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Stroke Recovery During the COVID-19 Pandemic: A Position Paper on Recommendations for Rehabilitation
Division of Occupational Therapy, University of New Mexico School of Medicine, Albuquerque, NM, USA.ORCID iD: 0000-0003-0409-1088
JFK Johnson Rehabilitation Institute at Hackensack Meridian Health, Edison, NJ, USA.
Department of Experimental Psychology, University of Oxford, Oxford, UK.
Toronto Rehabilitation Institute – University Health Network, Toronto, ON, Canada; Division of Physical Medicine and Rehabilitation, University of Toronto, Toronto, ON, Canada.
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2022 (English)In: Archives of Physical Medicine and Rehabilitation, ISSN 0003-9993, E-ISSN 1532-821X, Vol. 103, no 9, p. 1874-1882Article in journal (Refereed) Published
Abstract [en]

Health care delivery shifted and adapted with the COVID-19 pandemic caused by the novel severe acute respiratory syndrome coronavirus 2. Stroke care was negatively affected across the care continuum and may lead to poor community living outcomes in those who survived a stroke during the ongoing pandemic. For instance, delays in seeking care, changes in length of stays, and shifts in discharge patterns were observed during the pandemic. Those seeking care were younger and had more severe neurologic effects from stroke. Increased strain was placed on caregivers and public health efforts, and community-wide lockdowns, albeit necessary to reduce the spread of COVID-19, had detrimental effects on treatment and recommendations to support community living outcomes. The American Congress of Rehabilitation Medicine Stroke Interdisciplinary Special Interest Group Health and Wellness Task Force convened to (1) discuss international experiences in stroke care and rehabilitation and (2) review recently published literature on stroke care and outcomes during the pandemic. Based on the findings in the literature, the task force proposes recommendations and interdisciplinary approaches at the (1) institutional and societal level; (2) health care delivery level; and (3) individual and interpersonal level spanning across the care continuum and into the community.

Place, publisher, year, edition, pages
Elsevier, 2022. Vol. 103, no 9, p. 1874-1882
Keywords [en]
COVID-19, Delivery of health care, Rehabilitation, Stroke, Stroke rehabilitation
National Category
Nursing Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Rehabilitation Medicine
Identifiers
URN: urn:nbn:se:umu:diva-197278DOI: 10.1016/j.apmr.2022.04.004ISI: 000862840000021PubMedID: 35533736Scopus ID: 2-s2.0-85132818966OAI: oai:DiVA.org:umu-197278DiVA, id: diva2:1676562
Available from: 2022-06-26 Created: 2022-06-26 Last updated: 2022-12-29Bibliographically approved

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Hu, Xiaolei

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