Revista Colombiana
de Medicina Física y Rehabilitación

Organo Oficial de la Asociación Colombiana de Medicina Física y Rehabilitación

ISSN Impreso: 0121-0041 - ISSN Electrónico: 2256-5655 - DOI: 10.28957/rcmfr

Rehabilitación intrahospitalaria en el paciente con COVID-19

Javier Rubio Delgado Martinez, Nelson Fabian Orozco Higuera, Jully Carolina Gómez Gil, Luisa Fernanda Castaño Herrera, Jorge Arturo Díaz Ruíz, Jorge Nicolas Muñoz Rodriguez, Liliana Elizabeth Rodriguez Zambrano

Resumen


La enfermedad COVID-19 se declaró pandemia en el mes de marzo de 2020. Sus manifestaciones clínicas son variadas, desde pacientes asintomáticos hasta la  enfermedad respiratoria severa y la falla multiorgánica, que pueden conducir a la muerte. Los pacientes con enfermedad severa o crítica que requieren hospitalización en la unidad de cuidados intensivos (UCI), pueden presentar complicaciones directas o indirectas a las lesiones causadas por la infección, como el síndrome de desacondicionamiento físico, el síndrome post UCI, entre otros. Se describe el abordaje de la evaluación y la rehabilitación en el paciente adulto hospitalizado con infección por COVID-19, con énfasis en la rehabilitación respiratoria. El presente documento se fundamenta en la literatura disponible actualmente, con recomendaciones dirigidas al escenario nacional.



Palabras clave


Rehabilitación, Síndrome post cuidados intensivos, COVID-19, Infecciones por Coronavirus, Pandemias

Texto completo:

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Referencias


Saxena SK. Coronavirus Disease 2019 (COVID-19): Epidemiology, Pathogenesis, Diagnosis, and Therapeutics. Springer Nature; 2020. 213 p.

Mao L, Jin H, Wang M, Hu Y, Chen S, He Q, et al. Neurologic manifestations of hospitalized patients with coronavirus disease 2019 in Wuhan, China. JAMA Neurol [Internet]. 2020;683. Disponible en: doi:10.1001/jamaneurol.2020.1127

COVID-19 Map [Internet]. Johns Hopkins Coronavirus Resource Center. [citado 31 de mayo de 2020]. Disponible en: https://coronavirus.jhu.edu/map.html

Saavedra Trujillo CH. Consenso colombiano de atención, diagnóstico y manejo de la infección por SARS-COV-2/COVID 19 en establecimientos de atención de la salud. Recomendaciones basadas en consenso de expertos e informadas en la evidencia. Infectio [Internet]. 14 de abril de 2020;24(3):1. Disponible en: doi:10.22354/in.v24i3.851

Simpson R, Robinson L. Rehabilitation after critical illness in people with COVID-19 infection. Am J Phys Med Rehabil [Internet]. junio de 2020;99(6):470–4. Disponible en: doi: 10.1097/PHM.0000000000001443

Suleyman G, Fadel RA, Malette KM, Hammond C, Abdulla H, Entz A, et al. Clinical characteristics and morbidity associated with coronavirus disease 2019 in a series of patients in metropolitan detroit. JAMA Netw Open [Internet]. 2020;3(6):e2012270. Disponible en: http://dx.doi.org/10.1001/jamanetworkopen.2020.12270

Wei Y-Y, Wang R-R, Zhang D-W, Tu Y-H, Chen C-S, Ji S, et al. Risk factors for severe COVID-19: Evidence from 167 hospitalized patients in Anhui, China. J Infect [Internet]. julio de 2020;81(1):e89–92. Disponible en: http://dx.doi.org/10.1016/j.jinf.2020.04.010

Aytür YK, Köseoğlu BF, Taşkiran ÖÖ, Gökkaya NKO, Deli̇ali̇oğlu SÜ, Tur BS, et al. Pulmonary rehabilitation principles after SARS-CoV-2 (COVID-19): A guideline for the management of acute and subacute course. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi [Internet]. 2020;23(2):111–28. Disponible en: http://dx.doi.org/10.31609/jpmrs.2020-75492

