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Hospital a Domicilio
versão On-line ISSN 2530-5115
Resumo
MARIN-NAVARRO, Viviana et al. Home rehabilitation of patients with post ICU síndrome due to COVID-19. Hosp. domic. [online]. 2023, vol.7, n.3, pp.109-121. Epub 08-Jan-2024. ISSN 2530-5115. https://dx.doi.org/10.22585/hospdomic.v7i3.193.
Objective:
In March 2020, the disease caused by the coronavirus SARS-CoV-2 (COVID-19) was declared a pandemic. It was initially estimated that 5% of the population affected by COVID-19 required admission to intensive care units with invasive mechanical ventilation support, and may develop sequelae from hospitalization. The home rehabilitation team proposes the challenge of carrying out a series of evaluations in order to be able to assess rehabilitation in the home environment.
Method:
Uncontrolled clinical trial of patients from the home hospitalization unit who have suffered from COVID-19 with the use of IMV, between June 2020 and June 2021. 193 patients were admitted, who underwent surgery at the beginning and at the end of the rehabilitation process for a multidisciplinary team at the patient’s home.
Results:
Prevalence of comorbidities of arterial hypertension and obesity. in the severe form of this disease. Mean difference in all P (Wilcoxon) scores <0.001 between baseline and post-rehabilitation status, presence of greater impairment in upper extremities.
Conclusions:
Patients with multiple sequelae that require early evaluation and intervention by a multidisciplinary team, home hospitalization being a safe, efficient and effective alternative. The restoration of safe and independent ambulation, the prevention of falls, safe eating, recovery of cognitive-communicative skills, and the empowerment of the family in a home context were achieved.
Palavras-chave : COVID-19; Home Care Services; Hospital-Based; Physical Therapy; Occupational Therapists; Rehabilitation; Speech Therapists.