Rehabilitation programs for patients with COronaVIrus Disease 2019: consensus statements of Taiwan Academy of Cardiovascular and Pulmonary Rehabilitation

Yuan-Yang Cheng, Chin-Ming Chen, Wei-Chun Huang, Shang-Lin Chiang, Pei-Chun Hsieh, Ko-Long Lin, Yi-Jen Chen, Tieh-Cheng Fu, Shu-Chun Huang, Ssu-Yuan Chen, Chia-Hsin Chen, Shyh-Ming Chen, Hsin-Shui Chen, Li-Wei Chou, Chen-Liang Chou, Min-Hui Li, Sen-Wei Tsai, Lin-Yi Wang, Yu-Lin Wang, Willy Chou, Yuan-Yang Cheng, Chin-Ming Chen, Wei-Chun Huang, Shang-Lin Chiang, Pei-Chun Hsieh, Ko-Long Lin, Yi-Jen Chen, Tieh-Cheng Fu, Shu-Chun Huang, Ssu-Yuan Chen, Chia-Hsin Chen, Shyh-Ming Chen, Hsin-Shui Chen, Li-Wei Chou, Chen-Liang Chou, Min-Hui Li, Sen-Wei Tsai, Lin-Yi Wang, Yu-Lin Wang, Willy Chou

Abstract

The COronaVIrus Disease 2019 (COVID-19), which developed into a pandemic in 2020, has become a major healthcare challenge for governments and healthcare workers worldwide. Despite several medical treatment protocols having been established, a comprehensive rehabilitation program that can promote functional recovery is still frequently ignored. An online consensus meeting of an expert panel comprising members of the Taiwan Academy of Cardiovascular and Pulmonary Rehabilitation was held to provide recommendations for rehabilitation protocols in each of the five COVID-19 stages, namely (1) outpatients with mild disease and no risk factors, (2) outpatients with mild disease and epidemiological risk factors, (3) hospitalized patients with moderate to severe disease, (4) ventilator-supported patients with clear cognitive function, and (5) ventilator-supported patients with impaired cognitive function. Apart from medications and life support care, a proper rehabilitation protocol that facilitates recovery from COVID-19 needs to be established and emphasized in clinical practice.

Keywords: COVID-19; Consensus; Infection control; Rehabilitation.

Conflict of interest statement

Declaration of Competing Interest The authors have no conflicts of interest relevant to this article.

Copyright © 2020. Published by Elsevier B.V.

Figures

Figure 1
Figure 1
The flowchart of suggested rehabilitation interventions and infection precautions for patients with COVID-19. The rehabilitation protocols for each of the five categories of patients with COVID-19 are summarized in this flowchart, and the infection precautions during contacting these patients are included as well. Abbreviations: COPD, chronic obstructive pulmonary disease; COVID-19, Coronavirus Disease 2019; CVD, cardiovascular disease; DM, diabetes mellitus; HFCWO, high frequency chest wall oscillation; PPE, personal protective equipment.

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