POSSIBILITIES OF IN-HOSPITAL REHABILITATION FOR PATIENTS WHO HAD COVID-19
DOI:
https://doi.org/10.11603/1681-2786.2023.1.13866Keywords:
rehabilitation after COVID-19, long-term COVID-19, post-covid syndromeAbstract
Purpose: to summarise the concept of post-COVID syndrome, determine its prevalence, the range of rehabilitation problems and ways to solve them in inpatient settings for people who have had severe COVID-19, including those discharged from intensive care units (ICUs).
Materials and Methods. Analytical and biblio-semantic methods were used, publications on the topic were analysed in PubMed, Medline, Medscape, Google Scholar databases, and regulatory documents on the websites of national health services.
Results. The article is devoted to the actual problem of post-covid rehabilitation. There is now a clear understanding that COVID-19 has a variety of long-term consequences. A clinical classification of the long-term consequences of COVID-19 has been finally formulated. Patients with severe and critical disease usually need further treatment and rehabilitation in a hospital. For the successful rehabilitation of patients with COVID-19 consequences, it is necessary to plan measures taking into account the following principles: to identify current health impairments according to the International Classification of Functioning, Disability and Health at the outset and create a problem management plan to maximise the patient’s functional independence; to use an interdisciplinary team approach to assess problems and solve them; to remember the stages of care and to educate the patients and their family already in the hospital to continue rehabilitation.
Conclusions. Coronavirus disease has long-term consequences, and the tools for predicting them have not yet been standardised. The vast majority of patients with severe and critical COVID-19, especially in the ICU, have long-term sequelae, the management of which requires the involvement of medical staff and inpatient settings. Rehabilitation should be early and comprehensive with the involvement of a multidisciplinary team, based on a flexible protocol, the sections of which take into account the needs of such patients as much as possible.
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