Evidence map›Paper›PMID 33711279›Full record

ArticleArchives of physical medicine and rehabilitation2021

Persistent Symptoms and Disability After COVID-19 Hospitalization: Data From a Comprehensive Telerehabilitation Program.

Victor Figueiredo Leite, Danielle Bianchini Rampim, Valeria Conceição Jorge, Maria do Carmo Correia de Lima, Leandro Gonçalves Cezarino, Cleber Nunes da Rocha, Rodrigo Barbosa Esper, Prevent Senior COVID-19 Rehabilitation Study

Registry-linked trialAbstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05725538 (Efficacy of Exercise-based mHealth Intervention for Patients With Post-acute COVID-19 Syndrome Based on Fatigue, Fitness, Post-exertional Dyspnea, Pain, Anxiety, Depression, Cognitive Function, and Quality of Life), which is not on this map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05725538 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Efficacy of Exercise-based mHealth Intervention for Patients With Post-acute COVID-19 Syndrome Based on Fatigue, Fitness, Post-exertional Dyspnea, Pain, Anxiety, Depression, Cognitive Function, and Quality of Life: a Randomized Clinical Trial.

TypeinterventionalSponsorUniversity of CadizRan2023 to 2024Enrolled100ConditionsPost-Acute COVID19 Syndrome, Long COVID, Post COVID-19 ConditionArmsCOVIDReApp Group, Control Group
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  4. Physiological barriers to oral intake in survivors of critical illness: A scoping review.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Victor Figueiredo LeitePrevent Senior Institute, São Paulo, Brazil.
Danielle Bianchini RampimPrevent Senior Institute, São Paulo, Brazil. Electronic address: danielle.rampim@preventsenior.com.br.
Valeria Conceição JorgePrevent Senior Institute, São Paulo, Brazil.
Maria do Carmo Correia de LimaPrevent Senior Institute, São Paulo, Brazil.
Leandro Gonçalves CezarinoPrevent Senior Institute, São Paulo, Brazil.
Cleber Nunes da RochaPrevent Senior Institute, São Paulo, Brazil.
Rodrigo Barbosa EsperPrevent Senior Institute, São Paulo, Brazil.
Prevent Senior COVID-19 Rehabilitation StudyPrevent Senior Institute, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo report symptoms, disability, and rehabilitation referral rates after coronavirus disease 2019 (COVID-19) hospitalization in a large, predominantly older population.

designCross-sectional study, with postdischarge telemonitoring of individuals hospitalized with confirmed COVID-19 at the first month after hospital discharge, as part of a comprehensive telerehabilitation program.

settingPrivate verticalized health care network specialized in the older population.

participantsIndividuals hospitalized because of COVID-19. We included 1696 consecutive patients, aged 71.8±13.0 years old and 56.1% female. Comorbidities were present in 82.3% of the cases (N=1696).

interventionsNot applicable.

main outcome measuresDependence for basic activities of daily living (ADL) and instrumental activities of daily living (IADL) using the Barthel Index and Lawton's Scale. We compared the outcomes between participants admitted to the intensive care unit (ICU) vs those admitted to the ward.

resultsParticipant were followed up for 21.8±11.7 days after discharge. During postdischarge assessment, independence for ADL was found to be lower in the group admitted to the ICU than the ward group (61.1% [95% confidence interval (CI), 55.8%-66.2%] vs 72.7% [95% CI, 70.3%-75.1%], P<.001). Dependence for IADL was also more frequent in the ICU group (84.6% [95% CI, 80.4%-88.2%] vs 74.5%, [95% CI, 72.0%-76.8%], P<.001). Individuals admitted to ICU required more oxygen therapy (25.5% vs 12.6%, P<.001), presented more shortness of breath during routine (45.2% vs 34.5%, P<.001) and nonroutine activities (66.3% vs 48.2%, P<.001), and had more difficulty standing up for 10 minutes (49.3% vs 37.9% P<.001). The rehabilitation treatment plan consisted mostly of exercise booklets, which were offered to 65.5% of participants. The most referred rehabilitation professionals were psychologists (11.8%), physical therapists (8.0%), dietitians (6.8%), and speech-language pathologists (4.6%).

conclusionsIndividuals hospitalized because of COVID-19 present high levels of disability, dyspnea, dysphagia, and dependence for both ADL and IADL. Those admitted to the ICU presented more advanced disability parameters.

Indexed as

Activities of Daily LivingProgram EvaluationAgedBrazilCOVID-19Cross-Sectional StudiesDisability EvaluationFemaleHospitalizationHumansIntensive Care UnitsMaleMiddle AgedPandemicsPersons with DisabilitiesRetrospective StudiesActivities of daily livingCOVID-19Deglutition disordersDisabled personsDyspneaMental disordersRehabilitationTelerehabilitation

Identifiers

PMID33711279
PMCPMC7943375

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.