Rehabilitation Needs of Long COVID Patients in British Columbia

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Introduction: COVID-19 causes persistent symptoms that impair daily functioning, highlighting the need for targeted rehabilitation. Aim: Estimate the rehabilitation needs of Long COVID patients in British Columbia (BC) to inform care planning. Methods: A retrospective, cross-sectional study reviewed data from patients’ first post-COVID clinic visit. Long COVID was defined as symptoms >3 months, with clinic visits <6 months post-infection. Rehabilitation needs were based on predefined thresholds (Wong AW et al. Eur Respir J 2020). Results: Long COVID patients were mostly women (65%), white (57%), aged 49±14. Two-thirds were hospitalized. Visits occurred 136±34 days post-infection. At 3-6 months, 40% had muscle/joint aches, 52% muscle weakness, and 62% fatigue. Overall, 98% exceeded at least one rehab threshold. Based on the UCSD Shortness of Breath Questionnaire, 83% exceeded the rehab threshold. 65% reported activity restrictions due to poor health. Reductions ≥25% in 6 min walk distance and ≥50% in the sit-to-stand test were seen in 26% and 55%, respectively. Quality of life was significantly impaired for 80%. About one-third exceeded the Frailty Index threshold and 78% on the Fatigue Severity Scale. Depression, anxiety, and PTSD were observed in 36%, 42%, and 58%, respectively. Types of rehab are shown below. erj;66/suppl_69/PA5971/F1 F1 F1 Conclusion: Most Long COVID patients in BC need rehabilitation, particularly pulmonary and mental health support, 3-6 months post-infection.

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