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 SARSCoV- 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.

Rehabilitation of covid-19 patients with acute lower extremity ischaemia and amputation / Brugliera, L.; Spina, A.; Castellazzi, P.; Cimino, P.; Arcuri, P.; Deriu, M. G.; Zanetta, C.; Angelone, S. M.; Capitanio, J. F.; Alemanno, F.; Meloni, C.; D'Angelo, G.; Houdayer, E.; Abutalebi, J.; Mortini, P.; Iannaccone, S.. - In: JOURNAL OF REHABILITATION MEDICINE. - ISSN 1651-2081. - 52:9(2020), p. jrm00094. [10.2340/16501977-2714]

Rehabilitation of covid-19 patients with acute lower extremity ischaemia and amputation

ABUTALEBI J.;MORTINI P.;
2020-01-01

Abstract

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 SARSCoV- 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.
2020
Amputation
COVID-19
COVID-19 coagulopathy
Ischaemia
Rehabilitation
SARS-CoV-2
Aged
Amputation
Blood Coagulation Disorders
COVID-19
Coronavirus Infections
Humans
Ischemia
Italy
Lower Extremity
Male
Middle Aged
Pandemics
Pneumonia, Viral
Quality of Life
SARS-CoV-2
Betacoronavirus
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.11768/108412
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