The Impact of Isolation on Elderly Patients with Mild to Moderate COVID-19
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- Sugiyama Mizuki
- Department of Rehabilitation Medicine, Showa University School of Medicine, Yokohama, Japan Showa University Hospital, Tokyo, Japan
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- Kasai Fumihito
- Department of Rehabilitation Medicine, Showa University School of Medicine, Yokohama, Japan Showa University Hospital, Tokyo, Japan
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- Kawate Nobuyuki
- Department of Rehabilitation Medicine, Showa University School of Medicine, Yokohama, Japan
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説明
<p>Objectives: Patients with mild to moderate COVID-19 who require hospitalization are prone to physical inactivity. This study examined the impact of mild to moderate COVID-19 on the activities of daily living (ADLs) of patients who received rehabilitation therapy.</p><p>Methods: Between February 1, 2020, and January 31, 2021, of 216 patients with mild to moderate COVID-19, 36 were selected for rehabilitation therapy. Of these, 28 received direct rehabilitation therapy, whereas 7 were discharged before rehabilitation therapy could start and 1 carried out indirect rehabilitation. The Barthel Index (BI) scores at the beginning and the end of therapy were compared in 18 patients (10 patients who did not undergo a final BI evaluation were excluded).</p><p>Results: In total, 27 of the 28 patients receiving direct rehabilitation therapy were more than 65 years of age or had underlying diseases. The BI score decreased in 6 patients and was maintained or improved in 12 patients. However, the 6 patients with decreased BI scores after rehabilitation therapy had significantly higher BI values at the start of therapy (P=0.014).</p><p>Conclusions: It was considered that the isolated environment of these COVID-19 patients likely resulted in a decrease in activity levels, leading to a decrease in ADLs. Older adults with mild to moderate COVID-19 need to reduce their isolation as much as possible to ensure adequate activity levels.</p>
収録刊行物
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- Progress in Rehabilitation Medicine
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Progress in Rehabilitation Medicine 7 (0), n/a-, 2022
公益社団法人 日本リハビリテーション医学会