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Year : 2021  |  Volume : 4  |  Issue : 4  |  Page : 174-183

Developing clinfit COVID-19: An initiative to scale up rehabilitation for COVID-19 patients and survivors across the care continuum

1 ICF Research Branch; Swiss Paraplegic Research, Nottwil, Switzerland
2 ICF Research Branch; Swiss Paraplegic Research, Nottwil; Department of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland
3 Department of Rehabilitation Medicine, First Affiliated Hospital of Nanjing Medical University; Jiangsu Geriatric Rehabilitation Hospital, Nanjing, People's Republic of China
4 Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Aichi, Japan
5 Jiangsu Geriatric Rehabilitation Hospital, Nanjing, People's Republic of China; University of Hong Kong, Hong Kong, SAR, China
6 Department of Mental and Physical Health and Preventive Medicine, University of Campania “Luigi Vanvitelli”, Napoli, Italy

Correspondence Address:
Melissa Selb
ICF Research Branch Coordinator, Swiss Paraplegic Research, Guido-Zäch-Strasse 4, Nottwil
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/JISPRM-000128

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Introduction: Health systems worldwide are challenged to address the health-care needs of persons with COVID-19. After the immediate need to mitigate the spread of COVID-19 and scale up relevant health-care capacities, one major challenge has emerged – scaling up rehabilitation to address the functioning limitations experienced by COVID-19 patients/survivors. To meet this challenge, the International Society of Physical and Rehabilitation Medicine (ISPRM) endeavors to develop a tool for the assessment and reporting of functioning of COVID-19 patients/survivors – “ClinFIT COVID- 19” to assist health professionals to optimally address patients' health-care needs. The first step in the development process is identifying the International Classification of Functioning, Disability, and Health (ICF) categories that ClinFIT COVID-19 should cover for acute, postacute, and long-term settings. Methods: The multistep process to develop the ClinFIT COVID-19 category list involved the development of a proposed list of ICF categories, a survey of ISPRM members worldwide about the proposed category list, and a postsurvey consultation with the ISPRM ClinFIT Task Force. Results: The final category list for the acute care context contains the seven categories provided to the survey participants (energy/drive functions, sleep, emotional functions, pain, exercise tolerance functions, carrying out daily routine, and walking) plus six categories related to respiration, mobility, and cognition. The postacute and long-term care versions also contain the seven categories plus additional categories relevant for the specific context. The postacute version contains 15 categories and the long-term 16 categories. Conclusions: To advance the next steps, the leaders of ISPRM and the Task Force call national and international societies of rehabilitation professionals to join this coordinated effort.

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