TY - JOUR
T1 - First impact of COVID-19 on services and their preparation "instant paper from the field" on rehabilitation answers to the COVID-19 emergency
T2 - European Journal of Physical and Rehabilitation Medicine
AU - Boldrini, P.
AU - Kiekens, C.
AU - Bargellesi, S.
AU - Brianti, R.
AU - Galeri, S.
AU - Lucca, L.
AU - Montis, A.
AU - Posteraro, F.
AU - Scarponi, F.
AU - Straudi, S.
AU - Negrini, S.
N1 - Cited By :17
Export Date: 23 February 2021
Correspondence Address: Negrini, S.; Department of Biomedical, Italy; email: stefano.negrini@unimi.it
References: Negrini, S, Ferriero, G, Kiekens, C, Boldrini, P., Facing in real time the challenges of the Covid-19 epidemic for rehabilitation (2020) Eur J Phys Rehabil Med, , [Epub ahead of print]; Chang, MC, Park, D., How should rehabilitative departments of hospitals prepare for coronavirus disease 2019? (2020) Am J Phys Med Rehabil, , [Epub ahead of print]; McNeary, L, Maltser, S, Verduzco-Gutierrez, M., Navigating Coronavirus Disease 2019 (Covid-19) in Physiatry: ACAN report for Inpatient Rehabilitation Facilities PM R2020. [Epub ahead of print]; Boldrini, P, Bernetti, A, Fiore, P., SIMFERExecutive Committee and SIMFERCommittee for international affairs. Impact of COVID-19 outbreak on rehabilitation services and Physical and Rehabilitation Medicine (PRM) physicians' activities in Italy. An official document of the Italian PRM Society (SIMFER) (2020) Eur J Phys Rehabil Med, , [Epub ahead of print]; Covid-19 e riabilitazione. Facciamo il punto, , https://www.youtube.com/watch?v=ys_PDr0GW70, SIMFER. 1 incontro; 2020 [Internet]. [cited 2020, Apr 14]; Spina, S, Marrazzo, F, Migliari, M, Stucchi, R, Sforza, A, Fumagalli, R., The response of Milan's Emergency Medical System to the COVID-19 outbreak in Italy (2020) Lancet, 395, pp. e49-e50; Calisher, C, Carroll, D, Colwell, R, Corley, RB, Daszak, P, Drosten, C, Statement in support of the scientists, public health professionals, and medical professionals of China combatting COVID-19 (2020) Lancet, 395, pp. e42-e43; White Book on Physical and Rehabilitation Medicine (PRM) in Europe. Chapter 7. The clinical field of competence: PRM in practice (2018) Eur J Phys Rehabil Med, 54, pp. 230-260. , European Physical and Rehabilitation Medicine Bodies Alliance; White Book on Physical and Rehabilitation Medicine (PRM) in Europe. Chapter 6. Knowledge and skills of PRM physicians (2018) Eur J Phys Rehabil Med, 54, pp. 214-229. , European Physical and Rehabilitation Medicine Bodies Alliance; White Book on Physical and Rehabilitation Medicine (PRM) in Europe. Chapter 3. Aprimary medical specialty: the fundamentals of PRM (2018) Eur J Phys Rehabil Med, 54, pp. 177-185. , European Physical and Rehabilitation Medicine Bodies Alliance; White Book on Physical and Rehabilitation Medicine in Europe. Introductions, Executive Summary, and Methodology (2018) Eur J Phys Rehabil Med, 54, pp. 125-155. , European Physical and Rehabilitation Medicine Bodies Alliance
PY - 2020
Y1 - 2020
N2 - This paper reports the immediate impact of the epidemic on rehabilitation services in Italy, the first country in Europe hit by COVID-19. In a country with almost 5000 Physical and Rehabilitation Medicine physicians, the webinar had 230 live viewers (4.5%), and more than 8900 individual visualizations of the recorded version. The overall inadequate preparation of the rehabilitation system to face a sudden epidemic was clear, and similar to that of the acute services. The original idea of confining the COVID-19 cases to some areas of rehabilitation wards and/or hospitals, preserving others, proved not to be feasible. Continuous reorganization and adaptation were required due to the rapid changes. Overall, rehabilitation needs had to surrender to the more acute emergency, with total conversion of beds, wards and even hospitals. The quarantine needs heavily involved also outpatient services that were mostly closed. Rehabilitation professionals needed support, but also acted properly, again similarly to what happened in the acute wards. The typical needs of rehabilitation, such as human and physical contacts, but also social interactions including patient, team, family and caregivers, appeared clearly in the current unavoidable need of being suppressed. These notes could serve the preparation of other services worldwide. © 2020 EDIZIONI MINERVA MEDICA.
AB - This paper reports the immediate impact of the epidemic on rehabilitation services in Italy, the first country in Europe hit by COVID-19. In a country with almost 5000 Physical and Rehabilitation Medicine physicians, the webinar had 230 live viewers (4.5%), and more than 8900 individual visualizations of the recorded version. The overall inadequate preparation of the rehabilitation system to face a sudden epidemic was clear, and similar to that of the acute services. The original idea of confining the COVID-19 cases to some areas of rehabilitation wards and/or hospitals, preserving others, proved not to be feasible. Continuous reorganization and adaptation were required due to the rapid changes. Overall, rehabilitation needs had to surrender to the more acute emergency, with total conversion of beds, wards and even hospitals. The quarantine needs heavily involved also outpatient services that were mostly closed. Rehabilitation professionals needed support, but also acted properly, again similarly to what happened in the acute wards. The typical needs of rehabilitation, such as human and physical contacts, but also social interactions including patient, team, family and caregivers, appeared clearly in the current unavoidable need of being suppressed. These notes could serve the preparation of other services worldwide. © 2020 EDIZIONI MINERVA MEDICA.
KW - Coronavirus
KW - COVID-19
KW - Physical and rehabilitation medicine
KW - Rehabilitation centers
KW - Betacoronavirus
KW - Coronavirus infection
KW - human
KW - Italy
KW - organization and management
KW - pandemic
KW - rehabilitation medicine
KW - virus pneumonia
KW - Coronavirus Infections
KW - Humans
KW - Pandemics
KW - Physical and Rehabilitation Medicine
KW - Pneumonia, Viral
U2 - 10.23736/S1973-9087.20.06303-0
DO - 10.23736/S1973-9087.20.06303-0
M3 - Article
VL - 56
SP - 319
EP - 322
JO - Eur. J. Phys. Rehabil. Med.
JF - Eur. J. Phys. Rehabil. Med.
SN - 1973-9087
IS - 3
ER -