Rehabilitation in severe COVID-19 and prevention of the development of post-COVID-19 syndrome
https://doi.org/10.20340/vmi-rvz.2021.6.COVID.1
Abstract
There is have presented case report of clinical course of the disease, rehabilitation and prevention of post COVID-19 condition in a 56-year-old doctor who has undergone severe COVID-19, community-acquired bilateral polysegmental interstitial pneumonia with a volume of pulmonary tissue damage of 75%, with the development of multiple complications in the acute period of the disease and during the period of ongoing symptomatic COVID-19. There are listed typical problems that arise in such patients, the possibilities of rehabilitation measures to restore health and prevent the development of post COVID-19 condition.
Keywords
COVID-19,
pneumonia,
pulmonary rehabilitation,
cardiac rehabilitation,
vein thrombosis,
post-COVID-19 condition
Supporting agencies: This research received no external funding.
About the Author
M. A. Kachkovskii
Medical University “Reaviz”
Russian Federation
Competing Interests:
Russian Federation
Samara
Competing Interests:
The author declare no competing interests.
References
1. COVID-19 Dashboard by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University (JHU). https://www.arcgis.com/apps/dashboards/bda7594740fd40299423467b48e9ecf6.
2. Liu S, Luo H, Wang Y, Cuevas LE, Wang D, Ju S, Yang Y. Clinical characteristics and risk factors of patients with severe COVID-19 in Jiangsu province, China: a retrospective multicentre cohort study. BMC Infect Dis. 2020;20:584. https://doi.org/10.1186/s12879-020-05314-x. PMID: 32762665.
3. Xia L, Chen J, Friedemann T, Yang Z, Ling Y, Liu X. et al. The Course of Mild and Moderate COVID-19 Infections-The Unexpected Long-Lasting Challenge. Open Forum Infect Dis. 2020;7(9):ofaa286. https://doi.org/10.1093/ofid/ofaa286. PMID: 32929402.
4. Editorial. Facing up to long COVID. Lancet. 2020;396(10266):1861. https://doi.org/10.1016/S0140-6736(20)32662-3.
5. COVID-19 rapid guideline: managing the long-term effects of COVID-19 (NG188). London: National Institute for Health and Care Excellence; 2020. PMID: 33555768.
6. World Health Organization. A clinical case definition of post COVID-19 condition by a Delphi consensus. 6 October 2021. https://apps.who.int/iris/bitstream/handle/10665/345824/WHO-2019-nCoV-Post-COVID-19-condition-Clinical-case-definition-2021.1-eng.pdf.
7. Guérin C, Albert RK, Beitler J, Gattinoni L, Jaber S, Marini JJ et al. Prone position in ARDS patients: why, when, how and for whom. Intensive Care Med. 2020 Dec;46(12):2385-2396. https://doi.org/10.1007/s00134-020-06306-w. PMID: 33169218.
8. Lindahl SGE. Using the prone position could help to combat the development of fast hypoxia in some patients with COVID-19. Acta Paediatr. 2020 Jun 17. https://doi.org/10.1111/apa.15382. PMID: 32484966.
9. Calabrese F, Pezzuto F, Fortarezza F, Hofman P, Kern I, Panizo A et al. Pulmonary pathology and COVID-19: Lessons from autopsy. The experience of European Pulmonary Pathologists. Virchows Arch. 2020; 477(3):359-72. https://doi.org/10.1007/s00428-020-02886-6. PMID: 32642842.
10. Tian S, Xiong Y, Liu H, Niu L, Guo J Liao M, Xiao S-Y. Pathological study of the 2019 novel coronavirus disease (COVID-19) through post-mortem core biopsies. Mod Pathol. 2020;33:1007-14. https://doi.org/10.1038/s41379-020-0536-x. PMID: 32291399.
11. Jose RJ, Manuel A. COVID-19 cytokine storm: The interplay between inflammation and coagulation. Lancet Respir Med. 2020;8(6):e46-47. https://doi.org/10.1016/S2213-2600(20)30216-2. PMID: 32353251.
12. Wang F, Kream RM, Stefano GB. Long-Term Respiratory and Neurological Sequelae of COVID-19. Med Sci Monit. 2020;26:e928996-1–e928996-10. https://doi.org/10.12659/MSM.928996. PMID: 33177481.
13. Zuo W, Zhao X, Chen YG. SARS coronavirus and lung fibrosis. In: Lal S, editor. Molecular Biology of the SARS-Coronavirus. Berlin and Heidelberg: Springer; 2010. pp. 247–58.
14. Jose RJ, Manuel A. COVID-19 cytokine storm: The interplay between inflammation and coagulation. Lancet Respir Med. 2020;8(6):e46–47. https://doi.org/10.1016/S2213-2600(20)30216-2. PMID: 32353251.
15. Respiratory gymnastics Strelnikova. Video lesson. The main complex in 11 minutes. Free. https://www.youtube.com/watch?v=yPAYTeoWsiI (In Russ).
16. Shchetinin M.N. Respiratory gymnastics A. N. Strelnikova. Moscow: Metaphor, 2004. 368 p. (In Russ).
17. Footitt J, Johnston SL. Cough and viruses in airways disease: mechanisms. Pulm Pharmacol Ther. 2009;22(2):108-13. https://doi.org/10.1016/j.pupt.2008.12.022. PMID: 19480062.
18. Dicpinigaitis PV, Tibb AS, Ramsey DL, Carr AN, Poore CL. Stability of cough reflex sensitivity during viral upper respiratory tract infection (common cold). Pulm Pharmacol Ther. 2014;28(2):154-7. https://doi.org/10.1016/j.pupt.2014.05.004. PMID: 24878421.
19. D’Cruz RF, Waller MD, Perrin F et al (2020) Chest radiography is a poor predictor of respiratory symptoms and functional impairment in survivors of severe COVID-19 pneumonia. ERJ Open Res. 2021;7(1):00655-2020. https://doi.org/10.1183/23120541.00655-2020. PMID: 33575312.
20. Dicpinigaitis PV, Canning BJ. Is There (Will There Be) a Post-COVID-19 Chronic Cough? Lung. 2020;198(6):863-865. https://doi.org/10.1007/s00408-020-00406-6. PMID: 33188436.
Review
For citations:
Kachkovskii M.A. Rehabilitation in severe COVID-19 and prevention of the development of post-COVID-19 syndrome. Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH). 2021;(6):5-12. (In Russ.) https://doi.org/10.20340/vmi-rvz.2021.6.COVID.1
Views:
513
Email this article 