Management of post-acute COVID-19 patients in geriatric rehabilitation: EuGMS guidance

J.C.M. van Haastregt*, I.H.J. Everink, J.M.G.A. Schols, S. Grund, A.L. Gordon, E.P. Poot, F.C. Martin, D. O'Neill, M. Petrovic, S. Bachmann, R. van Balen, L.V. van Isselt, F. Dockery, M.S. Holstege, F. Landi, L.M. Perez, E. Roquer, M. Smalbrugge, W.P. Achterberg

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

2 Citations (Web of Science)

Abstract

Purpose To describe a guidance on the management of post-acute COVID 19 patients in geriatric rehabilitation. Methods The guidance is based on guidelines for post-acute COVID-19 geriatric rehabilitation developed in the Netherlands, updated with recent insights from literature, related guidance from other countries and disciplines, and combined with experiences from experts in countries participating in the Geriatric Rehabilitation Special Interest Group of the European Geriatric Medicine Society. Results This guidance for post-acute COVID-19 rehabilitation is divided into a section addressing general recommendations for geriatric rehabilitation and a section addressing specific processes and procedures. The Sect. "General recommendations for geriatric rehabilitation" addresses: (1) general requirements for post-acute COVID-19 rehabilitation and (2) critical aspects for quality assurance during COVID-19 pandemic. The Sect. "Specific processes and procedures", addresses the following topics: (1) patient selection; (2) admission; (3) treatment; (4) discharge; and (5) follow-up and monitoring. Conclusion Providing tailored geriatric rehabilitation treatment to post-acute COVID-19 patients is a challenge for which the guidance is designed to provide support. There is a strong need for additional evidence on COVID-19 geriatric rehabilitation including developing an understanding of risk profiles of older patients living with frailty to develop individualised treatment regimes. The present guidance will be regularly updated based on additional evidence from practice and research.Key summary pointsAim To describe a guidance on the management of post-acute COVID 19 patients in geriatric rehabilitation. Findings This guidance addresses general requirements for post-acute COVID-19 geriatric rehabilitation and critical aspects for quality assurance during the COVID-19 pandemic. Furthermore, the guidance describes relevant care processes and procedures divided in five topics: patient selection; admission; treatment; discharge; and follow-up and monitoring. Message This guidance is designed to provide support to care professionals involved in the geriatric rehabilitation treatment of post-acute COVID-19 patients.
Original languageEnglish
Pages (from-to)291-304
Number of pages14
JournalEuropean Geriatric Medicine
Volume13
Issue number1
Early online date20 Nov 2021
DOIs
Publication statusPublished - Feb 2022

Keywords

  • COVID-19
  • Guidance
  • Geriatric rehabilitation
  • Post-acute care
  • Quality assurance
  • CRITICAL ILLNESS
  • SURVIVORS
  • SYMPTOMS
  • RISK

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