Abstract
ObjectivesThere is insufficient knowledge about the functional and medical recovery of older people infected with SARS-CoV-2. This study aims to gain insight into the course of functional and medical recovery of persons who receive geriatric rehabilitation (GR) following SARS-CoV-2 infection across Europe. Special attention will be paid to the recovery of activities of daily living (ADL) and to the GR services offered to these patients.DesignA multi-center observational cohort study.Setting and participantsThis study will include several European countries (EuGMS member states) each providing at least 52 comparable routine datasets (core dataset) of persons recovering from a SARS-CoV-2 infection and receiving geriatric rehabilitation. The routine data will be anonymously collected in an online CASTOR database. The ethical regulations of each participating country will be followed.Primary outcomeADL functioning.Secondary outcomesLength of stay, discharge destination, hospital readmission and mortality. Other variables that will be collected are quality of life, treatment modalities, complications, cognition, frailty, mood/anxiety, BMI, nutrition and pain. All variables will be reported at admission and compared with follow-up scores (discharge, 6 weeks and 6 months follow-up).ConclusionThis study will explore the effect of geriatric rehabilitation on post-COVID-19 patients, especially on ADL recovery, and the variety of geriatric rehabilitation services across Europe. Information from this study may help improve recovery of older persons infected with SARS-CoV-2 and improve geriatric rehabilitation services in the ongoing COVID-19 pandemic.
Highlights
The COVID-19 pandemic is hitting the world hard
This study aims to: 1) explore the course of activities of daily living (ADL) recovery and influencing factors; 2) describe other outcomes after geriatric rehabilitation in post-COVID-19 patients and; 3) describe geriatric rehabilitation services provided to postCOVID-19 patients across Europe
This study will explore the effect of geriatric rehabilitation on post-COVID-19 patients, especially on ADL recovery, and the variety of geriatric rehabilitation services across Europe
Summary
Older people over the age of 70 years are more likely to get very ill when infected with SARS-CoV-2. The majority of patients admitted to the hospital with COVID-19 are in this age group. They have the highest morbidity and mortality all infected people. Some of them need intensive care, including ventilatory support. COVID-19 is often associated with prolonged hospitalisation and sequelae include multi-organ failure, pulmonary dysfunction, physical deconditioning, chronic fatigue, sarcopenia and pressure ulcers. There is a high incidence of mental problems following COVID-19 including cognitive decline, Post-Traumatic Stress Disorder (PTSD) and Post-Intensive Care Syndrome (PICS) [1,2,3,4]. Many of these patients will need specialised rehabilitation
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