Top

The journal of nutrition, health & aging

Published in:

Open Access 01-05-2021 | SARS-CoV-2

Pan-European Study on Functional and Medical Recovery and Geriatric Rehabilitation Services of Post-COVID-19 Patients: Protocol of the EU-COGER Study

Authors: Stefan Grund, M. A. A. Caljouw, M. L. Haaksma, A. L. Gordon, R. van Balen, J. M. Bauer, J. M. G. A. Schols, W. P. Achterberg, COGER-Study Subgroup of the EUGMS-SIG on GR

Published in: The journal of nutrition, health & aging | Issue 5/2021

Abstract

Objectives

There 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.

Design

A multi-center observational cohort study.

Setting and participants

This 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 outcome

ADL functioning.

Secondary outcomes

Length 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).

Conclusion

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. 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.

Sun P, Qie S, Liu Z, et al. (2020) Clinical characteristics of 50,466 hospitalized patients with 2019-nCoV infection. J Med Virol. doi:https://doi.org/10.1002/jmv.25735

Wang YXJ, Liu WH, Yang M, Chen W (2020) The role of CT for Covid-19 patient’s management remains poorly defined. Ann Transl Med. doi:https://doi.org/10.21037/atm.2020.02.71

Liu Y, Yang Y, Zhang C, et al. (2020) Clinical and biochemical indexes from 2019nCoV infected patients linked to viral loads and lung injury. Sci China Life Sci. doi:https://doi.org/10.1007/s11427-020-1643-8

Wilson N, Kvalsvig A, Barnard LT, Baker MG (2020) Case-fatality risk estimates for COVID-19 calculated by using a lag time for fatality. Emerg Infect Ids. doi:https://doi.org/10.3201/eid2606.200320

[“RKI — Coronavirus SARS-CoV-2 — SARS-CoV-2 Steckbrief zur Coronavirus-Krankheit-2019 (COVID-19),” n.d.)] https://rki.de/DE/Content/InfAZ/N/Neuartiges_Coronavirus/Steckbrief.html. Accessed 10 October 2020

Masiero S, Zampieri D, Del Felice A (2020) The Place of Early Rehabilitation in Intensive Care Unit for COVID-19. Am J Phys Med Rehabil. doi:https://doi.org/10.1097/PHM.0000000000001478

Brugliera L, Spina A, Castellazzi P, Cimino P, Tettamanti A, Houdayer E, Arcuri P, Alemanno F, Mortini P, Iannaccone S. (2020) Rehabilitation of COVID-19 patients. J Rehabil Med. doi:https://doi.org/10.2340/16501977-2678

Grund S, Gordon AL, van Balen R, Bachmann S, Cherubini A, Landi F, Stuck AE, Becker C, Achterberg WP, Bauer JM, Schols JMGA (2020) European consensus on core principles and future priorities for geriatric rehabilitation: consensus statement. Eur Geriatr Med. doi:https://doi.org/10.1007/s41999-019-00274-1

Bachmann S, Finger C, Huss A, et al. (2010) Inpatient rehabilitation specifically designed for geriatric patients: Systematic review and meta-analysis of randomised controlled trials. BMJ. doi:https://doi.org/10.1136/bmj.c1718

10.

Caljouw MAA, Kruijdenberg SJM, de Craen AJM, Cools HJM, den Elzen WPJ, Gussekloo J (2013) Clinically diagnosed infections predict disability in activities of daily living among the oldest old in the general population: the Leiden 85-plus Study. Age and Ageing. doi:https://doi.org/10.1093/ageing/aft033

11.

Cameron ID, Kurrle SE (2002) Rehabilitation and older people. Med J Aust. doi:https://doi.org/10.5694/j.1326-5377.2002.tb04847.x

12.

Connolly B (2015) Describing and measuring recovery and rehabilitation after critical illness. Curr Opin Crit Care. doi:https://doi.org/10.1097/MCC.0000000000000233

13.

