TY - JOUR
T1 - Rehabilitation Care at the Time of Coronavirus Disease-19 (COVID-19) Pandemic
T2 - A Scoping Review of Health System Recommendations
AU - Negm, Ahmed M.
AU - Salopek, Adrian
AU - Zaide, Mashal
AU - Meng, Victoria J.
AU - Prada, Carlos
AU - Chang, Yaping
AU - Zanwar, Preeti
AU - Santos, Flavia H.
AU - Philippou, Elena
AU - Rosario, Emily R.
AU - Faieta, Julie
AU - Falvey, Jason R.
AU - Kumar, Amit
AU - Reistetter, Timothy A.
AU - Dal Bello-Haas, Vanina
AU - Bean, Jonathan F.
AU - Bhandari, Mohit
AU - Heyn, Patricia C.
N1 - Publisher Copyright:
Copyright © 2022 Negm, Salopek, Zaide, Meng, Prada, Chang, Zanwar, Santos, Philippou, Rosario, Faieta, Falvey, Kumar, Reistetter, Dal Bello-Haas, Bean, Bhandari and Heyn.
PY - 2022/1/4
Y1 - 2022/1/4
N2 - Purpose: The coronavirus disease-19 (COVID-19) was declared a pandemic by the World Health Organization in March 2020. COVID-19, caused by SARS-CoV-2 has imposed a significant burden on health care systems, economies, and social systems in many countries around the world. The provision of rehabilitation services for persons with active COVID-19 infection poses challenges to maintaining a safe environment for patients and treating providers. Materials and Methods: Established frameworks were used to guide the scoping review methodology. Medline, Embase, Pubmed, CINAHL databases from inception to August 1, 2020, and prominent rehabilitation organizations’ websites were searched. Study Selection: We included articles and reports if they were focused on rehabilitation related recommendations for COVID-19 patients, treating providers, or the general population. Data Extraction: Pairs of team members used a pre-tested data abstraction form to extract data from included full-text articles. The strength and the quality of the extracted recommendations were evaluated by two reviewers using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach. Results: We retrieved 6,468 citations, of which 2,086 were eligible for review, after duplicates were removed. We excluded 1,980 citations based on title and abstract screening. Of the screened full-text articles, we included all 106 studies. A summary of recommendations is presented. We assessed the overall evidence to be strong and of fair quality. Conclusion: The rehabilitation setting, and processes, logistics, and patient and healthcare provider precaution recommendations identified aim to reduce the spread of SARS-CoV-2 infection and ensure adequate and safe rehabilitation services, whether face-to-face or through teleservices. The COVID-19 pandemic is rapidly changing. Further updates will be needed over time in order to incorporate emerging best evidence into rehabilitation guidelines.
AB - Purpose: The coronavirus disease-19 (COVID-19) was declared a pandemic by the World Health Organization in March 2020. COVID-19, caused by SARS-CoV-2 has imposed a significant burden on health care systems, economies, and social systems in many countries around the world. The provision of rehabilitation services for persons with active COVID-19 infection poses challenges to maintaining a safe environment for patients and treating providers. Materials and Methods: Established frameworks were used to guide the scoping review methodology. Medline, Embase, Pubmed, CINAHL databases from inception to August 1, 2020, and prominent rehabilitation organizations’ websites were searched. Study Selection: We included articles and reports if they were focused on rehabilitation related recommendations for COVID-19 patients, treating providers, or the general population. Data Extraction: Pairs of team members used a pre-tested data abstraction form to extract data from included full-text articles. The strength and the quality of the extracted recommendations were evaluated by two reviewers using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach. Results: We retrieved 6,468 citations, of which 2,086 were eligible for review, after duplicates were removed. We excluded 1,980 citations based on title and abstract screening. Of the screened full-text articles, we included all 106 studies. A summary of recommendations is presented. We assessed the overall evidence to be strong and of fair quality. Conclusion: The rehabilitation setting, and processes, logistics, and patient and healthcare provider precaution recommendations identified aim to reduce the spread of SARS-CoV-2 infection and ensure adequate and safe rehabilitation services, whether face-to-face or through teleservices. The COVID-19 pandemic is rapidly changing. Further updates will be needed over time in order to incorporate emerging best evidence into rehabilitation guidelines.
KW - COVID-19
KW - GRADE
KW - SARS-CoV-2
KW - health system
KW - pandemic
KW - rehabilitation
KW - scoping review
UR - http://www.scopus.com/inward/record.url?scp=85123084131&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85123084131&partnerID=8YFLogxK
U2 - 10.3389/fnagi.2021.781271
DO - 10.3389/fnagi.2021.781271
M3 - Review article
AN - SCOPUS:85123084131
SN - 1663-4365
VL - 13
JO - Frontiers in Aging Neuroscience
JF - Frontiers in Aging Neuroscience
M1 - 781271
ER -