Dear colleagues, below is the list of ESPRM states with description of their national measures for PRM settings and interventions after the outbreak of SARS – CoV – 2 epidemics.
The pool of questions was prepared by the members of ESPRM Executive Committee and UEMS PRM Section Executive Committee. We appreciate all colleagues from national delegations who contributed their valuable information.
What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs, including patients with clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

  • Stop of admission of new patients from acute departments and implementing fast track discharge
  • Continuing admission of patients with restriction to those without clinical signs of COVID 19, BUT demanding a negative test for COVID 19

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

Yes, specific isolated areas in the PRM wards/units

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

Yes

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by other local authorities decree

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

Yes

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

No

Any additional information which is important in your opinion

Question 2: Post-acute hospital rehabilitation settings (inpatient rehabilitation centres): we had different ways.
Question 3: At the moment, rehab team members have to wear protection equipment when working with on regular departments and ICUs, including patients with clinical signs of COVID – 19 (please see Question 1). At PM&R-wards only posoperative physiotherapy and occupational therapy (splints) are offered. Other therapies such as massages, electrotherapy and so on are not offered at the Moment.
Question 8: Not yet, but such guidelines are prepared at the moment. Until this, we follow the general guidelines.

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs , but limited only to patients without clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Stop of admission of new patients from acute departments and implementing fast track discharge

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

No

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

No

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by own decision

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

Yes

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

No

Any additional information which is important in your opinion

Q5: variabel across Austria

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions specifically addressed to patients with COVID – 19 in ICU units or other acute care settings (e.g. pneumology, sub-intensive care)

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Continuing admission of patients without restrictions – including patients with SARS Cov 2 infection

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

No

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

No

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by government decree

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

No

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

No

Any additional information which is important in your opinion

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs , but limited only to patients without clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

  • Stop of admission of new patients from acute departments and implementing fast track discharge
  • Continuing admission of patients with restriction to those without clinical signs of COVID 19, NOT demanding a negative test for COVID 19

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

No

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

No

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

No

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

Yes

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

No

Any additional information which is important in your opinion

After the first cases of Covid 19 it was forbidden to accept inpatients in PRM departments and post acute rehabilitation hospitals, but after that we were allowed to admit patients after stroke, brain and spinal cord injuries and after major orthopedic interventions and newly diagnosed cerebral palsy after their discharge from acute departments

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs , but limited only to patients without clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Continuing admission of patients with restriction to those without clinical signs of COVID 19, BUT demanding a negative test for COVID 19

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

Yes, specific PRM wards/units, isolated from other wards/units

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

No

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by own decision

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

No

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

Yes

Any additional information which is important in your opinion

Regarding the question No. 8, we published our recommendations on Croatian national PRM Society website (on March 16th).

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs , but limited only to patients without clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Continuing admission of patients with restriction to those without clinical signs of COVID 19, BUT demanding a negative test for COVID 19

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

Yes, specific PRM wards/units, isolated from other wards/units

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

Yes

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by own decision

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

No

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

No

Any additional information which is important in your opinion

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs, including patients with clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Continuing admission of patients with restriction to those without clinical signs of COVID 19, NOT demanding a negative test for COVID 19

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

No

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

No

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

No

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

No

Did you register any cases of COVID 19 among PRM doctors in your country?

Yes

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

Yes

Any additional information which is important in your opinion

We discontinued the care about chronic patients in outpatients and outpatients settings.

What were measures on March 31st in acute hospital rehabilitation settings in your area?

  • PRM interventions continued on regular departments and ICUs, including patients with clinical signs of COVID – 19
  • PRM interventions specifically addressed to patients with COVID – 19 in ICU units or other acute care settings (e.g. pneumology, sub-intensive care)

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Continuing admission of patients with restriction to those without clinical signs of COVID 19, BUT demanding a negative test for COVID 19

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

No

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

Yes

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

No

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

Yes

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

No

Any additional information which is important in your opinion

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs, including patients with clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Stop of admission of new patients from acute departments and implementing fast track discharge

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

No

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

No

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by own decision

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

No

Did you register any cases of COVID 19 among PRM doctors in your country?

Yes

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

Yes

Any additional information which is important in your opinion

As a society we have given some general recommendations and gathering relevant documents to share with rehab professionals. The main concerns are twofold: treat PICS patients and reinitiate the suspended treatments to those outpatient patients with non_severe although limiting conditions. The psychosocial impact is a great challenge.

