ArticleArchives of rehabilitation research and clinical translation2025
Impact of COVID-19 on General Medical Rehabilitation Efficiency in Designated Inpatient Facilities: A Comparative Analysis of Patient Outcomes and Care Processes.
Article in Archives of rehabilitation research and clinical translation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Objective: To evaluate how the COVID-19 pandemic affected rehabilitation outcomes and care delivery processes in Physical Medicine and Rehabilitation programs of COVID-19-designated rehabilitation facilities. Design: Retrospective cohort study comparing care processes and outcomes between prepandemic and pandemic periods and identifying factors that influenced rehabilitation efficiency using the total score of the Functional Independence Measure (FIM) instrument. Setting: Four designated subacute rehabilitation facilities. Participants: Patients (N=507) from the Physical Medicine and Rehabilitation program (PMR), with a mean age of 78.3 years (range: 28-99y) and 60% women (ranging from 58% to 64% across groups). The cohort included prepandemic patients (33%), non-COVID-19 patients during the pandemic (33%), patients who were COVID-19-positive before admission (23%), and those who acquired COVID-19 during rehabilitation (11%). Interventions: Not applicable. Main Outcome Measures: Average daily gain in functional independence using the FIM total score (FIM efficiency), clinical and demographic profiles at admission, functional outcomes, and indicators of care delivery processes. Results: While functional outcomes were mostly similar across groups (FIM total score at discharge, Conclusions: The COVID-19 pandemic affected rehabilitation care delivery processes more than functional outcomes. Patients who acquired COVID-19 during rehabilitation and those requiring more diverse multidisciplinary care showed reduced FIM efficiency, highlighting the importance of infection control measures in rehabilitation settings. These insights will help health care professionals and decision makers optimize future crisis preparedness plans for rehabilitation services.
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