Zheng Y-Y, Ma Y-T, Zhang J-Y, Xie X. COVID-19 and the cardiovascular system. Nat Rev Cardiol [Internet]. 5 de marzo de 2020 [citado 23 de mayo de 2020];17(5):259–60. Disponible en: https://www.nature.com/articles/s41569-020-0360-5

Vaduganathan M, Vardeny O, Michel T, McMurray JJV, Pfeffer MA, Solomon SD. Renin-angiotensin-aldosterone system inhibitors in patients with covid-19. N Engl J Med [Internet]. 23 de abril de 2020;382(17):1653–9. Disponible en: http://dx.doi.org/10.1056/NEJMsr2005760

Gurwitz D. Angiotensin receptor blockers as tentative SARS‐CoV‐2 therapeutics. Drug Dev Res [Internet]. 4 de marzo de 2020;368:537–40. Disponible en: doi:10.1002/ddr.21656

Liu PP, Blet A, Smyth D, Li H. The science underlying COVID-19: implications for the cardiovascular system. Circulation [Internet]. 2020;142:68–78. Disponible en: doi:10.1161/circulationaha.120.047549

Guan W-J, Ni Z-Y, Hu Y, Liang W-H, Ou C-Q, He J-X, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med [Internet]. 30 de abril de 2020;382(18):1708–20. Disponible en: doi:10.1056/nejmoa2002032

World Health Organization. Clinical management of COVID-19: interim guidance [Internet]. World Health Organization. 2020. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/332196/WHO-2019-nCoV-clinical-2020.5-eng.pdf

Camporota L, Vasques F, Sanderson B, Barrett NA, Gattinoni L. Identification of pathophysiological patterns for triage and respiratory support in COVID-19. Lancet Respir Med [Internet]. agosto de 2020;8(8):752–4. Disponible en: https://doi.org/10.1016/S2213-2600(20)30279-4

Fan E, Beitler JR, Brochard L, Calfee CS, Ferguson ND, Slutsky AS, et al. COVID-19-associated acute respiratory distress syndrome: is a different approach to management warranted? Lancet Respir Med [Internet]. agosto de 2020;8(8):816–21. Disponible en: http://dx.doi.org/10.1016/S2213-2600(20)30304-0

Dong E, Du H, Gardner L. An interactive web-based dashboard to track COVID-19 in real time. Lancet Infect Dis [Internet]. 2020;20(5):533–4. Disponible en: http://dx.doi.org/10.1016/s1473-3099(20)30120-1

Hendren NS, Drazner MH, Bozkurt B, Cooper LT Jr. Description and proposed management of the acute COVID-19 cardiovascular syndrome. Circulation [Internet]. 16 de abril de 2020;141:1903–14. Disponible en: http://dx.doi.org/10.1161/CIRCULATIONAHA.120.047349

Guo T, Fan Y, Chen M, Wu X, Zhang L, He T, et al. Cardiovascular implications of fatal outcomes of patients with coronavirus disease 2019 (COVID-19). JAMA Cardiol [Internet]. 27 de marzo de 2020;5(7):811–8. Disponible en: http://dx.doi.org/10.1001/jamacardio.2020.1017

Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China. JAMA [Internet]. 7 de abril de 2020;323(13):1239. Disponible en: http://dx.doi.org/10.1001/jama.2020.2648

Long B, Brady WJ, Koyfman A, Gottlieb M. Cardiovascular complications in COVID-19. Am J Emerg Med [Internet]. 18 de abril de 2020;38(7):1504–7. Disponible en: http://dx.doi.org/10.1016/j.ajem.2020.04.048

Montalvan V, Lee J, Bueso T, De Toledo J, Rivas K. Neurological manifestations of COVID-19 and other coronavirus infections: A systematic review. Clin Neurol Neurosurg [Internet]. 15 de mayo de 2020;194:105921. Disponible en: http://dx.doi.org/10.1016/j.clineuro.2020.105921

Ghiasvand F, Ghadimi M, Ghadimi F, Safarpour S, Hosseinzadeh R, SeyedAlinaghi S. Symmetrical polyneuropathy in coronavirus disease 2019 (COVID-19). IDCases [Internet]. 2020;21:e00815. Disponible en: http://dx.doi.org/10.1016/j.idcr.2020.e00815

