Current issues of delayed disability of patients after COVID-19
https://doi.org/10.24884/1607-4181-2023-30-4-65-70
Abstract
Introduction. The pandemic of the new coronavirus infection COVID-19 has made significant changes in all spheres of modern human life. Understanding disability in patients post COVID-19 (CoronaVirus Disease - 19) allows to assess the need for physical rehabilitation.
The objective was to determine the relationship between post-COVID syndrome and the development of delayed disability in patients who have been exposed to the COVID-19 as part of the assessment of the need for rehabilitation.
Methods and materials. Using the method of standardized phone interview (14) three and twelve months post COVID-19, 855 patients were surveyed with an assessment of the level of rehabilitation needs at the time before COVID-19 (anamnestically), as well as three and twelve months after the disease, on the rehabilitation routing scale (RRS), mobility on the Rivermead scale and comparison of results with clinical data on the course of COVID-19.
Results. Delayed disability was revealed in patients post COVID-19. The necessity of active examination and rehabilitation measures in patients who do not need proper rehabilitation is shown (RRS – 1).
Conclusion. Post-COVID syndrome may be a predictor of the development of delayed disability in patients post COVID-19. The use of RRS in patients post COVID-19 is a reliable method necessary in the process of determining further routing after the disease.
About the Authors
V. A. BelashRussian Federation
Belash Vasilii A., Cand. of Sci. (Med.), Assistant of the Department of Hospital Therapy with the Course of Allergology and Immunology named after Academician M. V. Chernorutsky with the Clinic
Saint Petersburg
Competing Interests:
Authors declare no conflict of interest
E. B. Bilichenko
Russian Federation
Bilichenko Elena B., Assistant of the Department of Medical Rehabilitation and Adaptive Physical Culture, Doctor of Physical Therapy of the Center for the Treatment of Combined Trauma, Doctor of Physical Therapy of the Department of Physical Methods of Treatment and Rehabilitation of the Сlinic of the Scientific and Clinical Research Center
Saint Petersburg
Competing Interests:
Authors declare no conflict of interest
Iu. A. Lamden
Russian Federation
Lamden Iuliia A., Cand. of Sci. (Med.), Doctor of Physical Therapy of the Department of Physical Methods of Treatment and Rehabilitation of the Scientific and Clinical Research Center
Saint Petersburg
Competing Interests:
Authors declare no conflict of interest
References
1. World Health Organization. Situation of COVID-19 in the WHO European Region as of 03.05.2023, 10:00 (CET). URL: https://who.maps.arcgis.com/apps/dashboards/a19d5d1f86ee4d99b013eed5f637232d (accessed: 19.12.23).
2. Interim guidelines “Medical rehabilitation in emerging coronavirus infection (COVID-19). Version 3 (01.11.2022)” (approved by the Ministry of Health of Russia). URL: https://static-0.minzdrav.gov.ru/system/attachments/attaches/000/061/202/original/ВКР_МР_COVID_19__версия_07112022_без_правок.pdf?1669800267 (accessed: 19.12.23).
3. Grinevich V. B., Lazebnik L. B., Kravchuk Y. A. et al. Lesions of the digestive organs in postcovirus syndrome. Clinical recommendations // EiCG. 2022;12(208):4–68.
4. Peculiarities of the course of Long-Covid infection. Therapeutic and rehabilitation measures : Methodical recommendations / eds by A. I. Martynov et al. URL: https://www.rnmot.ru/public/uploads/2022/rnmot/МЕТОДИЧЕСКИЕ%20РЕКОМЕНДАЦИИ.pdf (accessed: 01.01.24).
5. Sudre C. H., Murray B., Varsavsky Th. et al. Attributes and predictors of Long-COVID: analysis of COVID cases and their symptoms collected by the Covid Symptoms // Nat Med. 2021;27(4):626–631. DOI: 10.1101/2020.10.19.20214494.
6. Lippi G., Sanchis-Gomar F., Henry B. M. COVID-19 and its long-term sequelae: what do we know in 2023? // Pol Arch Intern Med. 2023;133(4):16402. DOI: 10.20452/pamw.16402.
7. Graña C., Ghosn L., Evrenoglou T. et al. Efficacy and safety of COVID-19 vaccines // Cochrane Database Syst Rev. 2022;12:CD015477.
8. Notarte K. I., Catahay J. A., Velasco J. V. et al. Impact of COVID-19 vaccination on the risk of developing longCOVID and on existing long-COVID symptoms: a systematic review // EClinicalMedicine. 2022;53:101624.
9. Robertson M. M., Qasmieh S. A., Kulkarni S. G. et al. The epidemiology of long COVID in US adults // Clin Infect Dis. 2023;76(9):1636–1645.
10. Azzolini E., Levi R., Sarti R. et al. Association between BNT162b2 vaccination and long COVID after infections not requiring hospitalization in health care workers // JAMA. 2022;328:676–678.
11. Klok F. A., Boon G. J. A. M., Barco S. et al. The Post-COVID-19 Functional Status scale: a tool to measure functional status over time after COVID-19 // Eur Respir J. 2020;56(1):2001494. DOI: 10.1183/13993003.01494-2020.
12. Kuchmaeva O. V., Kalmykova N. V., Kolotusha A. V. Assessment of the risk of becoming disabled in Russia: modeling experience based on the data of a longitudinal sample study // Demographic Review. 2020;7(4):108–148.
13. Rogozin D. M., Ipatova A. A., Galieva N. I. Standardized (telephone) interview. Moscow, Point, 2018:416.
14. Maltseva M. N., Shmonin A. A. Rehabilitation of a patient with postcovicular syndrome: a clinical case // Physical and Rehabilitation Medicine, Medical Rehabilitation. 2023;5(2):167–174. DOI: 10.36425/rehab123530.
15. Kovlen D. V., Abuseva G. R., Hozyainova S. S. et al. Rehabilitation of patients who suffered a new coronavirus infection COVID-19, on the second and third stages // Izvestiya of the Russian Military Medical Academy. 2022;41(3):243–249. DOI: DOI: 10.17816/rmmar109250.
16. Pinchuk E. A., Belkin A. A., Zakharov Y. A. et al. Comparative study of the effectiveness of rehabilitation in a day hospital and telerehabilitation 180 patients with a new coronavirus infection (COVID-19) // Physical and Rehabilitation Medicine, Medical Rehabilitation. 2023;5(1):5–16. DOI: 10.36425/rehab159376.
Review
For citations:
Belash V.A., Bilichenko E.B., Lamden I.A. Current issues of delayed disability of patients after COVID-19. The Scientific Notes of the Pavlov University. 2023;30(4):65-70. (In Russ.) https://doi.org/10.24884/1607-4181-2023-30-4-65-70