TY - JOUR
T1 - Challenges and Lessons Learned for Acute Inpatient Rehabilitation of Persons With COVID-19
T2 - Clinical Presentation, Assessment, Needs, and Services Utilization
AU - Maltser, Susan
AU - Trovato, Erika
AU - Fusco, Heidi N.
AU - Sison, Cristina P.
AU - Ambrose, Anne Felicia
AU - Herrera, Joseph
AU - Murphy, Sean
AU - Kirshblum, Steven
AU - Bartels, Matthew N.
AU - Bagay, Leslie
AU - Oh-Park, Mooyeon
AU - Stein, Adam B.
AU - Cuccurullo, Sara
AU - Nori, Phalgun
AU - Donovan, Jayne
AU - Dams-O'Connor, Kristen
AU - Amorapanth, Prin
AU - Barbuto, Scott A.
AU - Bloom, Ona
AU - Escalon, Miguel X.
N1 - Publisher Copyright:
© Wolters Kluwer Health, Inc. All rights reserved.
PY - 2021/12/1
Y1 - 2021/12/1
N2 - Objective The aim of the study was to present: (1) physiatric care delivery amid the SARS-CoV-2 pandemic, (2) challenges, (3) data from the first cohort of post-COVID-19 inpatient rehabilitation facility patients, and (4) lessons learned by a research consortium of New York and New Jersey rehabilitation institutions. Design For this clinical descriptive retrospective study, data were extracted from post-COVID-19 patient records treated at a research consortium of New York and New Jersey rehabilitation inpatient rehabilitation facilities (May 1-June 30, 2020) to characterize admission criteria, physical space, precautions, bed numbers, staffing, employee wellness, leadership, and family communication. For comparison, data from the Uniform Data System and eRehabData databases were analyzed. The research consortium of New York and New Jersey rehabilitation members discussed experiences and lessons learned. Results The COVID-19 patients (N = 320) were treated during the study period. Most patients were male, average age of 61.9 yrs, and 40.9% were White. The average acute care length of stay before inpatient rehabilitation facility admission was 24.5 days; mean length of stay at inpatient rehabilitation facilities was 15.2 days. The rehabilitation research consortium of New York and New Jersey rehabilitation institutions reported a greater proportion of COVID-19 patients discharged to home compared with prepandemic data. Some institutions reported higher changes in functional scores during rehabilitation admission, compared with prepandemic data. Conclusions The COVID-19 pandemic acutely affected patient care and overall institutional operations. The research consortium of New York and New Jersey rehabilitation institutions responded dynamically to bed expansions/contractions, staff deployment, and innovations that facilitated safe and effective patient care.
AB - Objective The aim of the study was to present: (1) physiatric care delivery amid the SARS-CoV-2 pandemic, (2) challenges, (3) data from the first cohort of post-COVID-19 inpatient rehabilitation facility patients, and (4) lessons learned by a research consortium of New York and New Jersey rehabilitation institutions. Design For this clinical descriptive retrospective study, data were extracted from post-COVID-19 patient records treated at a research consortium of New York and New Jersey rehabilitation inpatient rehabilitation facilities (May 1-June 30, 2020) to characterize admission criteria, physical space, precautions, bed numbers, staffing, employee wellness, leadership, and family communication. For comparison, data from the Uniform Data System and eRehabData databases were analyzed. The research consortium of New York and New Jersey rehabilitation members discussed experiences and lessons learned. Results The COVID-19 patients (N = 320) were treated during the study period. Most patients were male, average age of 61.9 yrs, and 40.9% were White. The average acute care length of stay before inpatient rehabilitation facility admission was 24.5 days; mean length of stay at inpatient rehabilitation facilities was 15.2 days. The rehabilitation research consortium of New York and New Jersey rehabilitation institutions reported a greater proportion of COVID-19 patients discharged to home compared with prepandemic data. Some institutions reported higher changes in functional scores during rehabilitation admission, compared with prepandemic data. Conclusions The COVID-19 pandemic acutely affected patient care and overall institutional operations. The research consortium of New York and New Jersey rehabilitation institutions responded dynamically to bed expansions/contractions, staff deployment, and innovations that facilitated safe and effective patient care.
KW - Acute Inpatient Rehabilitation
KW - COVID-19
KW - Coronavirus
KW - Physiatry
KW - Physical Medicine and Rehabilitation
UR - http://www.scopus.com/inward/record.url?scp=85121993937&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85121993937&partnerID=8YFLogxK
U2 - 10.1097/PHM.0000000000001887
DO - 10.1097/PHM.0000000000001887
M3 - Article
C2 - 34793372
AN - SCOPUS:85121993937
SN - 0894-9115
VL - 100
SP - 1115
EP - 1123
JO - American Journal of Physical Medicine and Rehabilitation
JF - American Journal of Physical Medicine and Rehabilitation
IS - 12
ER -