An Improvised Pulmonary Telerehabilitation Program for Postacute COVID-19 Patients Would Be Feasible and Acceptable in a Low-Resource Setting

Bickton, Fanuel Meckson, Chisati, Enock, Rylance, Jamie ORCID: https://orcid.org/0000-0002-2323-3611 and Morton, Ben ORCID: https://orcid.org/0000-0002-6164-2854 (2021) 'An Improvised Pulmonary Telerehabilitation Program for Postacute COVID-19 Patients Would Be Feasible and Acceptable in a Low-Resource Setting'. American Journal of Physical Medicine and Rehabilitation, Vol 100, Issue 3, pp. 209-212.

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Abstract

Post-acute COVID-19 patients are at risk of long-term functional impairment and the rehabilitation community is calling for action preparing for a “tsunami of rehabilitation needs” in this patient population. In the absence of standard guidelines and local evidence, we successfully delivered a three-week pulmonary tele-rehabilitation programme to a post-acute severe COVID-19 patient in Malawi. The patient suffered from persistent dyspnoea and fatigue, with a remarkable impact on his health status. On the final assessment, all his respiratory severity scores had fallen by more than their thresholds for clinical significance. He reported no continued or new complaints, was walking longer distances, had returned to work, and was discharged from follow-up. Our case shows that an improvised pulmonary tele-rehabilitation programme for post-acute COVID-19 patients could be feasible and acceptable in a low-resource setting. Benefits include reducing risk of transmission and use of personal protective equipment.

Item Type:	Article
Subjects:	WA Public Health > WA 105 Epidemiology WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries WC Communicable Diseases > Virus Diseases > Viral Respiratory Tract Infections. Respirovirus Infections > WC 505 Viral respiratory tract infections WF Respiratory System > Lungs > WF 600 Lungs
Faculty: Department:	Clinical Sciences & International Health > Clinical Sciences Department Clinical Sciences & International Health > International Public Health Department Clinical Sciences & International Health > Malawi-Liverpool-Wellcome Programme (MLW)
Digital Object Identifer (DOI):	https://doi.org/10.1097/PHM.0000000000001666
Depositing User:	Stacy Murtagh
Date Deposited:	06 Jan 2021 16:41
Last Modified:	22 Feb 2021 15:28
URI:	https://archive.lstmed.ac.uk/id/eprint/16593

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