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Öğe Applying the WHO ICF framework to long COVID patients with persistent respiratory symptoms(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2023) Koseoglu, Belma Fusun; Tur, Birkan Sonel; Gokkaya, Niluefer Kutay Ordu; Gokmen, Ismail Gunes; Kesiktas, Fatma Nur; Kaya, Basak Bilir; Onal, RefiyeObjectives: The aim of this study was to evaluate long COVID patients with persistent respiratory symptoms through the application of the World Health Organization (WHO) International Classification of Functioning, Disability and Health (ICF) framework.Patients and methods: This national, prospective, multicenter, cross-sectional study was conducted with 213 patients (118 females, 95 males; median age 56 years; range, 20 to 85 years) with long COVID between February 2022 and November 2022. The ICF data were primarily collected through patient interviews and from the acute medical management records, physical examination findings, rehabilitation outcomes, and laboratory test results. Each parameter was linked to the Component Body Functions (CBF), the Component Body Structures (CBS), the Component Activities and Participation (CAP), the Component Environmental Factors (CEF), and Personal Factors according to the ICF linking rules. Analysis was made of the frequency of the problems encountered at each level of ICF category and by what percentage of the patient sample.Results: In the ICF, 21 categories for CBF, 1 category for CBS, and 18 categories of CAP were reported as a significant problem in a Turkish population of long COVID patients with persistent respiratory symptoms. Furthermore, eight categories for CEF were described as a facilitator, and four as a barrier.Conclusion: These results can be of guidance and provide insight into the identification of health and health-related conditions of long COVID patients with persistent respiratory symptoms beyond the pathophysiological aspects, organ involvement, and damage of COVID-19. The ICF can be used in patients with long COVID to describe the types and magnitude of impairments, restrictions, special needs, and complications.Öğe COVID-19, cardiac involvement and cardiac rehabilitation: Insights from a rehabilitation perspective - State of the Art(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2022) Tur, Birkan Sonel; Koseoglu, Belma Fusun; Gokkaya, Nilufer Kutay Ordu; Aytur, Yesim Kurtais; Taskiran, Ozden Ozyemisci; Kabayel, Derya Demirbag; Kesiktas, NurSince the beginning of the pandemic, many novel coronavirus disease 2019 (COVID-19) patients have experienced multisystem involvement or become critically ill and treated in intensive care units, and even died. Among these systemic effects, cardiac involvement may have very important consequences for the patient's prognosis and later life. Patients with COVID-19 may develop cardiac complications such as heart failure, myocarditis, pericarditis, vasculitis, acute coronary syndrome, and cardiac arrhythmias or trigger an accompanying cardiac disease. The ratio of COVID-19 cardiac involvement ranges between 7 and 28% in hospitalized patients with worse outcomes, longer stay in the intensive care unit, and a higher risk of death. Furthermore, deconditioning due to immobility and muscle involvement can be seen in post-COVID-19 patients and significant physical, cognitive and psychosocial impairments may be observed in some cases. Considering that the definition of health is a state of complete physical, mental and social well-being, individuals with heart involvement due to COVID-19 should be rehabilitated by evaluating all these aspects of the disease effect. In the light of the rehabilitation perspective and given the increasing number of patients with cardiac manifestations of COVID-19, in this review, we discuss the rehabilitation principles in this group of patients.