Q: 44 years old male is getting discharged from ICU to long-term care after recovery from COVID-19-induced respiratory failure. While writing discharge orders, emphasis on which one component may help the patient?
Answer: Enrollment in pulmonary rehabilitation program
Patients who go into "long-COVID" syndrome have some marked benefits from protocolized pulmonary rehabilitation programs. Fatigue and muscle weakness are some of the common symptoms of long-covid. Enrollment in such programs has been shown to improve Short Physical Performance Battery (SPPB) and the Barthel Index. At a functional level, it has shown significant improvement for patients who were unable to stand, rise from a chair, and walk at the start of the program.
6-8 weeks of such programs have been suggested.
#pulmonary
#COVID
References:
1. Zampogna E, Paneroni M, Belli S, et al. Pulmonary Rehabilitation in Patients Recovering from COVID-19. Respiration 2021; 100:416.
2. Liu K, Zhang W, Yang Y, et al. Respiratory rehabilitation in elderly patients with COVID-19: A randomized controlled study. Complement Ther Clin Pract 2020; 39:101166.
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