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Effects of a Comprehensive Pulmonary Rehabilitation in Severe Post-COVID-19 Patients

Author

Listed:
  • Marc Spielmanns

    (Pulmonary Medicine and Sleep Medicine Center, Zurich RehaCenter Klinik Wald, CH-8636 Wald, Switzerland
    Department of Pulmonary Medicine, Faculty of Health, University Witten-Herdecke, D-58455 Witten, Germany
    M.S. and A.-M.P.-E. contributed equally to the preparation of the manuscript.)

  • Anna-Maria Pekacka-Egli

    (Pulmonary Medicine and Sleep Medicine Center, Zurich RehaCenter Klinik Wald, CH-8636 Wald, Switzerland
    Neurological Rehabilitation, Zurich RehaCenter Klinik Wald, CH-8636 Wald, Switzerland
    M.S. and A.-M.P.-E. contributed equally to the preparation of the manuscript.)

  • Sabine Schoendorf

    (Pulmonary Medicine and Sleep Medicine Center, Zurich RehaCenter Klinik Wald, CH-8636 Wald, Switzerland)

  • Wolfram Windisch

    (Department of Pulmonary Medicine, Faculty of Health, University Witten-Herdecke, D-58455 Witten, Germany
    Department of Pneumology, Cologne Merheim Hospital, Kliniken der Stadt Koeln GmbH, D-51109 Koeln, Germany)

  • Matthias Hermann

    (Department of Cardiology, University Heart Centre, University Hospital Zurich, CH-8006 Zurich, Switzerland)

Abstract

Background: Severe COVID-19 infection often leads to impairments requiring pulmonary rehabilitation (PR) following the acute phase. Little is known about the efficacy of PR in these patients. We therefore compared post-COVID-19 patients (PG) referred to PR patients with other lung diseases (LG). Methods: 99 PG were admitted to PR. In a prospective design, the results of PG were collected and compared to the results of LG of 2019 ( n = 419) according to Functional Independence Measurement (FIM), Cumulative Illness Rating Scale (CIRS), 6-min walk test (6-MWT), duration of PR, and Feeling Thermometer (FT). Results: According to age, sex, and CIRS, both groups showed no significant differences. The improvements in the 6-MWT in the pre to post comparison were on average 180 (±101) meters for PG and 102 (±89) meters for LG ( p < 0.001). FT showed a significant enhancement for PG of 21 (±14) points and for LG of 17 (±16) points ( p < 0.039), while FIM significantly increased by 11 (±10) points in PG and 7 (±8) points in LG ( p < 0.001). Conclusions: Comprehensive PR in PG is very effective according to the results in FIM, 6-MWT and FT. Therefore, we recommend PR following severe post-COVID-19 infections.

Suggested Citation

  • Marc Spielmanns & Anna-Maria Pekacka-Egli & Sabine Schoendorf & Wolfram Windisch & Matthias Hermann, 2021. "Effects of a Comprehensive Pulmonary Rehabilitation in Severe Post-COVID-19 Patients," IJERPH, MDPI, vol. 18(5), pages 1-13, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:5:p:2695-:d:512408
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    Citations

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    Cited by:

    1. José Moreira & Pedro Fonseca & Susana Miguel, 2022. "A Pilot Study on a Nurse Rehabilitation Program: Could It Be Applied to COVID-19 Patients?," IJERPH, MDPI, vol. 19(21), pages 1-10, November.
    2. Mélina Bailly & Léna Pélissier & Emmanuel Coudeyre & Bertrand Evrard & Rea Bingula & Corinne Rochette & Laurent Mériade & Christelle Blavignac & Anne-Cécile Fournier & Yves-Jean Bignon & Fabrice Ranno, 2022. "Systematic Review of COVID-19-Related Physical Activity-Based Rehabilitations: Benefits to Be Confirmed by More Robust Methodological Approaches," IJERPH, MDPI, vol. 19(15), pages 1-17, July.
    3. Markus C. Hayden & Matthias Limbach & Michael Schuler & Steffen Merkl & Gabriele Schwarzl & Katalin Jakab & Dennis Nowak & Konrad Schultz, 2021. "Effectiveness of a Three-Week Inpatient Pulmonary Rehabilitation Program for Patients after COVID-19: A Prospective Observational Study," IJERPH, MDPI, vol. 18(17), pages 1-22, August.
    4. Ewa Zasadzka & Sławomir Tobis & Tomasz Trzmiel & Renata Marchewka & Dominika Kozak & Anna Roksela & Anna Pieczyńska & Katarzyna Hojan, 2022. "Application of an EMG-Rehabilitation Robot in Patients with Post-Coronavirus Fatigue Syndrome (COVID-19)—A Feasibility Study," IJERPH, MDPI, vol. 19(16), pages 1-11, August.
    5. Michal Botek & Jakub Krejčí & Michal Valenta & Andrew McKune & Barbora Sládečková & Petr Konečný & Iva Klimešová & Dalibor Pastucha, 2022. "Molecular Hydrogen Positively Affects Physical and Respiratory Function in Acute Post-COVID-19 Patients: A New Perspective in Rehabilitation," IJERPH, MDPI, vol. 19(4), pages 1-14, February.
    6. Gilbert Büsching & Zhongxing Zhang & Jean-Paul Schmid & Thomas Sigrist & Ramin Khatami, 2021. "Effectiveness of Pulmonary Rehabilitation in Severe and Critically Ill COVID-19 Patients: A Controlled Study," IJERPH, MDPI, vol. 18(17), pages 1-10, August.
    7. Marc Spielmanns & Corina E. Schaer & Anna-Maria Pekacka-Egli & Sabine Spielmanns & Olberk Ibish & Guzel Gafina & Antonela Stiube & Matthias Hermann, 2023. "Pulmonary Rehabilitation Outcomes of Post-Acute COVID-19 Patients during Different Waves of the Pandemic," IJERPH, MDPI, vol. 20(10), pages 1-11, May.

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