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

van Haastregt, Jolanda C.M.; Everink, Irma H. J.; Schols, Jos M. G. A.; Grund, Stefan; Gordon, Adam L.; Poot, Else P.; Martin, Finbarr C.; O’Neill, Desmond; Petrovic, Mirko; Bachmann, Stefan; van Balen, Romke; van Dam van Isselt, Leonoor; Dockery, Frances; Holstege, Marije S.; Landi, Francesco; Pérez, Laura M.; Roquer, Esther; Smalbrugge, Martin; Achterberg, Wilco P.

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.

Citation

van Haastregt, J. C., Everink, I. H. J., Schols, J. M. G. A., Grund, S., Gordon, A. L., Poot, E. P., …Achterberg, W. P. (2022). Management of post-acute COVID-19 patients in geriatric rehabilitation: EuGMS guidance. European Geriatric Medicine, 13(1), 291-304. https://doi.org/10.1007/s41999-021-00575-4

• Journal Article Type: Article
• Acceptance Date: Oct 6, 2021
• Online Publication Date: Nov 20, 2021
• Publication Date: Feb 1, 2022
• Deposit Date: Nov 25, 2021
• Publicly Available Date: Nov 25, 2021
• Journal: European Geriatric Medicine
• Print ISSN: 1878-7649
• Electronic ISSN: 1878-7657
• Publisher: Springer Science and Business Media LLC
• Peer Reviewed: Peer Reviewed
• Volume: 13
• Issue: 1
• Pages: 291-304
• DOI: https://doi.org/10.1007/s41999-021-00575-4
• Public URL: https://nottingham-repository.worktribe.com/output/6788198
• Publisher URL: https://link.springer.com/article/10.1007%2Fs41999-021-00575-4