Recovery of post-COVID-19 patients in geriatric rehabilitation: daily functioning and quality of life (EU COGER study)

Presenter: Miriam Haaksma (Leiden University Medical Center) 

Abstract for the International workshop on COVID-19 and Long-Term Care systems: What have we learnt and what policies do we need to strengthen LTC systems?, 6 and 7th December 2021

Abstract

Introduction: After COVID-19 infection, some older adults will require rehabilitation. The aims of the study are to gain insight into recovery of older COVID-19 patients during and after stay at a rehabilitation department, and into the content of post-COVID-19 rehabilitation in various European countries.

Methods: A longitudinal observational multicenter study on care and recovery of post-COVID-19 patients in geriatric rehabilitation. Regular care data is being collected at 4 timepoints: at admission, at discharge, 6 weeks and 6 months after discharge from the rehabilitation department. Data collection includes medical history, symptoms, functional status (Barthel Index), quality of life (EQ-5D-5L), length of stay, etc. 

Results: More than 700 participants are included in the study. Median rehabilitation length is 25 days (IQR 16-38) and 75% of the patients is discharged home. The Barthel Index and the EQ-5D-5L score are increased at discharge and follow-up, compared to admission to geriatric rehabilitation. This pattern is comparable across all countries. 

Conclusion: Substantial recovery in functioning and quality of life is observed during and after rehabilitation in older post-COVID-19 patients. 

Co-authors: prof. Wilco P. Achterberg, MD PhD¹, Miriam Haaksma PhD¹, Lisa S. van Tol MSc.¹, Monique A.A. Caljouw PhD¹

Collaborators: Stefan Grund2, Adam Gordon3, Jos Schols4, Kseniia Eruslanova5, Matteo Cesari6, Bahaa Francis7, Frances Dockery8, L. Mónica Pérez Bazán9, Eva Topinková10, Mark Vassallo11

Affiliations: 1Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands, 2Center for Geriatric Medicine,Heidelberg University, Agaplesion Bethanien Krankenhaus Heidelberg, Germany, 3Center for Geriatric Medicine,Heidelberg University, Agaplesion Bethanien Krankenhaus Heidelberg, Germany, 4Department of Health Services Research, Focusing on Value-based Care and Ageing and Department of Family Medicine, Caphri – Care and Public Health Research Institute, Maastricht University, 6200 Maastricht, The Netherlands, 5Russian Clinical and Research Center of Gerontology, Moscow, Russia, 6IRCCS Istituti Clinici Maugeri, Milan, Italy, 7Fliman Geriatric Rehabilitation Centre, Technion Israel Institute of Technology, Haifa, Israel, 8Beaumont Hospital, Dublin, Ireland, 9Parc Sanitari Pere Virgili, Barcelona, Spain, 10Vseobecna fakultní nemocnice, Prague, Czech Republic, 11Karin Grech Hospital, Pieta-Malta 

In collaboration with The Special Interest Group (SIG) for geriatric rehabilitation of the European Geriatric Medicine Society (EuGMS). 

Twitter handles of authors/institutions involved:

@MiriamHaaksma @LisaSvanTol @wilcoachterberg @UNC-ZH @LUMC_Leiden @adamgordon1978 @lmonicapb @StudioGRZ @EuGMSSociety @macesari

To find out more about the study:

https://www.lumc.nl/org/unc-zh/English/Research/GeriatricRehabilitation/EU_COGER_ENGLISHpage/

https://link.springer.com/article/10.1007/s12603-021-1607-5

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