Effect of physical therapy in Covid 2019 : Saraburi hospital ; retrospective observational study


  • Kunnika Theerawutwarawate Department of Physical Therapy Saraburi Hospital
  • Apirat Junset Department of Physical Therapy Saraburi Hospital


Physical Therapy, coronavirus 2019, COVID-19


Coronavirus disease 2019 (COVID-19) is a new disease that causes of severe acute respiratory syndrome. Physical therapy (PT) has been widely recommendation,treatment and effect of PT are not clear. However, clinical practice guideline depends on each hospitalcontext. This study aimed to assess effect of PT in Covid 2019 and factor associated with them on Covid-19 patient in Saraburi Hospital. A retrospective observational study, including a COVID -19 subjects admitted in hospital from June to December of 2021, search from the hospital database(SSB) andmedical record, total 707 patients. Subjects were separated into two groups :PT(104) and non-PT (106).Result that a length of ventilator was median (Interquartile Range (IQR)) for PT7.00(3.50-9.50)and non-PT 7.00 (3.50 - 10.75)days, a length of oxygen therapy was median(IQR) for PT8.00(5.00-16.00)and non-PT 9.00(6.00-14.00)day,a length of stay in hospital was median(IQR) for PT13.50(8.00-22.00)and non-PT11.00(8.00-16.00)day and total cost was median(IQR) for PT225,572.12 (135,319.12-461,430.31)and non-PT160,284.88 (108,289.44-268,946.44)bath.Discharge summary from distributed by licensed physician for PT80.77 and non-PT73.58% and refer to another hospital for PT 19.23 and non-PT 26.42 %. Multivariate regression analysis offactorsassociatedwith a length of stay in hospital werea length of oxygen therapy, length of stay before got PT and severity of disease,could predicted 72.8% (R2= 0.728). Conclusion: PT in right time and start early could reduce the length of hospitalization stay and other factor is length of oxygen therapy and severity.


Pan American Health Organization.Rehabilitation considerations during the COVID-19 outbreak[Internet]. 2020[cited 2022 Jun 26]; Available from: https://iris.paho.org/bitstream/handle/10665.2/52035/NMHMHCOVID19200010_eng.pdf?sequence=6&isAllowed=y

WHO.[Internet]. 2022 [cited 2022 Jun 10]; Available from: https://covid19.who.int.

กรมควบคุมโรค.DDC COVID 19 interactive Dashboard [Internet]. 2022 [cited 2022 Jun 10]; Available from:https://ddc.moph.go.th/covid19-dashboard.

Zhao HM, Xie YX, Wang C; Chinese Association of Rehabilitation Medicine; Respiratory Rehabilitation Committee of Chinese Association of Rehabilitation Medicine; Cardiopulmonary Rehabilitation Group of Chinese Society of Physical Medicine and Rehabilitation. Recommendations for respiratory rehabilitation in adults withcoronavirus disease 2019.Chin Med J (Engl) [Internet]. 2020[cited 2022 Jun 8];133(13): 1595-1602. doi: 10.1097/CM9.0000000000000848

Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al.. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The lancet [Internet]. 2020[cited 2022 Aug 20];395(10223), 497-506. Available from: https://www.sciencedirect.com/science/article/pii/S0140673620301835. DOI:10.1016/S0140-6736(20)30183-5

Jiang F, Deng L, Zhang L, Cai Y, Cheung CW, & Xia, Z. Review of the clinical characteristics of coronavirus disease 2019 (COVID-19). J gen intern med [Internet]. 2020[cited 2022 Jun 9];35(5), 1545-1549. Available from:https://doi.org/10.1007/s11606-020-05762-w. DOI:10.1007/s11606-020-05762-w

World Health Organization. Clinical management of COVID-19 patients: living guideline ,23 June 2022 [Internet]. 2022[cited 2022Aug 20]; Available from: https://www.who.int/publications/i/item/WHO-2019-nCoV-clinical-2022-1

Vanhorebeek I, Latronico N, & Van den Berghe G. ICU-acquired weakness. Intensive care med [Internet]. 2020[cited 2022 Jun 9];46(4), 637-653. Available from: https://doi.org/10.1007/s00134-020-05944-4. DOI:10.1007/s00134-020-05944-4

Simpson R & Robinson L. Rehabilitation after critical illness in people with COVID-19 infection. Am J Phys Med Rehabil[Internet]. 2020[cited 2022 Jun 27];99(6), 470. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7253039/. DOI:10.1097/PHM.0000000000001443

Kiekens C, Boldrini P, Andreoli A, Avesani R, Gamna F, Grandi M, et al. Rehabilitation and respiratory management in the acute and early post-acute phase." Instant paper from the field" on rehabilitation answers to the COVID-19 emergency. Eur J Phys Rehabil Med [Internet]. 2020[cited 2022 Jun 27];56(3),323-326. Available from: https://dx.doi.org/10.23736/S1973-9087.20.06305-4. DOI: 10.23736/S1973-9087.20.06305-4

