Functional Outcomes in COVID-19 Survivors and Use of a Digital Platform for Rehabilitation
Condition: COVID-19; Coronavirus Infections; Exercise Therapy
MeSH terms: COVID-19; Coronavirus Infections
Study type: Interventional

Summary: 
      COVID-19, an acute respiratory disease caused by coronavirus-2 (SARS-CoV-2), and in most
      cases, causes mild to moderate symptoms of fever, cough and dyspnea. However, a not
      insignificant portion, given the total number of people affected, will present symptoms of
      severe acute respiratory failure and multiple organ failure, requiring hospitalization under
      intensive care, use of mechanical ventilation, prolonged period of immobilization and,
      consequently, physical, cognitive and psychological damage, which may affect survivors for a
      long period after hospitalization. All of these factors are known to have an impact on
      various areas of life: personal, social and economic, which makes the need for continued
      specific care after hospital discharge relevant. In this context, the role of rehabilitation
      programs is fundamental, aiming not only at a safer dehospitalization, but also at the
      continuity of care with the objective of restoring the biopsychosocial skills of these
      individuals, allowing functional independence for activities of daily life and a shorter
      return physical and social activities performed before the disease. However, the big
      challenge for the health system is how to offer this on a large scale. Therefore, knowing the
      clinical and functional profile of these patients at discharge and verifying the viability of
      a digital platform for rehabilitation and monitoring of these patients is the first step to
      allow the creation of a new form of continuity of care and access to affected patients with
      serious diseases such as COVID-19 and other syndromes capable of generate functional
      impairment. Therefore,the investigators objective is to characterize and monitor the
      functional profile and exercise capacity of patients affected by COVID-19 at the hospital
      discharge, as well as to verify the viability and compliance of patients to the use of a
      digital platform for the application of a distance rehabilitation program.
    

Detailed description: 
      The investigators proposal is to characterize and evaluate the impact of the disease on the
      clinical, functional and social aspects in these patients affected by COVID-19 and to propose
      the continuity of specific care after hospital discharge with a physical rehabilitation
      program through a digital platform, remotely for a period of 3 months. The proposed
      hypothesis is that patients convalescing from COVID-19 and undergoing the rehabilitation
      program will have a gain in functional skills and quality of life. The professional team
      involved in this study will be responsible for managing, monitoring and evaluating the
      participating patients and monitoring the performance of the proposed functional exercises.
    

Intervention name(s): Rehabilitation protocol through a digital platform
Intervention type(s): Other
Intervention description(s): During 3 months the patients will participate in a rehabilitation program through a digital platform
Allocation: Non-Randomized
Intervention model: Crossover Assignment
Intervention model description: Men and women affected by COVID-19, over 18 years of age, admitted to HIAE partner hospitals who have been in hospital for more than 10 days or in need of treatment in semi-intensive or intensive care units will be selected. Follow-up will be carried out for 3 months, with remote reevaluations. During this period, the rehabilitation program will be offered for 3 months, through a digital platform.
Masking: Single (Participant)
Primary purpose: Other
Keywords: Telemedicine; exercise therapy; coronavirus infections; stress disorders traumatic; fatigue; quality of life