Personalized rehabilitation of patients after COVID-19: the experience of the Republic of Mari El
https://doi.org/10.18093/0869-0189-2022-32-5-696-703
Abstract
Two years after the onset of the COVID-19 pandemic, not only the diagnosis and treatment, but also rehabilitation of patients at different times after the disease became relevant.
The aim. To develop and analyze the efficiency of personalized hospital-based rehabilitation programs for COVID-19 patients.
Methods. Retrospective analysis of medical records of 109 patients with COVID-19 admitted to the rehabilitation department. A team of physiotherapist, pulmonologist and psychiatrist used simulators (bicycle ergometer, treadmill, motomed, and stepper), physiotherapeutic exercises, training of respiratory muscles with Threshold IMT (Philips, Netherlands) simulators, psychotherapy, and physiotherapy.
Results. A total of 109 patients, 59 (54%) men and 50 (46%) women, aged 56.54 ± 11.73 уears suffered from moderate (41%), severe (40%) and very severe (19%) COVID-19. 25% of the patients had concomitant diabetes mellitus, 65% – arterial hypertension, and 22% – ischemic heart disease. Patients with 5 rehabilitation points (5RP) on Rehabilitation Routing Scale walked a median distance of 110 [40; 248] m in the 6-minute walk test (6MWT), 4RP – 300 [240; 350] m in 6MWT, 3RP — 400 [360; 431] m in 6MWT. The difference in 6MWT distance was significant only between 4RP and 3RP groups (p < 0.001). By the end of rehabilitation program, 6MWT increased by 90 m in 5RP group, by 120 m – in 4RP group, and by 89 m in patients with 3RP (p = 0.036 between RPs and 4RP groups; р = 0.007 between 3RP and 5RP groups, respectively). SpO2 was over 95% in all patients by the end of rehabilitation.
Conclusion. Comorbid patients after severe COVID-19 demonstrated better rehabilitation potential seen as improvement of exercise tolerance and respiratory status. The original personalized rehabilitation programs improve significantly impaired body functions early on after severe COVID-19.
About the Authors
R. F. Khamitov
Kazan State Medical University, Healthcare Ministry of Russia
Russian Federation
Competing Interests:
Russian Federation
Rustem F. Khamitov, Doctor of Medicine, Professor, Head of the Department of Internal Medicine
ul. Butlerova 49, Kazan, 420012, Tatarstan Republic
Competing Interests:
The authors declare no conflict of interest
E. A. Soboleva
Republic of Mari El Medical Unit No.1
Russian Federation
Competing Interests:
Russian Federation
Ekaterina. A. Soboleva, pulmonologist, Department of Medical Rehabilitation, Republic of Mari El Medical Unit No.1, Chief Freelance Pulmonologist, Ministry of Health of the Republic of Mari El
ul. Vodoprovodnaya 83B, Yoshkar-Ola, 424037, Republic of Mari El
Competing Interests:
The authors declare no conflict of interest
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Khamitov R.F., Soboleva E.A. Personalized rehabilitation of patients after COVID-19: the experience of the Republic of Mari El. PULMONOLOGIYA. 2022;32(5):696-703. (In Russ.) https://doi.org/10.18093/0869-0189-2022-32-5-696-703
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