Stam H, Stucki G &Bickenbach J. Covid-19 and post intensive care syndrome: a call for action. J rehabil med [Internet]. 2020[cited 2022 Jun 27]. Available from: https://repub.eur.nl/pub/126304/. DOI:10.2340/16501977-2677

Bordas-Martínez J, Luzardo-González A, Arencibia A, Tormo F, Matéu L, Vicens-Zygmunt V, et al. Effects of Early Physical Therapy and Follow-Up in Acute Severe Coronavirus Disease 2019 Pneumonia: A Retrospective Observational Study. Front med [Internet]. 2022[cited 2022 Jun 11];9. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9035928/. DOI:10.3389/fmed.2022.866055

Faul F, Erdfelder E, Buchner A, Lang, AG. Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses. Behavior research methods. 2009 [cited 2023 Jan 11];.41(4), 1149-1160.Available from: http://link.springer.com/10.3758/BRM.41.4.1149 DOI:10.3758/BRM.41.4.1149

Hodgson CL, Stiller K, Needham DM, Tipping CJ, Harrold M, Baldwin CE, et al. Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults. Critical care [Internet]. 2014[cited 2022 Aug 27];18(6), 1-9. Available from: https://doi.org/10.1186/s13054-014-0658-y DOI:10.1186/s13054-014-0658-y

Cieloszczyk A, Lewko A, Sliwka A, Wtoch ,&Pyszora A. Recommendations for physiotherapy of adult patients with COVID-19. Pol Physiother Assoc [Internet]. 2020[cited 2022 Jun 9]. Available from: https://world.physio/sites/default/files/2020-06/Polish-Respiratory-Physiotherapy-Expert-Group-adult-patients-English.pdf

Zhu Y, Wang Z, Zhou Y, Onoda K, Maruyama H, Hu C, et al. Summary of respiratory rehabilitation and physical therapy guidelines for patients with COVID-19 based on recommendations of World Confederation for Physical Therapy and National Association of Physical Therapy. J physther sci [Internet]. 2020[cited 2022 Jun 9];32(8), 545-549. DOI: 10.1589/jpts.32.545

Thomas P, Baldwin C, Bissett B, Boden I, Gosselink R, Granger CL, et al.Physiotherapy management forCOVID-19 in the acute hospital setting. Recommendations to guide clinical practice. Version 1.0, published 23 March 2020. Pneumon [Internet]. 2020[cited 2022 Jun 26];33(1),32-35. Available from: http://www.pneumon.org/january-march-2020-vol-33-issue-1/newsid789/776DOI:10.1016/j.jphys.2020.03.011.PubMed ID: 32312646

Thomas P, Baldwin C, Bissett B, Boden I, Gosselink R, Granger CL, et al. Physiotherapy management for COVID-19 in the acute hospital setting: clinical practice recommendations. Journal of physiotherapy [Internet]. 2020[cited 2022 Jun 9]; 66(2), 73-82. Available from:https://www.sciencedirect.com/science/article/pii/S183695532030028X DOI:10.1016/j.jphys.2020.03.011

Thomas P, Baldwin C, Beach L, Bissett B, Boden I, Cruz SM, et al. Physiotherapy management for COVID-19 in the acute hospital setting and beyond: an update to clinical practice recommendations. Journal of physiotherapy [Internet]. 2022[cited 2022 Jun 9]; 68(1), 8-25. Available from: https://www.sciencedirect.com/science/article/pii/S1836955321001399. DOI:10.1016/j.jphys.2021.12.012

คณะกรรมการกำกับดูแลรักษาโควิด-19. แนวทางเวชปฏิบัติ การวินิจฉัย ดูแลรักษา และป้องกันการติดเชื้อในโรงพยาบาล กรณีโรคติดเชื้อไวรัสโคโรนา 2019 (COVID-19) สำหรับแพทย์และบุคลากรสาธารณสุข ฉบับปรับปรุง วันที่ 2 พฤศจิกายน พ.ศ. 2564. [อินเตอร์เน็ต]. 2564. [เข้าถึงเมื่อวันที่ 7 มิถุนายน 2565]; เข้าถึงได้จาก:https://covid19.dms.go.th/Content/Select_Landding_page?contetId=155

Wang Z, Ji J S, Liu Y, Liu R, Zha Y, Chang X,et al. Survival analysis of hospital length of stay of novel coronavirus (COVID-19) pneumonia patients in Sichuan, China. Medrxiv[Internet]. 2020[cited 2022 Jun 9]; 2020-04.Available from: https://doi.org/10.1101/2020.04.07.20057299 DOI: 10.1101/2020.04.07.2005729