Mehlhorn J, Freytag A, Schmidt K, Brunkhorst FM, Graf J, Troitzsch U, Schlattmann P, Wensing M, Gensichen J (2014) Rehabilitation interventions for postintensive care syndrome: a systematic review. Crit Care Med. doi:https://doi.org/10.1097/CCM.0000000000000148

14.

Major ME, Kwakman R, Kho ME, Connolly B, McWilliams D, Denehy L, Hanekom S, Patman S, Gosselink R, Jones C, Nollet F, Needham DM, Engelbert RH, van der Schaaf M (2016) Surviving critical illness: what is next? An expert consensus statement on physical rehabilitation after hospital discharge. Crit Care. doi:https://doi.org/10.1186/s13054-016-1508-x

15.

van Dam van Isselt EF, van Eijk M, van Geloven N, Groenewegen-Sipkema KH, van den Berg JK, Nieuwenhuys CMA, Chavannes NH, Achterberg WP (2019) A Prospective Cohort Study on the Effects of Geriatric Rehabilitation Following Acute Exacerbations of COPD. J Am Med Dir Assoc. doi: https://doi.org/10.1016/j.jamda.2019.02.025

16.

van Meijeren-Pont W, Volker G, Vliet Vlieland T, Goossens P (2019) Comparison of the responsiveness of the Utrecht Scale for Evaluation of Rehabilitation (USER) and the Barthel Index in stroke patients. Clin Rehabil. doi:https://doi.org/10.1177/0269215519852130

17.

Hsueh IP, Lin JH, Jeng JS, Hsieh CL (2002) Comparison of the psychometric characteristics of the functional independence measure, 5 item Barthel index, and 10 item Barthel index in patients with stroke. J Neurol Neurosurg Psychiatry. doi:https://doi.org/10.1136/jnnp.73.2.188

18.

Turner-Stokes L, Williams H, Rose H, Harris S, Jackson D (2010) Deriving a Barthel Index from the Northwick Park Dependency Scale and the Functional Independence Measure: are they equivalent? Clin Rehabil. doi:https://doi.org/10.1177/0269215510375904

19.

Donabedian, A (1988) The Quality of Care. JAMA. doi:10.1001/jama.1988.03410120089033

20.

Castor (2020). Certified online database. https://castoredc.com/security-statement/; https://www.castoredc.com Accessed 10 October 2020

21.

Hopman-Rock M, van Hirtum H, de Vreede P, Freiberger E (2019) Activities of daily living in older community-dwelling persons: a systematic review of psychometric properties of instruments. Aging Clin Exp Res. doi:https://doi.org/10.1007/s40520-018-1034-6

22.

Bouwstra H, Smit EB, Wattel EM, van der Wouden JC, Hertogh CMPM, Terluin B, et al. (2019) Measurement properties of the barthel index in geriatric rehabilitation. J Am Med Dir Assoc. doi: https://doi.org/10.1016/j.jamda.2018.09.033

23.

Collin C, Wade DT, Davies S, Horne V (1988) The Barthel ADL Index: A reliability study, International Disability Studies. doi:https://doi.org/10.3109/09638288809164103

24.

Sainsbury A, Seebass G, Bansal A, Young JB (2005) Reliability of the Barthel Index when used with older people, Age and Ageing. doi:https://doi.org/10.1093/ageing/afi063

25.

Kabboord, A.D., Godfrey, D., Gordon, A.L. et al. (2020) The modified functional comorbidity index performed better than the Charlson index and original functional comorbidity index in predicting functional outcome in geriatric rehabilitation: a prospective observational study. BMC Geriatr. doi:https://doi.org/10.1186/s12877-020-1498-z

26.

Negrini S, Ferriero G, Kiekens C, Boldrini P. (2020) Facing in real time the challenges of the Covid-19 epidemic for rehabilitation. Eur J Phys Rehabil Med. doi: https://doi.org/10.23736/S1973-9087.20.06286-3

27.

