284 KB0 KB200820252021Novak, Primožletnik:20str. 5-10številka:supl. 1ISSN:1580-9315COBISSID_HOST:65239555URN:URN:NBN:SI:doc-DA64NQ5RslUniverzitetni rehabilitacijski inštitut Slovenije - SočaRehabilitacija (Ljubljana)Cochrane RehabilitationCOVID-19critical illnesskritična bolezenmiopatijamyopathyneuropathynevropatijaodpoved dihanjarehabilitacijaRehabilitationrespiratory failureRehabilitacija pacientov po COVID-19 in odpovedi dihanja| Rehabilitation of patients after COVID-19 and respiratory failure|Background: COVID-19 infection can cause pneumonia and respiratory as well as multi-organ failure with short- and long-term consequences. Patients after COVID-19 need specific, evidence-based rehabilitation measures. Methods: A review of papers published in 2020 gathered from the Cochrane Rehabilitation website was performed and articles describing peripheral neurological lesions as a consequence of COVID-19, associated limitations of the patients' activities and rehabilitation were selected. Results: The studies published in the first year of epidemics provide lowgrade evidence, mostly presenting case reports of complications with COVID-19 patients, descriptions of patient's early rehabilitation and expert opinions on further rehabilitation. Absence of randomized controlled studies limits the understanding of efficacy of specific rehabilitation approaches in these patients. Conclusions: The evidence from studies published so far is mostly of low grade and offers little useful instructions for pots-acute rehabilitation. However, based on those findings and our experience after one year of epidemics, we are convinced that patients after COVID- 19 pneumonia and respiratory failure require comprehensive rehabilitationIzhodišča: COVID-19 lahko privede do pljučnice, dihalne, tudi multiorganske odpovedi s kratko- in dolgotrajnimi posledicami. Pacienti po COVID-19 potrebujejo specifične rehabilitacijske ukrepe, ki morajo biti podprti z dokazi. Metode: Pregledali smo objave s področja rehabilitacije pacientov po COVID-19 iz leta 2020, ki so zajete v spletni platformi Cochrane Rehabilitation, in izmed njih izbrali tiste, ki opisujejo periferne nevrološke okvare kot posledico COVID-19, posledične omejitve dejavnosti pacientov in rehabilitacijo pacientov s temi okvarami. Rezultati: V prvem letu epidemije objavljene raziskave imajo nizko stopnjo dokazov, prevladujejo opisi primerov, okvar oziroma zapletov pri pacientih po COVID-19, poročila o zgodnji rehabilitaciji in priporočila strokovnjakov za nadaljnjo rehabilitacijo. Pomanjkanje randomiziranih kontroliranih raziskav omejuje razumevanje učinkovitosti specifičnih rehabilitacijskih pristopov pri teh pacientih. Zaključek: Dokazi do sedaj objavljenih raziskav so večinoma nizke stopnje in dajejo malo koristnih napotkov za poakutno rehabilitacijo. Kljub temu pa smo, na njihovi podlagi ter na podlagi naših izkušenj, po enem letu epidemije prepričani, da pacienti po pljučnici zaradi COVID-19 s pridruženo odpovedjo dihanja potrebujejo celostno rehabilitacijoTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaUniverzitetni rehabilitacijski inštitut RS – Soča