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Rehabilitation Care at the Time of Coronavirus Disease-19 (COVID-19) Pandemic: A Scoping Review of Health System Recommendations

Negm, Ahmed M; Salopek, Adrian; Zaide, Mashal; Meng, Victoria J; Prada, Carlos; Chang, Yaping; Zanwar, Preeti; ... Heyn, Patricia C; + view all (2022) Rehabilitation Care at the Time of Coronavirus Disease-19 (COVID-19) Pandemic: A Scoping Review of Health System Recommendations. Frontiers in Aging Neuroscience , 13 , Article 781271. 10.3389/fnagi.2021.781271. Green open access

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Abstract

PURPOSE: The coronavirus disease-19 (COVID-19) was declared a pandemic by the World Health Organization in March 2020. COVID-19, caused by SARS-CoV-2 has imposed a significant burden on health care systems, economies, and social systems in many countries around the world. The provision of rehabilitation services for persons with active COVID-19 infection poses challenges to maintaining a safe environment for patients and treating providers. 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 related recommendations for COVID-19 patients, treating providers, or the general population. DATA EXTRACTION: Pairs of team members used a pre-tested data abstraction 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 Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach. RESULTS: We retrieved 6,468 citations, of which 2,086 were eligible for review, after duplicates were removed. We excluded 1,980 citations based on title and abstract screening. Of the screened full-text articles, we included all 106 studies. A summary of recommendations is presented. We assessed the overall evidence to be strong and of fair quality. CONCLUSION: The rehabilitation setting, and processes, logistics, and patient and healthcare provider precaution recommendations identified aim to reduce the spread of SARS-CoV-2 infection and ensure adequate and safe rehabilitation services, whether face-to-face or through teleservices. The COVID-19 pandemic is rapidly changing. Further updates will be needed over time in order to incorporate emerging best evidence into rehabilitation guidelines.

Type: Article
Title: Rehabilitation Care at the Time of Coronavirus Disease-19 (COVID-19) Pandemic: A Scoping Review of Health System Recommendations
Location: Switzerland
Open access status: An open access version is available from UCL Discovery
DOI: 10.3389/fnagi.2021.781271
Publisher version: http://dx.doi.org/10.3389/fnagi.2021.781271
Language: English
Additional information: © 2022 Negm, Salopek, Zaide, Meng, Prada, Chang, Zanwar, Santos, Philippou, Rosario, Faieta, Falvey, Kumar, Reistetter, Dal Bello-Haas, Bean, Bhandari 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, health system, GRADE, SARS-CoV-2, scoping review
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/10197521
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