing almost 3.5 million coronavirus disease (COVID-19) related deaths worldwide. The COVID-19 pandemic has imposed a significant burden on healthcare systems, economies, and social systems in many countries around the world. The access and delivery of rehabilitation care were severely disrupted, and patients have faced several challenges during the COVID-19 outbreak. These challenges include addressing new functional impairments faced by survivors of COVID-19 and infection prevention to avoid the virus spread to healthcare workers and other patients not infected with COVID-19. In this scoping review, we aim to develop rehabilitation recommendations during the COVID-19 pandemic across the continuum of rehabilitation care. Materials and Methods: Established frameworks were used to guide the scoping review methodology. Medline, Embase, Pubmed, CINAHL databases from inception to August 1, 2020, and prominent rehabilitation organizations’ websites were searched. Study Selection: We included articles and reports if they were focused on rehabilitation recommendations for COVID-19 survivors or the general population at the time of the COVID-19 pandemic. Data Extraction: Two of our team members used the pre-tested data extraction form to extract data from included full-text articles. The strength and the quality of the extracted recommendations were evaluated by two reviewers using the GRADE (Grading of Recommendations, Assessment, Development and Evaluation) approach. Results: We retrieved 6,468 citations, of which 2,086 were eligible after removing duplicates. We excluded 1,980 citations based on the title and the abstract. Of the screened full-text articles, we included 106 studies. We present recommendations based on the patient journey at the time of the pandemic. We assessed the evidence to be of overall fair quality and strong for the recommendations. Conclusion: We have combined the latest research results and accumulated expert opinions on rehabilitation to develop acute and post-acute rehabilitation recommendations in response to the global COVID-19 pandemic. Further updates are warranted in order to incorporate the emerging evidence into rehabilitation guidelines.

Type: Article
Title: Rehabilitation at the Time of Pandemic: Patient Journey Recommendations
Location: Switzerland
Open access status: An open access version is available from UCL Discovery
DOI: 10.3389/fnagi.2022.781226
Publisher version: http://dx.doi.org/10.3389/fnagi.2022.781226
Language: English
Additional information: © 2022 Negm, Salopek, Zaide, Meng, Prada, Chang, Zanwar, Santos, Philippou, Rosario, Faieta, Pinto, Falvey, Kumar, Reistetter, Dal Bello-Haas, Bhandari, Bean and Heyn. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/).
Keywords: COVID-19, pandemic, rehabilitation, scoping review, GRADE, physiotherapy, occupational therapy, ICU rehabilitation
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education > IOE - Psychology and Human Development
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10197520
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