TY - JOUR
T1 - Stroke Recovery During the COVID-19 Pandemic
T2 - A Position Paper on Recommendations for Rehabilitation
AU - Burns, Suzanne Perea
AU - Fleming, Talya K.
AU - Webb, Sam S.
AU - Kam, Alice Sau Han
AU - Fielder, Jaimee D.P.
AU - Kim, Grace J.
AU - Hu, Xiaolei
AU - Hill, Mary Thelander
AU - Kringle, Emily A.
N1 - Publisher Copyright:
© 2022 American Congress of Rehabilitation Medicine
PY - 2022/9
Y1 - 2022/9
N2 - Health care delivery shifted and adapted with the COVID-19 pandemic caused by the novel severe acute respiratory syndrome coronavirus 2. Stroke care was negatively affected across the care continuum and may lead to poor community living outcomes in those who survived a stroke during the ongoing pandemic. For instance, delays in seeking care, changes in length of stays, and shifts in discharge patterns were observed during the pandemic. Those seeking care were younger and had more severe neurologic effects from stroke. Increased strain was placed on caregivers and public health efforts, and community-wide lockdowns, albeit necessary to reduce the spread of COVID-19, had detrimental effects on treatment and recommendations to support community living outcomes. The American Congress of Rehabilitation Medicine Stroke Interdisciplinary Special Interest Group Health and Wellness Task Force convened to (1) discuss international experiences in stroke care and rehabilitation and (2) review recently published literature on stroke care and outcomes during the pandemic. Based on the findings in the literature, the task force proposes recommendations and interdisciplinary approaches at the (1) institutional and societal level; (2) health care delivery level; and (3) individual and interpersonal level spanning across the care continuum and into the community.
AB - Health care delivery shifted and adapted with the COVID-19 pandemic caused by the novel severe acute respiratory syndrome coronavirus 2. Stroke care was negatively affected across the care continuum and may lead to poor community living outcomes in those who survived a stroke during the ongoing pandemic. For instance, delays in seeking care, changes in length of stays, and shifts in discharge patterns were observed during the pandemic. Those seeking care were younger and had more severe neurologic effects from stroke. Increased strain was placed on caregivers and public health efforts, and community-wide lockdowns, albeit necessary to reduce the spread of COVID-19, had detrimental effects on treatment and recommendations to support community living outcomes. The American Congress of Rehabilitation Medicine Stroke Interdisciplinary Special Interest Group Health and Wellness Task Force convened to (1) discuss international experiences in stroke care and rehabilitation and (2) review recently published literature on stroke care and outcomes during the pandemic. Based on the findings in the literature, the task force proposes recommendations and interdisciplinary approaches at the (1) institutional and societal level; (2) health care delivery level; and (3) individual and interpersonal level spanning across the care continuum and into the community.
KW - COVID-19, Delivery of health care
KW - Rehabilitation
KW - Stroke
KW - Stroke rehabilitation
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UR - http://www.scopus.com/inward/citedby.url?scp=85132818966&partnerID=8YFLogxK
U2 - 10.1016/j.apmr.2022.04.004
DO - 10.1016/j.apmr.2022.04.004
M3 - Comment/debate
C2 - 35533736
AN - SCOPUS:85132818966
SN - 0003-9993
VL - 103
SP - 1874
EP - 1882
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
IS - 9
ER -