key: cord-0973051-ipmpck6z authors: Zana, Sara; Vecchiato, Chiara; Dussin, Martina; Ranieri, Marika; Veronese, Nicola title: MULTI-COMPONENT REHABILITATION AFTER COVID-19 FOR NURSING HOME RESIDENTS date: 2021-05-07 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2021.05.001 sha: 0f4c78f5d361ae6f74ca7f248936bee80af65be4 doc_id: 973051 cord_uid: ipmpck6z nan outbreak as global pandemic. Nursing homes were particularly struck by the COVID-19 outbreak, 3 with some authors considering the COVID-19 pandemic as the "ground zero" for these structures. 1 4 Increasing literature has shown that the consequences of COVID-19 in older people may include 5 malnutrition, sarcopenia, bedridden syndrome, and finally mortality. 2 Nutritional suggestions are 6 therefore important in older people previously affected by The use of oral nutritional 7 supplements (ONS) in patients with or recovering from COVID-19, particularly if sarcopenia is 8 present, is also suggested. 4 In the case of acute sarcopenia after COVID-19, ONS shall provide at 9 least 400 kcal/day including 30 g or more of protein/day and shall be continued for at least one 10 month. 5 Even if COVID-19 is a common condition in nursing home, studies reporting data on the 11 effect of nutritional supplementation in the residents previously affected by COVID-19 are still not 12 present. Therefore, the aim of this study is to report our experience in nursing home residents 13 previously affected by COVID-19, using a nutritional supplementation program together with 14 rehabilitative indications. This research was made in xxx, a nursing home located in xxx, including residents previously 17 affected by COVID-19. The study was performed between November 2020 and January 2021, 18 within three days from the negativity of the naso-pharingeal swab. The follow-up period was 30 other tasks such as work for the reacquisition of the upright position with therapeutic 26 verticalizations, pace training and re-acquisition of therapeutic gait in a protected environment in 27 the gym and subsequently recovery, for those who were able, of a functional gait with aid, 28 assistance and / or supervision within the nucleus. This program was given at least three times 29 weekly in all residents involved in the study. A multi-component nutritional supplementation with a 220 ml drink containing 1.5 g of calcium 31 HMB (Beta-Hydroxy-Beta-Methylbutyrate) and 500 IU of vitamin D3, was administered once daily. Disability presence was assessed using the Barthel Index and its two main domains, i.e., Barthel 33 activities of daily living and mobility. 6 The risk of pressure scores was assessed using the Exton- Smith scale. 7 The differences between baseline and 30-days evaluation were calculated using a 35 pairwise Student T-test. A p<0.05 was deemed statistically significant. Analyses were performed 36 using SPSS software, 21.0 version. Overall, as shown in Table 1 , 28 nursing home residents (mean age: 87.8±7.3 years, 85.7% females) Notes: the data are reported as absolute numbers with their standard deviations. Nursing homes or besieged castles: COVID-19 in northern Italy. The Lancet 72 Psychiatry Long-term consequences of COVID-19: research needs. The 74 Lancet Infectious Diseases Critical Care Specialist Group (CCSG) of the BDA 76 Guidance on management of nutrition and dietetic services during the COVID-19 pandemic A Review of Nutrition Support Guidelines 79 for Individuals with or Recovering from COVID-19 in the Community ESPEN expert statements and practical guidance for 81 nutritional management of individuals with SARS-CoV-2 infection Functional evaluation: the Barthel Index: a simple index of independence 83 useful in scoring improvement in the rehabilitation of the chronically ill. Maryland state medical 84 journal Monthly Bulletin of the Ministry of Health and the Public Health Laboratory Service COVID-19: Short and Long-Term Effects of Hospitalization on 88 Muscular Weakness in the Elderly The Stanford Hall consensus statement for 91 post-COVID-19 rehabilitation Patients in Post-Acute Care with Therapeutic Exercise