Alberti P, Beretta S, Piatti M, Karantzoulis A, Piatti ML, Santoro P, et al. Guillain-Barré syndrome related to COVID-19 infection. Neurol Neuroimmunol Neuroinflamm [Internet]. julio de 2020;7(4). Disponible en: http://dx.doi.org/10.1212/NXI.0000000000000741

Chan JL, Ebadi H, Sarna JR. Guillain-Barré syndrome with facial diplegia related to SARS-CoV-2 infection. Can J Neurol Sci [Internet]. 29 de mayo de 2020;1–10. Disponible en: http://dx.doi.org/10.1017/cjn.2020.106

McNeary L, Maltser S, Verduzco-Gutierrez M. Navigating coronavirus disease 2019 (Covid-19) in physiatry: A CAN report for inpatient rehabilitation facilities. PM&R [Internet]. mayo de 2020;12(5):512–5. Disponible en: http://dx.doi.org/10.1002/pmrj.12369

Wu Y, Xu X, Chen Z, Duan J, Hashimoto K, Yang L, et al. Nervous system involvement after infection with COVID-19 and other coronaviruses. Brain Behav Immun [Internet]. 30 de marzo de 2020;18–22. Disponible en: http://dx.doi.org/10.1016/j.bbi.2020.03.031

Leung TW, Wong KS, Hui AC, To KF, Lai ST, Ng WF, et al. Myopathic Changes Associated With Severe Acute Respiratory Syndrome. Archives of Neurology [Internet]. 2005;62(7):1113. Disponible en: http://dx.doi.org/10.1001/archneur.62.7.1113

Tsai L-K, Hsieh S-T, Chao C-C, Chen Y-C, Lin Y-H, Chang S-C, et al. Neuromuscular Disorders in Severe Acute Respiratory Syndrome. Archives of Neurology [Internet]. 2004;61(11):1669. Disponible en: http://dx.doi.org/10.1001/archneur.61.11.1669

Sheehy LM. Considerations for postacute rehabilitation for survivors of COVID-19. JMIR Public Health Surveill [Internet]. 8 de mayo de 2020;6(2):e19462. Disponible en: http://dx.doi.org/10.2196/19462

Rawal G, Yadav S, Kumar R. Post-intensive care syndrome: an overview. J Transl Int Med [Internet]. junio de 2017;5(2):90–2. Disponible en: http://dx.doi.org/10.1515/jtim-2016-0016

Martín Delgado MC, García de Lorenzo Y Mateos A. Surviving the Intensive Care Units looking through the family’s eyes. Med Intensiva [Internet]. 2017;41(8):451–3. Disponible en: http://dx.doi.org/10.1016/j.medine.2017.08.004

Herridge MS, Tansey CM, Matté A, Tomlinson G, Diaz-Granados N, Cooper A, et al. Functional disability 5 years after acute respiratory distress syndrome. N Engl J Med [Internet]. 2011;364(14):1293–304. Disponible en: http://dx.doi.org/10.1056/nejmoa1011802

Kortebein P. Rehabilitation for hospital-associated deconditioning. Am J Phys Med Rehabil [Internet]. enero de 2009;88(1):66–77. Disponible en: http://dx.doi.org/10.1097/PHM.0b013e3181838f70

Ohtake PJ, Lee AC, Scott JC, Hinman RS, Ali NA, Hinkson CR, et al. Physical impairments associated with post–intensive care syndrome: systematic review based on the World Health Organization’s international classification of functioning, disability and health framework. Phys Ther [Internet]. 2018;98(8):631–45. Disponible en: http://dx.doi.org/10.1093/ptj/pzy059

Lee N, Hui D, Wu A, Chan P, Cameron P, Joynt GM, et al. A major outbreak of severe acute respiratory syndrome in Hong Kong. N Engl J Med [Internet]. 15 de mayo de 2003;348(20):1986–94. Disponible en: http://dx.doi.org/10.1056/NEJMoa030685

Frontera WR. Delisa’s Physical Medicine and Rehabilitation: Principles and Practice, Two Volume Set [Internet]. Lippincott Williams & Wilkins; 2015. 2261 p. Disponible en: https://books.google.com/books/about/Delisa_s_Physical_Medicine_and_Rehabilit.html?hl=&id=JR-RAQAACAAJ

Vitacca M, Carone M, Clini E, Paneroni M, Lazzeri M, Lanza A, et al. Joint statement on the role of respiratory rehabilitation in the COVID-19 crisis: the Italian position paper [Internet]. L’Associazione Riabilitatori dell'Insufficienza Respiratoria. 2020 [citado 3 de junio de 2020]. Disponible en: https://www.arirassociazione.org/wp-content/uploads/2020/03/Joint-statement-role-RR_COVID_19_E_Clini. pdf.

