Adão Luis Monte, Jéssika Karla Tavares do Nascimento Faustino da Silva, Max Duarte de Oliveira, Breno Quintella Farah, Hélcio Kanegusuku, Marilia Almeida Correia, Raphael Mendes Ritti-Dias
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引用次数: 0
摘要
目的：描述长冠状病毒患者康复期间的退学率、原因和退学相关因素。设计：在PubMed， Embase和Web of Science中进行搜索。临床试验包括持续至少4周的锻炼计划，重点是18岁或以上的长冠状病毒患者，报告了退学及其原因。TESTEX量表评估研究质量。提取有关患者、干预措施和辍学率的数据，并以频率表示。结果：纳入23项研究，1523例患者（平均年龄53.0±6.4岁，女性占51%）。总体而言，14% （n = 216）的长冠患者退出了研究。原因包括健康问题（23%）、评估不完整（19%）、失去兴趣（16%）、缺乏坚持（7%）、坚持其他干预措施（4%）和31%未报告。2020年的辍学率明显高于2021年（p = 0.039），但辍学率与其他变量之间无显著相关性。结论：长期COVID患者的运动康复研究显示14%的辍学率，最常见的原因是健康相关问题和评估不完整。
Dropouts in Exercise Rehabilitation Program in Patients With Long COVID: A Systematic Review.
Objective: The aim of the study was to describe dropout rates, reasons, and factors associated with dropout during rehabilitation programs for patients with long COVID.
Design: A search was conducted in PubMed, Embase, and Web of Science. Clinical trials were included that involved exercise programs lasting at least 4 weeks and focused on long-COVID patients aged 18 or older of both sexes, reporting on dropouts and their reasons. The TESTEX scale assessed study quality. Data on patients, interventions, and dropout rates were extracted and presented as frequencies.
Results: Twenty-three studies with 1523 patients (mean age 53.0 ± 6.4 yrs, 51% female) were included. Overall, 14% ( n = 216) of long-COVID patients dropped out. Reasons included health problems (23%), incomplete assessments (19%), loss of interest (16%), lack of adherence (7%), adherence to other interventions (4%), and 31% unreported. The dropout rate was significantly higher in 2020 compared to 2021 ( P = 0.039), while no significant associations were observed between the dropout rate and other variables.
Conclusions: Exercise rehabilitation studies for long-COVID patients show a 14% dropout rate, with the most common reasons being health-related issues and incomplete assessments.
期刊介绍：
American Journal of Physical Medicine & Rehabilitation focuses on the practice, research and educational aspects of physical medicine and rehabilitation. Monthly issues keep physiatrists up-to-date on the optimal functional restoration of patients with disabilities, physical treatment of neuromuscular impairments, the development of new rehabilitative technologies, and the use of electrodiagnostic studies. The Journal publishes cutting-edge basic and clinical research, clinical case reports and in-depth topical reviews of interest to rehabilitation professionals.
Topics include prevention, diagnosis, treatment, and rehabilitation of musculoskeletal conditions, brain injury, spinal cord injury, cardiopulmonary disease, trauma, acute and chronic pain, amputation, prosthetics and orthotics, mobility, gait, and pediatrics as well as areas related to education and administration. Other important areas of interest include cancer rehabilitation, aging, and exercise. The Journal has recently published a series of articles on the topic of outcomes research. This well-established journal is the official scholarly publication of the Association of Academic Physiatrists (AAP).
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