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A Proposal for Multidisciplinary Tele-Rehabilitation in the Assessment and Rehabilitation of COVID-19 Survivors

Author

Listed:
  • Abayomi Salawu

    (Hull University Teaching Hospital National Health Service (NHS) Trust, Hull HU16 5JQ, UK
    Hull York Medical School, University of Hull, Hull HU6 7RX, UK
    Department of Sport, Health and Exercise Science, University of Hull, Hull HU6 7RX, UK)

  • Angela Green

    (Hull University Teaching Hospital National Health Service (NHS) Trust, Hull HU16 5JQ, UK)

  • Michael G. Crooks

    (Hull University Teaching Hospital National Health Service (NHS) Trust, Hull HU16 5JQ, UK
    Hull York Medical School, University of Hull, Hull HU6 7RX, UK)

  • Nina Brixey

    (Hull University Teaching Hospital National Health Service (NHS) Trust, Hull HU16 5JQ, UK)

  • Denise H. Ross

    (Leeds Teaching Hospitals NHS Trust, Leeds LS9 7TF, UK)

  • Manoj Sivan

    (Leeds Teaching Hospitals NHS Trust, Leeds LS9 7TF, UK
    Academic Department of Rehabilitation Medicine, University of Leeds, Leeds LS1 3EX, UK)

Abstract

A global pandemic of a new highly contagious disease called COVID-19 resulting from coronavirus (severe acute respiratory syndrome (SARS)-Cov-2) infection was declared in February 2020. Though primarily transmitted through the respiratory system, other organ systems in the body can be affected. Twenty percent of those affected require hospitalization with mechanical ventilation in severe cases. About half of the disease survivors have residual functional deficits that require multidisciplinary specialist rehabilitation. The workforce to deliver the required rehabilitation input is beyond the capacity of existing community services. Strict medical follow-up guidelines to monitor these patients mandate scheduled reviews within 12 weeks post discharge. Due to the restricted timeframe for these events to occur, existing care pathway are unlikely to be able to meet the demand. An innovative integrated post-discharge care pathway to facilitate follow up by acute medical teams (respiratory and intensive care) and a specialist multidisciplinary rehabilitation team is hereby proposed. Such a pathway will enable the monitoring and provision of comprehensive medical assessments and multidisciplinary rehabilitation. This paper proposes that a model of tele-rehabilitation is integrated within the pathway by using digital communication technology to offer quick remote assessment and efficient therapy delivery to these patients. Tele-rehabilitation offers a quick and effective option to respond to the specialist rehabilitation needs of COVID-19 survivors following hospital discharge.

Suggested Citation

  • Abayomi Salawu & Angela Green & Michael G. Crooks & Nina Brixey & Denise H. Ross & Manoj Sivan, 2020. "A Proposal for Multidisciplinary Tele-Rehabilitation in the Assessment and Rehabilitation of COVID-19 Survivors," IJERPH, MDPI, vol. 17(13), pages 1-13, July.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:13:p:4890-:d:381259
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    Citations

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    Cited by:

    1. Thuvia Flannery & Hannah Brady-Sawant & Rachel Tarrant & Jennifer Davison & Jenna Shardha & Stephen Halpin & Manoj Sivan & Denise Ross, 2022. "A Mixed-Methods Evaluation of a Virtual Rehabilitation Program for Self-Management in Post-COVID-19 Syndrome (Long COVID)," IJERPH, MDPI, vol. 19(19), pages 1-14, October.
    2. Tahissa Frota Cavalcante & Caroline Evaristo Lourenço & José Erivelton de Souza Maciel Ferreira & Lídia Rocha Oliveira & João Cruz Neto & Josemberg Pereira Amaro & Rafaella Pessoa Moreira, 2023. "Models of Support for Caregivers and Patients with the Post-COVID-19 Condition: A Scoping Review," IJERPH, MDPI, vol. 20(3), pages 1-12, January.
    3. Monica Pinto & Francesca Gimigliano & Stefania De Simone & Massimo Costa & Attilio A. M. Bianchi & Giovanni Iolascon, 2020. "Post-Acute COVID-19 Rehabilitation Network Proposal: From Intensive to Extensive and Home-Based IT Supported Services," IJERPH, MDPI, vol. 17(24), pages 1-14, December.
    4. Lingling Gao & Alina Dahmen & Franziska Maria Keller & Petra Becker & Sonia Lippke, 2021. "The Mediation Effect of Phobic Anxiety on the Treatment Outcome of Activity and Participation across Age: Comparison between Online and Face-to-Face Rehabilitation Aftercare of an RCT," IJERPH, MDPI, vol. 18(20), pages 1-14, October.
    5. Juan Jose Gonzalez-Gerez & Manuel Saavedra-Hernandez & Ernesto Anarte-Lazo & Carlos Bernal-Utrera & Manuel Perez-Ale & Cleofas Rodriguez-Blanco, 2021. "Short-Term Effects of a Respiratory Telerehabilitation Program in Confined COVID-19 Patients in the Acute Phase: A Pilot Study," IJERPH, MDPI, vol. 18(14), pages 1-9, July.

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