กรมควบคุมโรค. แนวทางการให้วัคซีนโควิด 19 ในสถานการณ์การระบาด ปี 2564 ของประเทศไทยฉบับปรับปรุง ครั้งที่ 1.[อินเตอร์เน็ต]. 2564. [เข้าถึงเมื่อวันที่ 19กุมภาพันธ์ 2566]; เข้าถึงได้จาก:https://tmc.or.th/covid19/download/pdf/covid-19-public-Vaccine-040664.pdf

พิชญามณฑ์ วรรณโกและอรุณรัตน์ สู่หนองบัว. ความสัมพันธ์ของวัคซีนโควิด-19และความรุนแรงของการเจ็บป่วย โรคโควิด-19 โรงพยาบาลชัยภูมิ ปี 2564-2565. วารสารศูนย์อนามัยที่ 9: วารสารส่งเสริมสุขภาพและอนามัยสิ่งแวดล้อม. [อินเตอร์เน็ต].2565 [เข้าถึงเมื่อวันที่ 25กุมภาพันธ์ 2566]; 16(3), 1057-1069.เข้าถึงได้จาก: https://he02.tci-thaijo.org/index.php/RHPC9Journal/article/view/259357

Zheng H, Tan J, Zhang X, Luo A, Wang L, Zhu W, et al. Impact of sex and age on respiratory support and length of hospital stay among 1792 patients with COVID-19 in Wuhan, China. British journal of anaesthesia[Internet]. 2020[cited 2022 Dec 9];125(4), e378-e380. Available from: https://www.bjanaesthesia.org/article/S0007-0912(20)30549-3/fulltext DOI:10.1016/j.bja.2020.07.001

Hazard D, Kaier K, Von Cube M, Grodd M, Bugiera L, Lambert J, et al. Joint analysis of duration of ventilation, length of intensive care, and mortality of COVID-19 patients: a multistate approach. BMC medical research methodology[Internet]. 2020[cited 2022 Dec 9]; 20(1), 1-9. Available from: https://doi.org/10.1186/s12874-020-01082-z DOI:10.1186/s12874-020-01082-z

Rees EM, Nightingal ES, Jafari Y, Waterlow NR, Clifford S, B Pearson CA, et al. COVID-19 length of hospital stay: a systematic review and data synthesis. BMC medicine[Internet]. 2020[cited 2022 Dec 9]; 18(1), 1-22. Available from: https://doi.org/10.1186/s12916-020-01726-3 DOI: 10.1186/s12916-020-01726-3

สุวารี เจริญมุขยนันท, ประวิตร เจนวรรธนะกุล, &คมปกรณ์ ลิมป์สุทธิรัชต์. ผลลัพธ์ด้านคลินิกและตัวชี้วัดทางกายภาพบำบัดเพื่อการพัฒนามาตรฐานบริการกายภาพบำบัด: การทบทวนวรรณกรรมของการทบทวนอย่างเป็นระบบ.วารสารวิจัยระบบสาธารณสุข. [อินเตอร์เน็ต].2563 [เข้าถึงเมื่อวันที่ 24 มิถุนายน 2565]; 14(4):431-57.เข้าถึงได้จาก: https://kb.hsri.or.th/dspace/handle/11228/5292

ปิยะธิดา หาญสมบูรณ์. ค่ารักษาพยาบาลของโรคโควิด 19. วารสารกรมการแพทย์[อินเตอร์เน็ต]. 2564[เข้าถึงเมื่อวันที่ 10 มิถุนายน 2565]; 46(2), 5-9 เข้าถึงได้จาก:https://he02.tci-thaijo.org/index.php/JDMS/article/view/253408

Jalilvand H, Abdi M, Zadeh NH, Jalilvand A, Pourrahimi M, Pirzadeh F, et al. Factors Affecting Hospitalization and Length of Hospitalization of the Patients with Covid-19. Depiction of Health [Internet]. 2021[cited 2022 Dec 9];12(4), 320-332. Available from: https://doh.tbzmed.ac.ir/Article/doh-1564

Li X, Zhong X, Wang Y, Zeng X, Luo T & Liu Q. Clinical determinants of the severity of COVID-19: A systematic review and meta-analysis. PLoS One [Internet]. 2021[cited 2022 Dec 9]; 16(5), e0250602. Available from:https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0250602. DOI:10.1371/journal.pone.0250602

Guo A, Lu J, Tan H, Kuang Z, Luo Y, Yang T, et al. Risk factors on admission associated with hospital length of stay in patients with COVID-19: a retrospective cohort study. Scientific Reports [Internet]. 2021[cited 2022 Dec 9];11(1), 1-7. Available from:https://www.nature.com/articles/s41598-021-86853-4 DOI:10.1038/s41598-021-86853-4





How to Cite

Theerawutwarawate, K., & Junset, A. (2023). Effect of physical therapy in Covid 2019 : Saraburi hospital ; retrospective observational study. Saraburi Hospital Medical Journal, 37(1), 48–65. Retrieved from https://he01.tci-thaijo.org/index.php/SHMJ/article/view/260738



Research Articles