Management of post-acute COVID-19 patients in geriatric rehabilitation: EuGMS guidance
Jolanda C. M. van Haastregt, Irma H. J. Everink, Jos M. G. A. Schols, Stefan Grund, Adam Gordon, Else Poot, Finbarr C. Martin, Desmond O’Neill, Mirko Petrović, Stefan Bachmann, Romke van Balen, Leonoor van Dam van Isselt, Frances Dockery, Marije S. Holstege, Francesco Landi, Laura Mónica Pérez, Esther Roquer, Martin Smalbrugge, Wilco P. Achterberg
Abstract
PURPOSE: To describe a guidance on the management of post-acute COVID 19 patients in geriatric rehabilitation. METHODS: The guidance is based on guidelines for post-acute COVID-19 geriatric rehabilitation developed in the Netherlands, updated with recent insights from literature, related guidance from other countries and disciplines, and combined with experiences from experts in countries participating in the Geriatric Rehabilitation Special Interest Group of the European Geriatric Medicine Society. RESULTS: This guidance for post-acute COVID-19 rehabilitation is divided into a section addressing general recommendations for geriatric rehabilitation and a section addressing specific processes and procedures. The Sect. "General recommendations for geriatric rehabilitation" addresses: (1) general requirements for post-acute COVID-19 rehabilitation and (2) critical aspects for quality assurance during COVID-19 pandemic. The Sect. "Specific processes and procedures", addresses the following topics: (1) patient selection; (2) admission; (3) treatment; (4) discharge; and (5) follow-up and monitoring. CONCLUSION: Providing tailored geriatric rehabilitation treatment to post-acute COVID-19 patients is a challenge for which the guidance is designed to provide support. There is a strong need for additional evidence on COVID-19 geriatric rehabilitation including developing an understanding of risk profiles of older patients living with frailty to develop individualised treatment regimes. The present guidance will be regularly updated based on additional evidence from practice and research.