REHABILITATION OF POST-COVID-19 SYNDROME

The expert agreement discusses issues of comprehensive medical rehabilitation of patients with post-Covid syndrome. Coronavirus disease 2019 (COVID-19) is a contagious infectious disease that can cause respiratory, cardiac, motor, metabolic, neurocognitive and mental disorders, i.e. multiple organ dysfunction. Survivors of COVID-19, especially severe cases, face significant psychological and physical challenges, post-traumatic stress, cognitive dysfunction, nutritional deficiencies, and exacerbation of underlying chronic diseases. Some patients, regardless of the severity of the coronavirus infection, experience a prolonged course of the disease (“chronic COVID”, “long COVID”). Data have emerged on the development of “post-COVID-19 syndrome.” In this regard, patients who have had COVID-19 will need rehabilitation measures. The Consensus of Experts of Russian Communities presents general principles, stages and aspects of medical rehabilitation after COVID-19, indications and contraindications for rehabilitation interventions. The consensus document includes recommendations for comprehensive cardiac and respiratory rehabilitation, as well as features of rehabilitation care for different variants of the clinical course of COVID-19 within the framework of the national three-stage medical rehabilitation system.