COVID-19; Interim Guidance on Rehabilitation in the Hospital and Post-Hospital Phase from a European Respiratory Society and America Thoracic Society-coordinated International Task Force

Voor de volledige tekst in pdf, klik hier

Het heeft minder bewijskracht dus het is minder betrouwbaar. Wat wilt dit zeggen:

  • Het zijn aanbevelingen, door consensus van experts.

  • Er wordt ruim gerefereerd naar onderzoek, wat de betrouwbaarheid van het artikel sterker maakt.

  • Ze suggereren de resultaten als tussentijdse richtlijnen te zien.  

  • Het artikel is nog niet gepubliceerd in de laatste uitgave van de European Respiratory journal, omdat de auteurs nog een bewijs moeten voorleggen van hun resultaten.

 

Met andere woorden; het zijn suggestieve richtlijnen.

Volgende aanbevelingen worden voorgesteld:

  1. The international Task Force suggests that hospitalized patients with COVID-19 should receive rehabilitation at/around the bedside (critical care and/or ward based) until safe for discharge to the home environment.

  2. The international Task Force suggests that prior to hospital discharge, hospitalised patients with COVID-19 should have an assessment of oxygen requirements at rest and during exertion.

  3. The international Task Force suggests that patients with COVID-19 should be encouraged to do regular daily activities in the first 6-8 weeks after hospital discharge.

  4. The international Task Force suggests that patients with COVID-19 should be encouraged to do low/moderate intensity physical exercise at home (rather than high intensity physical exercise) in the first 6-8 weeks after hospital discharge, if a formal exercise assessment with measures of exertional desaturation has not been conducted.

  5. The international Task Force suggests that patients with COVID-19 should have a formal assessment of physical and emotional functioning at 6-8 weeks following discharge, to identify unmet rehabilitation needs.

  6. The international Task Force suggests that follow up of a hospitalised patient with COVID-19 should include the core outcomes set for survivors of acute respiratory failure at 6-8 weeks following hospital discharge.

  7. The international Task Force suggests that follow up of a hospitalised patient with COVID-19 should include measures of respiratory function at 6-8 weeks following hospital discharge.

  8. The international Task Force suggests that follow up of a hospitalised patient with COVID-19 should include measures of exercise capacity at 6-8 weeks following hospital discharge.

  9. The international Task Force suggests that COVID-19 survivors with a need for rehabilitative interventions at 6-8 weeks following hospital discharge (e.g., multiple treatable traits) should receive a comprehensive rehabilitation program, compared to no rehabilitation program.

  10. The international Task Force suggests that COVID-19 survivors with pre-existing/ongoing lung function impairment at 6-8 weeks following hospital discharge should receive a comprehensive pulmonary rehabilitation program consistent with established international standards, compared to no pulmonary rehabilitation program

  11. The international Task Force suggests that COVID-19 survivors with loss of lower limb muscle mass and/or function at 6-8 weeks following hospital discharge should receive a muscle strengthening program, rather than no strengthening program.

  12. The international Task Force suggests that COVID-19 survivors with loss of lower-limb muscle mass at 6-8 weeks following hospital discharge should receive nutritional support rather than no nutritional support.

  13. The international Task Force suggests that COVID-19 survivors with symptoms of psychological distress (using questionnaires) at 6-8 weeks after discharge from the hospital should receive a formal psychological assessment.