Herridge MS, Moss M, Hough CL, Hopkins RO, Rice TW, Bienvenu OJ, et al. Recovery and outcomes after the acute respiratory distress syndrome (ARDS) in patients and their family caregivers. Intensive Care Med [Internet]. mayo de 2016;42(5):725–38. Disponible en: http://dx.doi.org/10.1007/s00134-016-4321-8

Carda S, Invernizzi M, Bavikatte G, Bensmaïl D, Bianchi F, Deltombe T, et al. COVID-19 pandemic. What should PRM specialists do? A clinician’s perspective. Eur J Phys Rehabil Med [Internet]. 19 de mayo de 2020; Disponible en: http://dx.doi.org/10.23736/S1973-9087.20.06317-0

Shi S, Qin M, Shen B, Cai Y, Liu T, Yang F, et al. Association of cardiac injury with mortality in hospitalized patients with COVID-19 in Wuhan, China. JAMA Cardiol [Internet]. 25 de marzo de 2020;5(7):802–10. Disponible en: http://dx.doi.org/10.1001/jamacardio.2020.0950

Brodsky MB, Nollet JL, Spronk PE, González-Fernández M. Prevalence, pathophysiology, diagnostic modalities and treatment options for dysphagia in critically ill patients. Am J Phys Med Rehabil [Internet]. 16 de abril de 2020;1. Disponible en: http://dx.doi.org/10.1097/PHM.0000000000001440

Pandharipande PP, Girard TD, Jackson JC, Morandi A, Thompson JL, Pun BT, et al. Long-term cognitive impairment after critical illness. N Engl J Med [Internet]. 3 de octubre de 2013;369(14):1306–16. Disponible en: http://dx.doi.org/10.1056/NEJMoa1301372

Li S, Wang Y, Xue J, Zhao N, Zhu T. The impact of COVID-19 epidemic declaration on psychological consequences: a study on active Weibo users. Int J Environ Res Public Health [Internet]. marzo de 2020 [citado 30 de mayo de 2020];17(6):2032. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7143846/

Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health [Internet]. marzo de 2020 [citado 30 de mayo de 2020];17(5):1729. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7084952/

Davidson JE, Jones C, Bienvenu OJ. Family response to critical illness: postintensive care syndrome-family. Crit Care Med [Internet]. febrero de 2012;40(2):618–24. Disponible en: http://dx.doi.org/10.1097/CCM.0b013e318236ebf9

Ives J, Greenfield S, Parry JM, Draper H, Gratus C, Petts JI, et al. Healthcare workers’ attitudes to working during pandemic influenza: a qualitative study. BMC Public Health [Internet]. 12 de febrero de 2009;9:56. Disponible en: http://dx.doi.org/10.1186/1471-2458-9-56

National Early Warning Score (NEWS) 2 [Internet]. RCP London. 2017 [citado 6 de junio de 2020]. Disponible en: https://www.rcplondon.ac.uk/projects/outputs/national-early-warning-score-news-2

Liao X, Wang B, Kang Y. Novel coronavirus infection during the 2019-2020 epidemic: preparing intensive care units-the experience in Sichuan Province, China. Intensive Care Med [Internet]. febrero de 2020;46(2):357–60. Disponible en: http://dx.doi.org/10.1007/s00134-020-05954-2

Carr E, Bendayan R, Bean D, O’Gallagher K, Pickles A, Stahl D, et al. Supplementing the National Early Warning Score (NEWS2) for anticipating early deterioration among patients with COVID-19 infection. Disponible en: http://dx.doi.org/10.1101/2020.04.24.20078006

Jones PW, Quirk FH, Baveystock CM. St. George’s Respiratory Questionnaire (SGRQ). Respiratory medicine [Internet]. 1991 [citado 6 de junio de 2020];1(85):25–31. Disponible en: https://doi.org/10.1016/S0954-6111(06)80166-6