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs , but limited only to patients without clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Continuing admission of patients with restriction to those without clinical signs of COVID 19, NOT demanding a negative test for COVID 19

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

Yes, specific isolated areas in the PRM wards/units

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

Yes

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

No

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

No

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

Yes

Any additional information which is important in your opinion

We are in the ongoing process to start the PRM service for the covid patients

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs, including patients with clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Continuing admission of patients with restriction to those without clinical signs of COVID 19, NOT demanding a negative test for COVID 19

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

No

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

Yes

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by government decree

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

No

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

No

Any additional information which is important in your opinion

In Finland we are only in the beginning of epidemic – in Helsinki area little less than 1000 cases, 50 in ICU, in rest of the country much less. I asked several PRM chiefs about the need for national recommendation, and they said its not needed since all hospitals give their own very detailed and strict directions about how things need to be handeled. But the directions seemed pretty similar: Outpatient clinics handle only semi-urgent new cases (not people over 70 y. or those who belong to risk groups), controll + rehab visits are done manily online or by phone. Regular non-urgent inpatient rehab periods are postponed. Rehab interventions provided to acute and post-acute wards in the whole hospital, also to Covid-19 patients. PRM trainees work already now at the emergency department as regular doctors there, all PRM specialists and physiotherapist are being re-educated to take care of Covid-19 patients in the future.

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs, including patients with clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Continuing admission of patients without restrictions – including patients with SARS Cov 2 infection

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

Yes, specific isolated areas in the PRM wards/units

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

Yes

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by other local authorities decree

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

Yes

Did you register any cases of COVID 19 among PRM doctors in your country?

Yes

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

Yes

Any additional information which is important in your opinion

What were measures on March 31st in acute hospital rehabilitation settings in your area?

  • PRM interventions continued on regular departments and ICUs , but limited only to patients without clinical signs of COVID – 19
  • PRM interventions continued on regular departments and ICUs, including patients with clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Stop of admission of new patients from acute departments and implementing fast track discharge

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

No

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

Yes

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by own decision

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

No

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

Yes

Any additional information which is important in your opinion

Q1: for outpatients A and for inpatients B;
Q4: acute hospital most yes; medical practices no

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs , but limited only to patients without clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Stop of admission of new patients from acute departments and implementing fast track discharge

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

No

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

No

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

No

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

Yes

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

No

Any additional information which is important in your opinion

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs, including patients with clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Continuing admission of patients with restriction to those without clinical signs of COVID 19, NOT demanding a negative test for COVID 19

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

No

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

No

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by government decree

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

No

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

No

Any additional information which is important in your opinion

Ireland PRM followed international recommendations

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs , but limited only to patients without clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Continuing admission of patients with restriction to those without clinical signs of COVID 19, NOT demanding a negative test for COVID 19

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

No

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

Yes

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by government decree

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

No

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

No

Any additional information which is important in your opinion

1. Regarding discontinuing work in out-patients settings… There was no special decree from the government, but an epidemiologic restrictions led to close of almost all day-rehab facilities due to facility small size, staff limitations or patients’ refuse to come.
2. Our National PRM Society’ve not prepared national recommendations yet, but they are in process.

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs , but limited only to patients without clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Continuing admission of patients with restriction to those without clinical signs of COVID 19, BUT demanding a negative test for COVID 19

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

Yes, specific PRM wards/units, isolated from other wards/units

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

Yes

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by other local authorities decree

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

No

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

Yes

Any additional information which is important in your opinion

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions specifically addressed to patients with COVID – 19 in ICU units or other acute care settings (e.g. pneumology, sub-intensive care)

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Continuing admission of patients with restriction to those without clinical signs of COVID 19, NOT demanding a negative test for COVID 19

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

Yes, specific isolated areas in the PRM wards/units

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

No

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

No

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

No

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

Yes

Any additional information which is important in your opinion

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions specifically addressed to patients with COVID – 19 in ICU units or other acute care settings (e.g. pneumology, sub-intensive care)

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Stop of admission of new patients from acute departments and implementing fast track discharge

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

Yes, specific isolated areas in the PRM wards/units

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

Yes

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by own decision

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

No

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

Yes

Any additional information which is important in your opinion

What were measures on March 31st in acute hospital rehabilitation settings in your area?

  • PRM interventions continued on regular departments and ICUs , but limited only to patients without clinical signs of COVID – 19
  • PRM interventions continued on regular departments and ICUs, including patients with clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

  • Stop of admission of new patients from acute departments and implementing fast track discharge
  • Continuing admission of patients with restriction to those without clinical signs of COVID 19, BUT demanding a negative test for COVID 19

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

Yes, specific isolated areas in the PRM wards/units

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

No

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by other local authorities decree

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

Yes

Did you register any cases of COVID 19 among PRM doctors in your country?

