Rehabilitation of covid-19 patients with acute lower extremity ischaemia and amputation

Luigia BRUGLIERA, Alfio SPINA, Paola CASTELLAZZI, Paolo CIMINO, Pietro ARCURI, Maria Grazia DERIU, Chiara ZANETTA, Sara Monica ANGELONE, Jody Filippo CAPITANIO, Federica ALEMANNO, Carlo MELONI, Giuseppe D'ANGELO, Elise HOUDAYER, Jubin ABUTALEBI, Pietro MORTINI, Sandro IANNACCONE

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To evaluate the clinical characteristics and rehabilitation management of patients who undergo amputation for COVID-19-associated coagulopathy. Methods: Clinical and laboratory data for 3 patients were analysed and their rehabilitative management discussed. Results: The medical records of 3 patients who had undergone amputation due to acute lower extremity ischaemia and who were provided with rehabilitation in the COVID-19 unit at San Raffaele Scientific Insitute, Milan Italy were reviewed. Conclusion: Coagulation changes related to SARSCoV- 2 may complicate recovery from this devastating disease. The rehabilitation management of amputated patients for COVID-19 acute lower extremity ischaemia is based on a multilevel approach for clinical, functional, nutritional and neuropsychological needs. Based on this limited experience, a dedicated programme for this specific group of patients seems advantageous to warrant the best functional outcome and quality of life.

Original languageEnglish
JournalJournal of Rehabilitation Medicine
Volume52
Issue number9
DOIs
Publication statusPublished - Sep 2020

Keywords

  • Amputation
  • COVID-19
  • COVID-19 coagulopathy
  • Ischaemia
  • Rehabilitation
  • SARS-CoV-2

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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