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Updated: Oct 16, 2025
06:52
Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
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Rehabilitation and In-Hospital Mortality in COVID-19 Patients
Anne Felicia Ambrose1,2, Anupama Kurra1,3, Lana Tsirakidis3
1Department of Rehabilitation Medicine, Albert Einstein College of Medicine, Bronx, New York, USA.
Summary
Early rehabilitation significantly reduced in-hospital deaths for COVID-19 patients. This study supports implementing rehabilitation services in acute care settings for better COVID-19 patient outcomes.
Area of Science:
- Medical Rehabilitation
- Infectious Diseases
- Critical Care Medicine
Background:
- COVID-19 guidelines suggest early rehabilitation for hospitalized patients.
- Evidence supporting early rehabilitation's impact on COVID-19 mortality is limited.
- This study investigates the link between early rehabilitation and in-hospital mortality in COVID-19 patients.
Purpose of the Study:
- To examine the association between early rehabilitation and in-hospital mortality among COVID-19 patients.
- To provide evidence for the implementation of rehabilitation services in acute care settings for COVID-19 survivors.
Main Methods:
- A retrospective study of 990 COVID-19 patients admitted to a community hospital.
- Logistic regression analysis was used to assess the association between rehabilitation and in-hospital mortality, adjusting for confounders.
- Data included demographics, comorbidities, functional status, and COVID-19 specific markers.
Main Results:
- 48.0% of patients received rehabilitation; these patients were older.
- Rehabilitation was associated with an 89% lower in-hospital mortality (OR: 0.11, 95% CI: 0.06-0.19).
- Each additional rehabilitation session correlated with a 29% reduction in mortality risk (OR per session: 0.71, 95% CI: 0.64-0.79).
Conclusions:
- Early rehabilitation in hospitalized COVID-19 patients is linked to reduced in-hospital mortality.
- Findings support integrating rehabilitation services into acute care for COVID-19 patients.
- Further research, including randomized clinical trials, is necessary to confirm these results.
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