Monaldi Archives for Chest Disease (Apr 2021)

Recovering of oxygenation, physical function and disability in patients with COVID-19

  • Laura Bertacchini,
  • Mara Paneroni,
  • Laura Comini,
  • Simonetta Scalvini,
  • Michele Vitacca

DOI
https://doi.org/10.4081/monaldi.2021.1817

Abstract

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The present cases report describes middle-time course of respiratory and physical variables in eight COVID-19 patients who were transferred from ICU of COVID Hub in our subacute COVID-19 unit. Secondly, they were admitted in a pulmonary rehabilitation unit and, at discharge, a tele-rehabilitation program was provided as a continuum of care at home. Time course of oxygenation, physical function and disability were recorded. As expected, the acute event produced in these patients a dramatic worsening in oxygenation and physical activities, with a substantial improvement in oxygenation and mild disability after the sub-acute stay. After rehabilitation program, the patients showed additional improvement in particular in physical function. Anyway, this recover was not complete for all patients. The majority of COVID-19 survivors experienced ARF recovered oxygenation, physical function and disability within a median time of 137 days. A minority needs further follow up and rehabilitation maintenance due to incomplete recovery.

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