Descriptive retrospective cross-sectional study of rehabilitation care for poststroke users in Québec during the COVID-19 pandemic
Objectives During the COVID-19 pandemic, designated rehabilitation centres were established in the province of Québec, where strict sociosanitary measures such as isolation and mandatory personal protection equipment requirements were followed. This study aimed to describe the impact of the pandemic...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2025-01-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/15/1/e082602.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832575658296868864 |
|---|---|
| author | Palak Vakil Perrine Ferré Johanne Higgins Louis-David Beaulieu Marie-Helene Milot Marie-Hélène Boudrias |
| author_facet | Palak Vakil Perrine Ferré Johanne Higgins Louis-David Beaulieu Marie-Helene Milot Marie-Hélène Boudrias |
| author_sort | Palak Vakil |
| collection | DOAJ |
| description | Objectives During the COVID-19 pandemic, designated rehabilitation centres were established in the province of Québec, where strict sociosanitary measures such as isolation and mandatory personal protection equipment requirements were followed. This study aimed to describe the impact of the pandemic on rehabilitation care indicators for poststroke users with (COV+) and without (COV−) COVID-19 infection in designated rehabilitation centres compared with those admitted in the previous year (pre-COV).Method A retrospective analysis of 292 medical files was performed in 3 rehabilitation centres. Demographic characteristics were collected, as well as indicators routinely collected in acute care and rehabilitation such as length of stay (LOS), the Functional Independence Measure and a number of physical/occupational therapy (PT/OT) sessions. Non-parametric statistical tests were used to compare variables among the three groups.Results COV+ users were older than COV− and pre-COV ones (p<0.01) and were more disabled on admission to a rehabilitation centre (p<0.01). They also exhibited longer LOS in acute care prior to rehabilitation (p<0.001) and were more often rehospitalised (p<0.002) during the course of their stay in the rehabilitation centre. Despite longer rehabilitation stays (p<0.001) and more PT/OT sessions, COV+ users remained more disabled at discharge (p<0.002). COV− users showed rehabilitation care indicators resembling the ones of pre-COV despite spending less time in rehabilitation.Conclusions Patients who had a stroke infected with COVID-19 exhibited greater vulnerability on admission to rehabilitation. They required more care and services during their rehabilitation period. However, this additional support did not enable them to achieve the same level of recovery as COV− and pre-COV users. This underscores the added impact of the disease on already impaired patients and highlights the specific needs of COV+ users undergoing rehabilitation. |
| format | Article |
| id | doaj-art-66dfa39417c64a6cb80cc4b2c0d6506c |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-66dfa39417c64a6cb80cc4b2c0d6506c2025-01-31T19:20:10ZengBMJ Publishing GroupBMJ Open2044-60552025-01-0115110.1136/bmjopen-2023-082602Descriptive retrospective cross-sectional study of rehabilitation care for poststroke users in Québec during the COVID-19 pandemicPalak Vakil0Perrine Ferré1Johanne Higgins2Louis-David Beaulieu3Marie-Helene Milot4Marie-Hélène Boudrias51 School of Physical and Occupational Therapy, McGill University Faculty of Medicine and Health Sciences, Montréal, Québec, Canada1 School of Physical and Occupational Therapy, McGill University Faculty of Medicine and Health Sciences, Montréal, Québec, Canada2 Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montréal, Québec, Canada5 Université du Québec à Chicoutimi, Chicoutimi, Québec, Canada7 Universite de Sherbrooke, Sherbrooke, Québec, Canada1 School of Physical and Occupational Therapy, McGill University Faculty of Medicine and Health Sciences, Montréal, Québec, CanadaObjectives During the COVID-19 pandemic, designated rehabilitation centres were established in the province of Québec, where strict sociosanitary measures such as isolation and mandatory personal protection equipment requirements were followed. This study aimed to describe the impact of the pandemic on rehabilitation care indicators for poststroke users with (COV+) and without (COV−) COVID-19 infection in designated rehabilitation centres compared with those admitted in the previous year (pre-COV).Method A retrospective analysis of 292 medical files was performed in 3 rehabilitation centres. Demographic characteristics were collected, as well as indicators routinely collected in acute care and rehabilitation such as length of stay (LOS), the Functional Independence Measure and a number of physical/occupational therapy (PT/OT) sessions. Non-parametric statistical tests were used to compare variables among the three groups.Results COV+ users were older than COV− and pre-COV ones (p<0.01) and were more disabled on admission to a rehabilitation centre (p<0.01). They also exhibited longer LOS in acute care prior to rehabilitation (p<0.001) and were more often rehospitalised (p<0.002) during the course of their stay in the rehabilitation centre. Despite longer rehabilitation stays (p<0.001) and more PT/OT sessions, COV+ users remained more disabled at discharge (p<0.002). COV− users showed rehabilitation care indicators resembling the ones of pre-COV despite spending less time in rehabilitation.Conclusions Patients who had a stroke infected with COVID-19 exhibited greater vulnerability on admission to rehabilitation. They required more care and services during their rehabilitation period. However, this additional support did not enable them to achieve the same level of recovery as COV− and pre-COV users. This underscores the added impact of the disease on already impaired patients and highlights the specific needs of COV+ users undergoing rehabilitation.https://bmjopen.bmj.com/content/15/1/e082602.full |
| spellingShingle | Palak Vakil Perrine Ferré Johanne Higgins Louis-David Beaulieu Marie-Helene Milot Marie-Hélène Boudrias Descriptive retrospective cross-sectional study of rehabilitation care for poststroke users in Québec during the COVID-19 pandemic BMJ Open |
| title | Descriptive retrospective cross-sectional study of rehabilitation care for poststroke users in Québec during the COVID-19 pandemic |
| title_full | Descriptive retrospective cross-sectional study of rehabilitation care for poststroke users in Québec during the COVID-19 pandemic |
| title_fullStr | Descriptive retrospective cross-sectional study of rehabilitation care for poststroke users in Québec during the COVID-19 pandemic |
| title_full_unstemmed | Descriptive retrospective cross-sectional study of rehabilitation care for poststroke users in Québec during the COVID-19 pandemic |
| title_short | Descriptive retrospective cross-sectional study of rehabilitation care for poststroke users in Québec during the COVID-19 pandemic |
| title_sort | descriptive retrospective cross sectional study of rehabilitation care for poststroke users in quebec during the covid 19 pandemic |
| url | https://bmjopen.bmj.com/content/15/1/e082602.full |
| work_keys_str_mv | AT palakvakil descriptiveretrospectivecrosssectionalstudyofrehabilitationcareforpoststrokeusersinquebecduringthecovid19pandemic AT perrineferre descriptiveretrospectivecrosssectionalstudyofrehabilitationcareforpoststrokeusersinquebecduringthecovid19pandemic AT johannehiggins descriptiveretrospectivecrosssectionalstudyofrehabilitationcareforpoststrokeusersinquebecduringthecovid19pandemic AT louisdavidbeaulieu descriptiveretrospectivecrosssectionalstudyofrehabilitationcareforpoststrokeusersinquebecduringthecovid19pandemic AT mariehelenemilot descriptiveretrospectivecrosssectionalstudyofrehabilitationcareforpoststrokeusersinquebecduringthecovid19pandemic AT marieheleneboudrias descriptiveretrospectivecrosssectionalstudyofrehabilitationcareforpoststrokeusersinquebecduringthecovid19pandemic |