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COVID-19 and hospital restrictions: physical disconnection and digital re-connection in disorders of consciousness
Brain Injury ( IF 1.9 ) Pub Date : 2021-09-08 , DOI: 10.1080/02699052.2021.1972335
Luca Padua 1, 2 , Giulia Fredda 3 , Daniele Coraci 4 , Giuseppe Reale 2, 5 , Davide Glorioso 1, 2 , Claudia Loreti 6 , Cristiano Pecchioli 7 , Roberto Bernabei 1, 6
Affiliation  

ABSTRACT

Purpose: The coronavirus disease 2019 (COVID-19) pandemic forced hospitals to adopt tighter restrictions, the most impacting is no access to visitors. Disorder of consciousness (DOC) due to severe acquired brain injury is a condition needing neurorehabilitation and the role of relatives is essential, hence besides physical “disconnection” digital “re-connection” is crucial. We aimed to assess whether digital communication benefits in patients with DOC, considering the sensorial and emotional deprivation due to the COVID-19 emergency lock-down.

Methods: For eleven consecutive patients with DOC admitted to our Intensive Neurorehabilitation Care (mean age: 45; females: 9), two observers registered neurobehavioral changes during a video-calls with their relatives. Heart-rate variability was measured before and during the calls. The video-call was performed by using two displays of different sizes: tablet (T-video-call) and large screen (LS-Video-call).

Results: The video-calls impacted on the patients’ vigilance and in the relationship with relatives. Moreover, positively impacted on their relatives. The current results showed significant greater impact on patients during the LS-video-call than when they are exposed to T-video-call.

Conclusions: During the COVID-19 pandemic, besides the physical disconnection to stop the contagion spread, a “digital re-connection” is needed for all and especially for fragile population groups as patients with DOC.



中文翻译:

COVID-19 和医院限制:意识障碍中的物理断开和数字重新连接

摘要

目的: 2019 年冠状病毒病 (COVID-19) 大流行迫使医院采取更严格的限制措施,影响最大的是无法接待访客。严重获得性脑损伤导致的意识障碍 (DOC) 是一种需要神经康复的疾病,亲属的作用必不可少,因此除了物理“断开”之外,数字“重新连接”也至关重要。考虑到 COVID-19 紧急封锁导致的感官和情感剥夺,我们旨在评估数字通信是否对 DOC 患者有益。

方法:对于连续 11 名接受我们重症神经康复护理的 DOC 患者(平均年龄:45 岁;女性:9 岁),两名观察者在与亲属的视频通话中记录了神经行为的变化。在通话之前和通话期间测量心率变异性。视频通话是通过使用两种不同尺寸的显示器进行的:平板电脑(T-video-call)和大屏幕(LS-​​Video-call)。

结果:视频通话影响了患者的警惕性和与亲属的关系。此外,对他们的亲戚产生了积极的影响。目前的结果表明,在 LS 视频通话期间对患者的影响比在他们接触 T 视频通话时要大得多。

结论:在 COVID-19 大流行期间,除了物理断开连接以阻止传染病传播之外,所有人都需要“数字重新连接”,尤其是作为 DOC 患者的脆弱人群。

更新日期:2021-10-01
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