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The Stanford Hall consensus statement for post-COVID-19 rehabilitation

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journal contribution
posted on 17.06.2020, 13:25 by Rob Barker-Davies, Oliver O'Sullivan, Kahawalage Pumi Prathima Senaratne, Polly Baker, Mark Cranley, Shreshth Dharm-Datta, Henrietta Ellis, Duncan Goodall, Michael Gough, Sarah Lewis, Jonathan Norman, Theodora Papadopoulou, David Roscoe, Daniel Sherwood, Philippa Turner, Tammy Walker, Alan Mistlin, Rhodri Phillip, Alastair M Nicol, Alexander N Bennett, Sardar Bahadur
The highly infectious and pathogenic novel coronavirus (CoV), severe acute respiratory syndrome (SARS)-CoV-2, has emerged causing a global pandemic. Although COVID-19 predominantly affects the respiratory system, evidence indicates a multisystem disease which is frequently severe and often results in death. Long-term sequelae of COVID-19 are unknown, but evidence from previous CoV outbreaks demonstrates impaired pulmonary and physical function, reduced quality of life and emotional distress. Many COVID-19 survivors who require critical care may develop psychological, physical and cognitive impairments. There is a clear need for guidance on the rehabilitation of COVID-19 survivors. This consensus statement was developed by an expert panel in the fields of rehabilitation, sport and exercise medicine (SEM), rheumatology, psychiatry, general practice, psychology and specialist pain, working at the Defence Medical Rehabilitation Centre, Stanford Hall, UK. Seven teams appraised evidence for the following domains relating to COVID-19 rehabilitation requirements: pulmonary, cardiac, SEM, psychological, musculoskeletal, neurorehabilitation and general medical. A chair combined recommendations generated within teams. A writing committee prepared the consensus statement in accordance with the appraisal of guidelines research and evaluation criteria, grading all recommendations with levels of evidence. Authors scored their level of agreement with each recommendation on a scale of 0–10. Substantial agreement (range 7.5–10) was reached for 36 recommendations following a chaired agreement meeting that was attended by all authors. This consensus statement provides an overarching framework assimilating evidence and likely requirements of multidisciplinary rehabilitation post COVID-19 illness, for a target population of active individuals, including military personnel and athletes.

History

School

  • Sport, Exercise and Health Sciences

Published in

British Journal of Sports Medicine

Volume

54

Issue

16

Pages

949 - 959

Publisher

BMJ

Version

VoR (Version of Record)

Rights holder

© The authors

Publisher statement

This article is made freely available for use in accordance with BMJ's website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.

Acceptance date

05/05/2020

Publication date

2020-05-31

Copyright date

2020

ISSN

0306-3674

eISSN

1473-0480

Language

en

Depositor

Dr Rob Barker-Davies . Deposit date: 17 June 2020

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