Öğe Does fear of activity predict exercise capacity in patients with coronary artery disease in both sexes? A cross-sectional multicenter study(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2024) Demirsoy, Nesrin; Taskiran, Ozden Ozyemisci; Atan, Tugba; Durmus, Dilek; Tur, Birkan Sonel; Findikoglu, Gulin; Guzel, RenginObjectives: This study aimed to identify whether fear of activity predicts exercise capacity in patients with coronary artery disease (CAD) and whether there is a difference between sexes regarding this relationship. Patients and methods: One hundred ninety-seven patients (145 males, 52 females; mean age: 56.3 +/- 10.8 years; range, 22 to 80 years) with a diagnosis of CAD or cardiac event in the previous one to 60 months were enrolled in this cross-sectional multicenter study between November 2015 and February 2017. Demographic and clinical features were recorded. Fear of activity was assessed by the fear of activity scale in patients with CAD (FactCAD). A 6 -min walk test was used to assess exercise capacity. Results: Female participants were older, less educated, and less employed (p=0.045, p=0.048, and p<0.001, respectively) than males. Prevalence of myocardial infarction was higher in males. Comorbidities were higher in females. Multiple linear regression predicted 6 -min walk distance (6MWD) based on FactCAD, sex, and education level with an r -squared of 0.321 (p<0.001). Fear of activity had an effect on walking distance in males (each additional score of FactCAD predicts a decrease of 1.3 m in 6MWD), together with disease duration, presence of chronic pulmonary disease, and low back pain, whereas fear of activity was not a predicting factor on walking distance in females. Age, education, and presence of angina predicted 6MWD in females. Conclusion: This study emphasizes that fear of activity is one of the predictors of 6MWD in males with CAD, and its assessment is recommended as a possible barrier to rehabilitation.Öğe Pulmonary rehabilitation principles in SARS-COV-2 infection (COVID-19): The revised guideline for the acute, subacute, and post-COVID-19 rehabilitation(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2021) Aytur, Yesim Kurtais; Koseoglu, Belma Fusun; Taskiran, Ozden Ozyemisci; Ordu-Gokkaya, Nilufer Kutay; Delialioglu, Sibel Unsal; Tur, Birkan Sonel; Sarikaya, SeldaCoronavirus disease 2019 (COVID-19) is a contagious infection disease, which may cause respiratory, physical, psychological, and generalized systemic dysfunction. The severity of disease ranges from an asymptomatic infection or mild illness to mild or severe pneumonia with respiratory failure and/or death. COVID-19 dramatically affects the pulmonary system. This clinical practice guideline includes pulmonary rehabilitation (PR) recommendations for adult COVID-19 patients and has been developed in the light of the guidelines on the diagnosis and treatment of COVID-19 provided by the World Health Organization and Republic of Turkey, Ministry of Health, recently published scientific literature, and PR recommendations for COVID-19 regarding basic principles of PR. This national guideline provides suggestions regarding the PR methods during the clinical stages of COVID-19 and post-COVID-19 with its possible benefits, contraindications, and disadvantages.Öğe SARS-CoV-2 (COVID-19) Sonrası Pulmoner Rehabilitasyon Prensipleri: Akut ve Subakut Sürecin Yönetimi İçin Rehber(2020) Tur, Birkan Sonel; Genç, Aysun; Delialioğlu, Sibel Ünsal; Köseoğlu, Belma; Ayhan, Fikriye Figen; Sarıkaya, Selda; Aytür, Yeşim KurtaişCoronavirus Hastalığı 2019 (COVID-19) solunumsal, fiziksel, psikolojikve yaygın sistemik işlev bozukluğuna yol açabilen bulaşıcı bir hastalıktır. Hastalığınciddiyeti asemptomatik enfeksiyondan, hafif hastalık, pnömoni, ciddi pnömoni,akut solunum sıkıntısı sendromu, solunum yetmezliği ve ölüme kadardeğişebilmektedir. COVID-19 solunum sistemi önemli şekilde etkilenmektedir.Hastalığın uzun dönem sonuçları ve muhtemel sekellerine ilişkin yeterli bilgi olmadığıgibi, rehabilitasyonu konusunda da henüz kanıt yoktur. Bu klinik uygulamarehberi erişkin COVID-19 hastaları için pulmoner rehabilitasyon önerileriiçermektedir ve Dünya Sağlık Örgütü ile T.C. Sağlık Bakanlığı Halk SağlığıGenel Müdürlüğü tarafından hazırlanan COVID-19 tanı ve tedavi rehberleri,yakın zamanlı bilimsel yayınlar, uzman görüşü olarak yayınlanan COVID-19 içinpulmoner rehabilitasyon önerileri ışığında ve pulmoner rehabilitasyonun temelprensipleri doğrultusunda hazırlanmıştır Bu öneriler geliştirilirken, COVID-19’unbulaşıcılığı, sınırlı sayıda personelin hasta ile teması ilkeleri ile pulmoner rehabilitasyonunsağlayacağı yararların düzeyi göz önünde bulundurulmuştur.
