REHABILITATION OF COVID-19 PATIENTS WITH ACUTE LOWER EXTREMITY ISCHAEMIA AND AMPUTATION

被引：11

作者：

Brugliera, Luigia ^{[1
]}

Spina, Alfio ^{[2
]}

Castellazzi, Paola ^{[1
]}

Cimino, Paolo

Arcuri, Pietro ^{[6
]}

Deriu, Maria Grazia ^{[1
]}

Zanetta, Chiara ^{[3
]}

Angelone, Sara Monica ^{[4
]}

Capitanio, Jody Filippo ^{[2
]}

Alemanno, Federica ^{[1
]}

Meloni, Carlo ^{[1
]}

D'Angelo, Giuseppe ^{[5
]}

Houdayer, Elise ^{[1
]}

Abutalebi, Jubin ^{[1
]}

Mortini, Pietro ^{[2
]}

Iannaccone, Sandro ^{[1
]}

机构：

[1] Univ Vita Salute San Raffaele, IRCCS San Raffaele Sci Inst, Dept Rehabil & Funct Recovery, Via Olgettina 60, IT-20132 Milan, Italy

[2] Univ Vita Salute San Raffaele, IRCCS San Raffaele Sci Inst, Dept Neurosurg & Gamma Knife Radiosurg, Milan, Italy

[3] Univ Vita Salute San Raffaele, IRCCS San Raffaele Sci Inst, Neurol Unit, Milan, Italy

[4] Univ Vita Salute San Raffaele, IRCCS San Raffaele Sci Inst, Clin Psychol & Psychotherapy Unit, Milan, Italy

[5] Univ Vita Salute San Raffaele, IRCCS San Raffaele Sci Inst, Dept Cardiac Elect & Arrhythmol, Milan, Italy

[6] Univ Milan, Postgrad Specializat Phys & Rehabil Med, Milan, Italy

来源：

JOURNAL OF REHABILITATION MEDICINE | 2020年 / 52卷 / 09期

关键词：

COVID-19; SARS-CoV-2; amputation; coagulopathy; rehabilitation; ischaemia;

D O I：

10.2340/16501977-2714

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

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 SARS-CoV-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.

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