COVID-19’da akut ve kronik dönemde rehabilitasyonun yeri


BAŞARAN S., GÜZEL R.

Cukurova Medical Journal, cilt.45, sa.4, ss.1818-1828, 2020 (ESCI) identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 45 Sayı: 4
  • Basım Tarihi: 2020
  • Doi Numarası: 10.17826/cumj.793835
  • Dergi Adı: Cukurova Medical Journal
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Academic Search Premier, Directory of Open Access Journals, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.1818-1828
  • Anahtar Kelimeler: COVID-19, extrapulmonary, intensive care unit-acquired weakness, post-intensive care syndrome, pulmonary, rehabilitation, GUIDE
  • Çukurova Üniversitesi Adresli: Evet

Özet

COVID-19 pandemic have enormous impact on healthcare systems around the world. The majority of cases are asymptomatic or mild, with a severe course in 15-20% of patients. In severe cases, treatment in the intensive care unit (ICU) is required for severe pneumonia and acute respiratory distress syndrome. A number of physical, cognitive and mental disorders defined as "Post-Intensive Care Syndrome" are seen in ICU survivors and determine the long-term prognosis of patients. COVID-19 affects other organ systems besides its well-known pulmonary involvement. ICU associated complications, pulmonary and extrapulmonary involvement of the disease will cause a growing proportion of patients with COVID-19 infection related sequelae and disability. Therefore, the implementation of effective rehabilitation programs for COVID-19 survivors has come to the fore. Considering the pulmonary, neurological, musculoskeletal and ICU related complications, rehabilitation professionals can play an important role in the recovery process of individuals with COVID-19 disease. In this review, intensive care associated complications of COVID-19 infection, pulmonary and extrapulmonary involvements will be discussed and treatment with available early evidence and general rehabilitation approaches will be mentioned.