Yes

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

Yes

Any additional information which is important in your opinion

It’s necessary that PRM strongly defeats its rule and its specifity. There’s a great risk of disqualify PRM inpatient services , and delete PRM network (inpatient-outpatient) in all the Region

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs, including patients with clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Continuing admission of patients with restriction to those without clinical signs of COVID 19, BUT demanding a negative test for COVID 19

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

No

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

Yes

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

No

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

No

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

Yes

Any additional information which is important in your opinion

What were measures on March 31st in acute hospital rehabilitation settings in your area?

  • PRM interventions continued on regular departments and ICUs, including patients with clinical signs of COVID – 19
  • PRM interventions specifically addressed to patients with COVID – 19 in ICU units or other acute care settings (e.g. pneumology, sub-intensive care)

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Continuing admission of patients without restrictions – including patients with SARS Cov 2 infection

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

Yes, specific PRM wards/units, isolated from other wards/units

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

Yes

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by other local authorities decree

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

Yes

Did you register any cases of COVID 19 among PRM doctors in your country?

Yes

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

Yes

Any additional information which is important in your opinion

The decrees and provisions concerning the rehabilitation settings have been issued by the Regional Health Authorities NOT by the National Health authorities

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs , but limited only to patients without clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Continuing admission of patients with restriction to those without clinical signs of COVID 19, NOT demanding a negative test for COVID 19

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

No

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

No

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by government decree

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

Yes

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

Yes

Any additional information which is important in your opinion

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs , but limited only to patients without clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Continuing admission of patients with restriction to those without clinical signs of COVID 19, NOT demanding a negative test for COVID 19

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

Yes, specific PRM wards/units, isolated from other wards/units

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

Yes

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by own decision

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

No

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

No

Any additional information which is important in your opinion

Kindly note small size of the country. But in our rehab hospital we stopped outpatients and started telehealth as much as possible. We converted a few wards in Covid + and quarantine wards just in case of positives and trained staff. Our main measure is hand hygiene and social distancing. With pleasure I note that WHO chose Malta as a model of care in this pandemic.

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs, including patients with clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Continuing admission of patients without restrictions – including patients with SARS Cov 2 infection

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

No

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

Yes

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by own decision

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

No

Did you register any cases of COVID 19 among PRM doctors in your country?

Yes

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

Yes

Any additional information which is important in your opinion

Our National PRM Society opened a special part on our website concerning COVID-19 to inform their members. Also the organisation of rehab centres (Rehabilitation Netherlands) also opened an information channel.
For our society : https://revalidatiegeneeskunde.nl/coronavirus-en-revalidatie-sector
Several letters were send

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs, including patients with clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Continuing admission of patients without restrictions – including patients with SARS Cov 2 infection

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

Yes, specific PRM wards/units, isolated from other wards/units

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

Yes

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by government decree

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

Yes

Did you register any cases of COVID 19 among PRM doctors in your country?

Yes

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

No

Any additional information which is important in your opinion

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs , but limited only to patients without clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Continuing admission of patients with restriction to those without clinical signs of COVID 19, NOT demanding a negative test for COVID 19

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

Yes, specific isolated areas in the PRM wards/units

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

Yes

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by government decree

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

No

Did you register any cases of COVID 19 among PRM doctors in your country?

Yes

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

No

Any additional information which is important in your opinion

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs, including patients with clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Continuing admission of patients with restriction to those without clinical signs of COVID 19, NOT demanding a negative test for COVID 19

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

No

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

Yes

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by government decree

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

Yes

Did you register any cases of COVID 19 among PRM doctors in your country?

Yes

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

Yes

Any additional information which is important in your opinion

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs , but limited only to patients without clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Continuing admission of patients with restriction to those without clinical signs of COVID 19, NOT demanding a negative test for COVID 19

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

Yes, specific PRM wards/units, isolated from other wards/units

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

Yes

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by government decree

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

No

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

Yes

Any additional information which is important in your opinion

We are waiting for implementing regulations on telerehabilitation

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs , but limited only to patients without clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Continuing admission of patients with restriction to those without clinical signs of COVID 19, BUT demanding a negative test for COVID 19

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

No

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

Yes

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by own decision

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

No

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

Yes

Any additional information which is important in your opinion

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs , but limited only to patients without clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

  • Stop of admission of new patients from acute departments and implementing fast track discharge
  • Continuing admission of patients with restriction to those without clinical signs of COVID 19, BUT demanding a negative test for COVID 19

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

No

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

No

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by own decision

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

Yes

Did you register any cases of COVID 19 among PRM doctors in your country?

