RESUMO:
Introduction. This paper improves the methodology of the first edition of the rapid living
systematic review started in April 2020, with the aim to gather and present the current evidence
informing rehabilitation of patients with COVID-19 and/or describing the consequences due to the
disease and its treatment.
Methods. The Cochrane methodology for a rapid living systematic review was applied. Primary
research papers, published from January 1st to June 30th, 2020, reporting patients’ data, with no
limits of study design were included. Studies were categorized for study design, research question,
COVID-19 phase, limitations of functioning (disability) of rehabilitation interest and type of
rehabilitation service involved. Methodological quality assessment was based on the Cochrane
Risk of Bias tools, and the level of evidence table (OCEBM 2011) for all the other studies.
Results. Thirty-six, out of 3703 papers, were included. One paper was of level 2 (RCT), 7 were of
level 3 (2 cohort studies, 2 cross-sectional studies and 3 case-control studies), and 28 papers of
level 4 (descriptive studies); 61% of papers reported epidemiological data on clinical
presentations, 5 investigated natural history/determining factors, 1 searched prevalence, 2 studies
reported on intervention efficacy (though not on harms), and 5 studies looked at health service
organization.
Discussion. Main issues emerging from the review: it is advised to test for COVID-19 people with
neurological disorders presenting with symptom changes; dysphagia is a frequent complication
after oro-tracheal intubation in COVID-19 patients admitted to the ICU; after discharge, COVID-19
survivors may report persistent restrictive ventilatory deficits regardless of disease severity; there
is only sparse and low quality evidence concerning the efficacy of any rehabilitation intervention
to promote functional recovery; a substantial increase in resource (staff and equipment) is needed
for rehabilitation.
LINK PARA ACESSO:
REFERÊNCIA:
Ceravolo MG, Arienti C, De Sire A, et al. Rehabilitation and Covid-19: the Cochrane Rehabilitation 2020 rapid living systematic review [published online ahead of print, 2020 Jul 24]. Eur J Phys Rehabil Med. 2020;10.23736/S1973-9087.20.06501-6. doi:10.23736/S1973-9087.20.06501-6
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