Ретроспективный анализ восстановительного лечения в условиях соматического отделения коморбидных пациентов, перенесших COVID-19

Abstract

Purpose: TTo study the practice and features of rehabilitation treatment in a somatic hospital for comorbid patients who have suffered pneumonia associated with COVID-19. Effective medical rehabilitation of SARS CoV-2 survivors is critical to recovery and optimization of emergency and specialty care outcomes. The new coronavirus infection and the severe pathology associated with it are more common in people of older age groups, burdened by many concomitant diseases, and occurs with damage to many organs and systems. The consequences of the disease pose the need for practical healthcare to carry out urgent and large-scale rehabilitation and preventive measures using for these purposes, in accordance with the requirements of the procedure for the rehabilitation of adults, approved by the Ministry of Health of the Russian Federation capabilities of specialized therapeutic hospitals. Underestimation of the capabilities of this approach leads to unjustifiably delayed use and, most importantly, loss of quality of rehabilitation treatment. The COVID-19 disease itself, damage to organs and systems, and the reaction of concomitant pathology with it have not yet been fully studied (G.E. Ivanova et al., 2020) and these patients often have to go through a broad search for optimal treatment and rehabilitation regimens. Material and methods:80 case histories of patients (57 women and 23 men) who had pneumonia associated with the new coronavirus infection COVID-19 were studied. The time from the onset of the disease was 2 months, the average age of patients was 55 years. The study included patients who had mild, moderate, and severe pneumonia and in 85% of cases had one or another concomitant pathology. Each patient was assigned an individual rehabilitation program, consisting of “respiratory block” procedures, including therapeutic exercises, hyperbaric oxygenation, laser therapy, magnetic therapy, manual massage, psychotherapy, dietary nutrition and physiotherapeutic procedures, also aimed at concomitant pathology. All patients received drug treatment. Restorative treatment of patients who had pneumonia associated with COVID-19 and had a concomitant disease was carried out with a rehabilitation routing scale value of 2-3 points. Conclusions: When developing individual medical rehabilitation programs for patients who have suffered COVID-19, procedures aimed at concomitant pathology should also be taken into account and highlighted. It is advisable to observe this group of patients in the somatic department of a multidisciplinary hospital. With this approach, clear positive dynamics were noted, both in the main and concomitant pathologies.