Jones PW, Quirk FH, Baveystock CM, Littlejohns P. A self-complete measure of health status for chronic airflow limitation. The St. George’s Respiratory Questionnaire. Am Rev Respir Dis [Internet]. junio de 1992;145(6):1321–7. Disponible en: http://dx.doi.org/10.1164/ajrccm/145.6.1321

ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med [Internet]. 1 de julio de 2002;166(1):111–7. Disponible en: http://dx.doi.org/10.1164/ajrccm.166.1.at1102

Kennedy MCS. Breath-holding Test. Br Med J [Internet]. 1956;2(5002):1177–1177. Disponible en: http://dx.doi.org/10.1136/bmj.2.5002.1177

Yang L-L, Yang T. Pulmonary rehabilitation for patients with coronavirus disease 2019 (COVID-19). Chronic Diseases and Translational Medicine [Internet]. 14 de mayo de 2020 [citado 6 de junio de 2020];79–86. Disponible en: doi:10.1016/j.cdtm.2020.05.002

Cofre-Bolados C, Rosales WD, Espinoza-Salinas A. Validation of the ST3x1 Step Test as an estimator of peak VO2 in adults with cardiovascular risk factors. Salud Uninorte [Internet]. 2019;34(3):581–8. Disponible en: http://dx.doi.org/10.14482/sun.34.3.616.10

Fritz MA, Howell RJ, Brodsky MB, Suiter DM, Dhar SI, Rameau A, et al. Moving forward with dysphagia care: implementing strategies during the COVID-19 pandemic and beyond. Dysphagia [Internet]. 9 de junio de 2020; Disponible en: http://dx.doi.org/10.1007/s00455-020-10144-9

Soldatova L, Williams C, Postma GN, Falk GW, Mirza N. Virtual dysphagia evaluation: practical guidelines for dysphagia management in the context of the COVID-19 pandemic. Otolaryngol Head Neck Surg [Internet]. 26 de mayo de 2020;194599820931791. Disponible en: http://dx.doi.org/10.1177/0194599820931791

Frajkova Z, Tedla M, Tedlova E, Suchankova M, Geneid A. Postintubation dysphagia during COVID-19 outbreak-contemporary review. Dysphagia [Internet]. [citado 7 de junio de 2020];549–57. Disponible en: doi:10.1007/s00455-020-10139-6

Wensing M, Grol R, Grimshaw J. Improving patient care: The Implementation of change in health care [Internet]. John Wiley & Sons; 2020. 456 p. Disponible en: https://play.google.com/store/books/details?id=6l3UDwAAQBAJ

Nasreddine ZS, Phillips NA, Bédirian V, Charbonneau S, Whitehead V, Collin I, Cummings JL, Chertkow H. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. Journal of the American Geriatrics Society [Internet]. abril de 2005 [citado 6 de junio de 2020];53(4):695–9. Disponible en: doi:10.1111/j.1532-5415.2005.53221.x

Dubois B, Slachevsky A, Litvan I, Pillon B. The FAB: a frontal assessment battery at bedside. Neurology [Internet]. 12 de diciembre de 2000;55(11):1621–6. Disponible en: http://dx.doi.org/10.1212/wnl.55.11.1621

Aytür YK. Pulmonary rehabilitation principles in SARS-COV-2 infection (COVID-19): A guideline for the acute and subacute rehabilitation. Turkish Journal of Physical Medicine and Rehabilitation [Internet]. 2020;66(2):104–20. Disponible en: http://dx.doi.org/10.5606/tftrd.2020.6444

Yu P, Wei Q, He C. Early rehabilitation for critically ill patients with COVID-19: more benefits than risks. Am J Phys Med Rehabil [Internet]. junio de 2020;99(6):468–9. Disponible en: http://dx.doi.org/10.1097/PHM.0000000000001445

Zhao H-M, Xie Y-X, Wang C. Recommendations for respiratory rehabilitation in adults with COVID-19. Chin Med J [Internet]. 9 de abril de 2020; Disponible en: http://dx.doi.org/10.1097/CM9.0000000000000848

