Adoption and Awareness of Long-COVID Clinical Practice Guidelines Among Physical Therapists: A Nationwide Survey

Background and Purpose Approximately 15% of individuals infected with SARS-CoV-2 develop “Long-COVID” with persistent physical, cognitive, and/or mental symptoms potentially amendable to physical therapy. Variability exists in the rehabilitation approach for individuals receiving physical therapy for this novel condition. Clinical practice guidelines (CPGs) and other evidence-based resources exist to help standardized rehabilitation; however, it is unknown if physical therapists (PTs) are applying them in the management of individuals with Long-COVID. We surveyed PTs in the contiguous United States (U.S.) to explore their awareness and application of Long-COVID CPGs along with their general awareness of this condition.https://jdc.jefferson.edu/ptposters/1002/thumbnail.jp

Post COVID-19 Condition: Understanding Implications for OT Practice

Learning Objectives Define and describe Post COVID-19 Condition (PCC) Apply recommended treatment interventions for individuals with PCC Understand models of care for individuals with PC

Addressing Frailty in Heart Failure: Essential Tools & Strategies for Occupational Therapists

Learning Objectives Understand and describe the concept of frailty and its impact on occupational performance for patients with heart failure (HF). Identify comprehensive assessments that encompass physical, cognitive, and psychosocial domains to provide a holistic assessment of frailty

Does Race, Ethnicity, and Insurance Status Predict Functional Outcomes in Hospitalized COVID-19 Patients?

Objectives Understand factors associated with functional improvements in patients hospitalized with COVID-19 Describe the prevalence of functional disability in a cohort of hospitalized patients diagnosed with COVID-1

Optimizing Long COVID Outcomes: Insights from a Survey of U.S. Occupational Therapists

Background & Purpose Upwards of 15% of individuals infected with SARS-CoV-2 may develop “Long COVID” with persistent physical, cognitive, and/or mental symptoms potentially amendable to occupational therapy. Variability exists in the rehabilitation approach for individuals receiving occupational therapy for this novel condition. Clinical practice guidelines (CPGs) and other evidence-based resources exist to help standardized rehabilitation; however, it is unknown if occupational therapists (OTs) are aware of these resources and applying them in the management of individuals with Long COVID. We surveyed OTs in the contiguous United States (U.S.) to explore their awareness and application of Long COVID CPGs along with their general awareness of this condition

Frailty Assessment in Prospective LVAD Candidates: An International Survey

Introduction The concept of frailty, initially developed in geriatrics, has recently been applied to individuals with heart failure (HF) and is recognized as an essential measure for prognostication of health status and predicting health outcomes Frailty remains highly prevalent, ranging between 56-79% in those undergoing left ventricular assist device (LVAD) evaluation1 and is associated with poor postoperative outcomes.2 Since little is known about frailty assessment and instruments used, this study aimed to evaluate institutional assessment processes of frailty during evaluation and the implications of frailty in LVAD eligibility

Five Functional Classes Identified Among Patients Hospitalized for Pneumonia Characterized by Activity Limitations With Mobility and Self-Care Tasks

Objective: Latent class analysis was used to identify functional classes among patients hospitalized for pneumonia. Then, we determined predictors of class membership and examined variation in distal outcomes among the functional classes. Design: An observational, cross-sectional study design was used with retrospectively collected data between 2014 and 2018. Setting: The study setting was a single health system including 5 acute care hospitals. Participants: A total of 969 individuals hospitalized with the primary diagnosis of pneumonia and receipt of an occupational and/or physical therapy evaluation were included in the study. Interventions: Not applicable. Main Outcomes: The following 5 distal outcomes were examined: (1) occupational therapy treatment use, (2) physical therapy treatment use, (3) discharge to home with no services, (4) discharge to home with home health, and (5) institutional discharge. Results: Five functional classes were identified and labeled as follows: Globally impaired, Independent with low-level self-care, Independent low-level mobility, Independent self-care, and Independent. Probability of occupational therapy treatment use (χ2[4]=50.26, P<.001) and physical therapy treatment use (χ2[4]=50.86, P<.001) varied significantly across classes. The Independent with low-level self-care class had the greatest probability of occupational therapy treatment use and physical therapy treatment use. Probability of discharging to home without services (yes/no; χ2[4]=88.861, P<.001), home with home health (yes/no; χ2[4]=15.895, P=.003), and an institution (yes/no; χ2[4]=102.013, P<.001) varied significantly across the 5 classes. The Independent class had the greatest probability of discharging to home without services. Conclusions: Five functional classes were identified among individuals hospitalized for pneumonia. Functional classes could be used by the multidisciplinary team in the hospital as a framework to organize the heterogeneity of functional deficits after pneumonia, improve efficiency of care processes, and help deliver targeted rehabilitation treatment