Wang TJ, Chau B, Lui M, Lam GT, Lin N, Humbert S (2020) Physical Medicine and Rehabilitation and Pulmonary Rehabilitation for COVID-19. Am J Phys Med Rehabil. doi:https://doi.org/10.1097/PHM.0000000000001505

28.

Iannaccone S, Castellazzi P, Tettamanti A, et al. (2020) Role of Rehabilitation Department for Adult Individuals With COVID-19: The Experience of the San Raffaele Hospital of Milan. Arch Phys Med Rehabil. doi:https://doi.org/10.1016/j.apmr.2020.05.01

29.

Barker-Davies RM, O’Sullivan O, Senaratne KPP, et al. (2020) The Stanford Hall consensus statement for post-COVID-19 rehabilitation. Br J Sports Med. doi:https://doi.org/10.1136/bjsports-2020-102596

30.

Vigorito C, Faggiano P, Mureddu GF (2020) COVID-19 pandemic: what consequences for cardiac rehabilitation?. Monaldi Arch Chest Dis. doi:https://doi.org/10.4081/monaldi.2020.1315

31.

Lopez M, Bell K, Annaswamy T, Juengst S, Ifejika N (2020) COVID-19 Guide for the Rehabilitation Clinician: A Review of Nonpulmonary Manifestations and Complications. Am J Phys Med Rehabil. doi:https://doi.org/10.1097/PHM.0000000000001479

32.

Liu K, Zhang W, Yang Y, Zhang J, Li Y, Chen Y (2020) Respiratory rehabilitation in elderly patients with COVID-19: A randomized controlled study. Complement Ther Clin Pract. doi:https://doi.org/10.1016/j.ctcp.2020.101166

33.

Grund S., van Wijngaarden J.P., Gordon A.L. et al. (2020) EuGMS survey on structures of geriatric rehabilitation across Europe. Eur Geriatr Med. Europe. Eur Geriatr Med. https://doi.org/10.1007/s41999-019-00273-2

Title: Pan-European Study on Functional and Medical Recovery and Geriatric Rehabilitation Services of Post-COVID-19 Patients: Protocol of the EU-COGER Study
Authors: Stefan Grund
M. A. A. Caljouw
M. L. Haaksma
A. L. Gordon
R. van Balen
J. M. Bauer
J. M. G. A. Schols
W. P. Achterberg
COGER-Study Subgroup of the EUGMS-SIG on GR
Publication date: 01-05-2021
Publisher: Springer Paris
Keywords: SARS-CoV-2
COVID-19
Post-COVID Syndrome
Published in: The journal of nutrition, health & aging / Issue 5/2021
Print ISSN: 1279-7707
Electronic ISSN: 1760-4788
DOI: https://doi.org/10.1007/s12603-021-1607-5

ACC 2024 Congress Coverage

Heart Failure Video

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Pan-European Study on Functional and Medical Recovery and Geriatric Rehabilitation Services of Post-COVID-19 Patients: Protocol of the EU-COGER Study

Abstract

Objectives

Design

Setting and participants

Primary outcome

Secondary outcomes

Conclusion

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Objectives

Design

Setting and participants

Primary outcome

Secondary outcomes

Conclusion

Please log in to get access to this content

Other articles of this Issue 5/2021

We Need to Know: A Call for Interdisciplinary Education on COVID-19

Education, Healthy Ageing and Vaccine Literacy

The Impact of Frailty on COVID-19 Outcomes: A Systematic Review and Meta-analysis of 16 Cohort Studies

A Nonlinear Association between Neighborhood Walkability and Risks of Sarcopenia in Older Adults

Hopelessness and Depression Predict Sarcopenia in Advanced CKD and Dialysis: A Multicenter Cohort Study

Analysis of the Prevalence of Sarcopenia and Its Risk Factors in the Elderly in the Chengdu Community

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page