Carda S, Invernizzi M, Bavikatte G, Bensmaïl D, Bianchi F, Deltombe T, et al. The role of physical and rehabilitation medicine in the COVID-19 pandemic: the clinician’s view. Ann Phys Rehabil Med [Internet]. 2020; Disponible en: http://dx.doi.org/10.1016/j.rehab.2020.04.001

Kotfis K, Williams Roberson S, Wilson JE, Dabrowski W, Pun BT, Ely EW. COVID-19: ICU delirium management during SARS-CoV-2 pandemic. Crit Care [Internet]. 28 de abril de 2020;24(1):176. Disponible en: http://dx.doi.org/10.1186/s13054-020-02882-x

Liang T. Handbook of COVID-19 prevention and treatment. The First Affiliated Hospital [Internet]. Zhejiang University School of Medicine; 2020 mar. Disponible en: http://fearp.org/revispdf/Revol152/handbook.pdf

Lazzeri M, Lanza A, Bellini R, Bellofiore A, Cecchetto S, Colombo A, et al. Respiratory physiotherapy in patients with COVID-19 infection in acute setting: a Position Paper of the Italian Association of Respiratory Physiotherapists (ARIR). Monaldi Arch Chest Dis [Internet]. 26 de marzo de 2020;90(1). Disponible en: http://dx.doi.org/10.4081/monaldi.2020.1285

Thomas P, Baldwin C, Bissett B, Boden I, Gosselink R, Granger CL, et al. Physiotherapy management for COVID-19 in the acute hospital setting: clinical practice recommendations. J Physiother [Internet]. abril de 2020 [citado 7 de junio de 2020];66(2):73. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7165238/

Green M, Marzano V, Leditschke IA, Mitchell I, Bissett B. Mobilization of intensive care patients: a multidisciplinary practical guide for clinicians [Internet]. Journal of Multidisciplinary Healthcare. 2016. p. 247. Disponible en: http://dx.doi.org/10.2147/jmdh.s99811

Nakamura K, Kihata A, Naraba H, Kanda N, Takahashi Y, Sonoo T, et al. Efficacy of belt electrode skeletal muscle electrical stimulation on reducing the rate of muscle volume loss in critically ill patients: A randomized controlled trial. J Rehabil Med [Internet]. 2019;51(9):705–11. Disponible en: http://dx.doi.org/10.2340/16501977-2594

Nakamura K, Nakano H, Naraba H, Mochizuki M, Hashimoto H. Early rehabilitation with dedicated use of belt-type electrical muscle stimulation for severe COVID-19 patients. Crit Care [Internet]. 15 de junio de 2020 [citado 4 de julio de 2020];24(1):1–2. Disponible en: https://ccforum.biomedcentral.com/articles/10.1186/s13054-020-03080-5

Li Duan GZ. Psychological interventions for people affected by the COVID-19 epidemic. The Lancet Psychiatry [Internet]. abril de 2020 [citado 7 de junio de 2020];7(4):300. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7128328/

Lau HM-C, Lee EW-C, Wong CN-C, Ng GY-F, Jones AY-M, Hui DS-C. The impact of severe acute respiratory syndrome on the physical profile and quality of life. Arch Phys Med Rehabil [Internet]. junio de 2005;86(6):1134–40. Disponible en: http://dx.doi.org/10.1016/j.apmr.2004.09.025

Chang MC, Park D. How should rehabilitative departments of hospitals prepare for coronavirus disease 2019? Am J Phys Med Rehabil [Internet]. junio de 2020;99(6):475–6. Disponible en: http://dx.doi.org/10.1097/PHM.0000000000001428

Grabowski DC, Joynt Maddox KE. Postacute care preparedness for COVID-19: thinking ahead. JAMA [Internet]. 25 de marzo de 2020;323(20):2007–8. Disponible en: http://dx.doi.org/10.1001/jama.2020.4686

Negrini S, Ferriero G, Kiekens C, Boldrini P. Facing in real time the challenges of the Covid-19 epidemic for rehabilitation. Eur J Phys Rehabil Med [Internet]. 30 de marzo de 2020;56(3):313–5. Disponible en: http://dx.doi.org/10.23736/S1973-9087.20.06286-3

IRF Coronavirus Tools [Internet]. [citado 4 de julio de 2020]. Disponible en: http://www.rehabforum.org/tools.html





© Rev Col Med Fis Reh 

DOI: 10.28957/rcmfr

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