• In hospitalized COVID-19 patients, several complications from acute illness have been reported that
are amenable for rehabilitation. Some result from a thrombotic event (such as ischemic stroke and
ischemic heart disease), direct viral toxicity (such as myositis and meningitis), or an immune-mediated
reaction (such as Guillain Barré syndrome). The pooled prevalence estimates from systematic reviews
on neurological manifestations show that up to one third of individuals (145 634, 89% hospitalized)
experienced some type of neurological manifestation, and 1 in 50 developed stroke (40–42). Many of
these lead to impairments including, but not limited to, speech and language problems, swallowing
problems, muscle weakness, reduced exercise capacity, cognitive decline, and mood disorders.
Patients suffering from a critical functional decline will require inpatient multidisciplinary rehabilitation
for a duration of weeks to months, and continued follow-up with outpatient rehabilitation services.
•
Post COVID-19 Condition, with WHO ICD-10 (U09) and ICD-11 (RA02) coding
2
, occurs in individuals
with a history of probable or confirmed SARS-CoV-2 infection, usually three months from the onset of
COVID-19 with symptoms lasting for at least two months, that cannot be explained by an alternative
diagnosis. Common symptoms include fatigue, shortness of breath, cognitive dysfunction among
other, and generally have an impact on everyday functioning. Symptoms may be new-onset following
initial recovery from an acute COVID-19 episode or persist from the initial illness. Symptoms may also
fluctuate or relapse over time (55). The condition may occur irrespective of initial disease severity.
However, the risk may increase across the severity spectrum of the acute infection (non-hospitalized;
2
See: https://www.who.int/standards/classifications/classification-of-diseases/emergency-use-icd-codes-for-covid-19-disease-outbreak.