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2020 ; 101
(9
): 1656-1661
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
Role of Rehabilitation Department for Adult Individuals With COVID-19: The
Experience of the San Raffaele Hospital of Milan
#MMPMID32505489
Iannaccone S
; Castellazzi P
; Tettamanti A
; Houdayer E
; Brugliera L
; de Blasio F
; Cimino P
; Ripa M
; Meloni C
; Alemanno F
; Scarpellini P
Arch Phys Med Rehabil
2020[Sep]; 101
(9
): 1656-1661
PMID32505489
show ga
The rapid evolution of the health emergency linked to the spread of severe acute
respiratory syndrome coronavirus 2 requires specifications for the rehabilitative
management of patients with coronavirus disease 2019 (COVID-19). The symptomatic
evolution of patients with COVID-19 is characterized by 2 phases: an acute phase
in which respiratory symptoms prevail and a postacute phase in which patients can
show symptoms related to prolonged immobilization, to previous and current
respiratory dysfunctions, and to cognitive and emotional disorders. Thus, there
is the need for specialized rehabilitative care for these patients. This
communication reports the experience of the San Raffaele Hospital of Milan and
recommends the setup of specialized clinical pathways for the rehabilitation of
patients with COVID-19. In this hospital, between February 1 and March 2, 2020,
about 50 patients were admitted every day with COVID-19 symptoms. In those days,
about 400 acute care beds were created (intensive care/infectious diseases). In
the following 30 days, from March 2 to mid-April, despite the presence of 60
daily arrivals to the emergency department, the organization of patient flow
between different wards was modified, and several different units were created
based on a more accurate integration of patients' needs. According to this new
organization, patients were admitted first to acute care COVID-19 units and then
to COVID-19 rehabilitation units, post-COVID-19 rehabilitation units, and/or
quarantine/observation units. After hospital discharge, telemedicine was used to
follow-up with patients at home. Such clinical pathways should each involve
dedicated multidisciplinary teams composed of pulmonologists, physiatrists,
neurologists, cardiologists, physiotherapists, neuropsychologists, occupational
therapists, speech therapists, and nutritionists.