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Challenges and Lessons Learned for Acute Inpatient Rehabilitation of Persons With COVID-19: Clinical Presentation, Assessment, Needs, and Services Utilization.

التفاصيل البيبلوغرافية
العنوان: Challenges and Lessons Learned for Acute Inpatient Rehabilitation of Persons With COVID-19: Clinical Presentation, Assessment, Needs, and Services Utilization.
المؤلفون: Maltser S; From the Department of Physical Medicine and Rehabilitation, Donald and Barbara Zucker School of Medicine at Hofstra Northwell, Manhasset, New York (S. Maltser, ABS, OB); Glen Cove Hospital, Glen Cove, New York (S. Maltser, ABS); Burke Rehabilitation Hospital, Albert Einstein College of Medicine, Montefiore Health System, White Plains, New York (ET, MO-P); Rusk Rehabilitation/NYU Grossman School of Medicine, NYU Langone Health (NYU), New York City, New York (HNF, PA); The Feinstein Institutes for Medical Research, Northwell Health, Manhasset, New York (CPS, S. Murphy, OB); Department of Molecular Medicine, Donald and Barbara Zucker School of Medicine at Hofstra Northwell, Hempstead, New York (CPS, OB); Albert Einstein College of Medicine, Montefiore Health System, Bronx, New York (AFA, MNB); Department of Rehabilitation and Human Performance, Icahn School of Medicine at Mount Sinai (Mount Sinai), New York City, New York (JH, KD-OC, MXE); Rutgers New Jersey Medical School/Kessler Institute for Rehabilitation (Kessler), West Orange, New Jersey (SK, PN, JD); JFK Johnson Rehabilitation Institute at HMH/Rutgers-Robert Wood Johnson Medical School and Hackensack Meridian School of Medicine (JFK Johnson), Edison, New Jersey (LB, SC); Roper Rehabilitation Hospital, Charleston, South Carolina (JD); Department of Neurology, Icahn School of Medicine at Mount Sinai (Mount Sinai), New York City, New York (KD-OC); and NY Presbyterian Columbia Univ. College of Physicians and Surgeons/Weill Cornell School of Medicine (NYP), New York City, New York (SAB)., Trovato E, Fusco HN, Sison CP, Ambrose AF, Herrera J, Murphy S, Kirshblum S, Bartels MN, Bagay L, Oh-Park M, Stein AB, Cuccurullo S, Nori P, Donovan J, Dams-O'Connor K, Amorapanth P, Barbuto SA, Bloom O, Escalon MX
المصدر: American journal of physical medicine & rehabilitation [Am J Phys Med Rehabil] 2021 Dec 01; Vol. 100 (12), pp. 1115-1123.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8803677 Publication Model: Print Cited Medium: Internet ISSN: 1537-7385 (Electronic) Linking ISSN: 08949115 NLM ISO Abbreviation: Am J Phys Med Rehabil Subsets: MEDLINE
أسماء مطبوعة: Publication: Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: [Baltimore, MD] : Published by Williams & Wilkins for the Association of Academic Physiatrists, [c1988-
مواضيع طبية MeSH: COVID-19/*rehabilitation , Facilities and Services Utilization/*statistics & numerical data , Health Services Needs and Demand/*statistics & numerical data , Inpatients/*statistics & numerical data , Subacute Care/*statistics & numerical data, Acute Disease ; Critical Care/statistics & numerical data ; Databases, Factual ; Female ; Functional Status ; Humans ; Length of Stay/statistics & numerical data ; Male ; Middle Aged ; New Jersey ; New York ; Patient Discharge/statistics & numerical data ; Retrospective Studies ; SARS-CoV-2 ; Subacute Care/methods ; Treatment Outcome
مستخلص: Objective: The aim of the study was to present: (1) physiatric care delivery amid the SARS-CoV-2 pandemic, (2) challenges, (3) data from the first cohort of post-COVID-19 inpatient rehabilitation facility patients, and (4) lessons learned by a research consortium of New York and New Jersey rehabilitation institutions.
Design: For this clinical descriptive retrospective study, data were extracted from post-COVID-19 patient records treated at a research consortium of New York and New Jersey rehabilitation inpatient rehabilitation facilities (May 1-June 30, 2020) to characterize admission criteria, physical space, precautions, bed numbers, staffing, employee wellness, leadership, and family communication. For comparison, data from the Uniform Data System and eRehabData databases were analyzed. The research consortium of New York and New Jersey rehabilitation members discussed experiences and lessons learned.
Results: The COVID-19 patients (N = 320) were treated during the study period. Most patients were male, average age of 61.9 yrs, and 40.9% were White. The average acute care length of stay before inpatient rehabilitation facility admission was 24.5 days; mean length of stay at inpatient rehabilitation facilities was 15.2 days. The rehabilitation research consortium of New York and New Jersey rehabilitation institutions reported a greater proportion of COVID-19 patients discharged to home compared with prepandemic data. Some institutions reported higher changes in functional scores during rehabilitation admission, compared with prepandemic data.
Conclusions: The COVID-19 pandemic acutely affected patient care and overall institutional operations. The research consortium of New York and New Jersey rehabilitation institutions responded dynamically to bed expansions/contractions, staff deployment, and innovations that facilitated safe and effective patient care.
Competing Interests: Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.
(Copyright © 2021 The Author(s). Published by Wolters Kluwer Health, Inc.)
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معلومات مُعتمدة: UL1 TR002556 United States TR NCATS NIH HHS
تواريخ الأحداث: Date Created: 20211118 Date Completed: 20211203 Latest Revision: 20231108
رمز التحديث: 20231108
مُعرف محوري في PubMed: PMC8594401
DOI: 10.1097/PHM.0000000000001887
PMID: 34793372
قاعدة البيانات: MEDLINE
الوصف
تدمد:1537-7385
DOI:10.1097/PHM.0000000000001887