Yes

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

Yes

Any additional information which is important in your opinion

In Portugal, after the 1st April, two hospitals (Santa Maria-Lisboa, HSS-Santa Maria Feira) started to apply PRM protocols to COVID patients and will iniciate on the 6th April more directly PRM interventions in ICU’s and in COVID specific áreas.
Today, the 3rd April, the Portuguese Health Authorities publish the largest PRM Recommendations for COVID Patients, in which. the PRM College of our Medical Board and the Portuguese Society of PRM had a large contribution.

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs, including patients with clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Stop of admission of new patients from acute departments and implementing fast track discharge

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

No

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

No

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by other local authorities decree

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

No

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

Yes

Any additional information which is important in your opinion

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions specifically addressed to patients with COVID – 19 in ICU units or other acute care settings (e.g. pneumology, sub-intensive care)

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Stop of admission of new patients from acute departments and implementing fast track discharge

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

No

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

Yes

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by government decree

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

No

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

Yes

Any additional information which is important in your opinion

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs, including patients with clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Continuing admission of patients without restrictions – including patients with SARS Cov 2 infection

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

No

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

No

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by other local authorities decree

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

No

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

Yes

Any additional information which is important in your opinion

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs , but limited only to patients without clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Stop of admission of new patients from acute departments and implementing fast track discharge

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

No

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

No

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by government decree

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

No

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

No

Any additional information which is important in your opinion

Information about coronavirus COVID-19, 30.03.2020 at 15:00 in the Republic of Serbia: total number of cases – 785; Deaths 16 (www.covid19.rs ).
The first case of a coronavirus COVID-19 infection in Serbia was identified on March 6, 2020. On March 15, the Government of the Republic of Serbia introduced a state of emergency throughout the country. Restrictive measures by the Government of Serbia, restricted movement throughout the territory, with the closure of borders, is probably the reason for the current situation in Serbia.
The Ministry of Health has enacted that only acute conditions are taken care of and then only those patients are rehabilitated. The number of beds in rehabilitation institutions is decreasing to be ready for the moment when the number of patients with coronavirus will increase significantly and which will require rehabilitation after treatment.

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs , but limited only to patients without clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Stop of admission of new patients from acute departments and implementing fast track discharge

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

No

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

No

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by government decree

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

No

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

No

Any additional information which is important in your opinion

Information about coronavirus COVID-19, 30.03.2020 at 15:00 in the Republic of Serbia: total number of cases – 785; Deaths 16 (www.covid19.rs ).
The first case of a coronavirus COVID-19 infection in Serbia was identified on March 6, 2020. On March 15, the Government of the Republic of Serbia introduced a state of emergency throughout the country. Restrictive measures by the Government of Serbia, restricted movement throughout the territory, with the closure of borders, is probably the reason for the current situation in Serbia.
The Ministry of Health has enacted that only acute conditions are taken care of and then only those patients are rehabilitated. The number of beds in rehabilitation institutions is decreasing to be ready for the moment when the number of patients with coronavirus will increase significantly and which will require rehabilitation after treatment.

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs , but limited only to patients without clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Stop of admission of new patients from acute departments and implementing fast track discharge

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

Yes, specific PRM wards/units, isolated from other wards/units

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

No

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by own decision

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

Yes

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

Yes

Any additional information which is important in your opinion

We evaluate only acute out-patient persons (traumatological and neurological leasions) and PRM departments/unit in hospital are mostly transformed on isolated units

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs, including patients with clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Continuing admission of patients with restriction to those without clinical signs of COVID 19, NOT demanding a negative test for COVID 19

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

Yes, specific PRM wards/units, isolated from other wards/units

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

No

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by government decree

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

No

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

Yes

Any additional information which is important in your opinion

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions specifically addressed to patients with COVID – 19 in ICU units or other acute care settings (e.g. pneumology, sub-intensive care)

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Stop of admission of new patients from acute departments and implementing fast track discharge

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

No

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

No

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by other local authorities decree

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

No

Did you register any cases of COVID 19 among PRM doctors in your country?

Yes

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

Yes

Any additional information which is important in your opinion

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs , but limited only to patients without clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Continuing admission of patients with restriction to those without clinical signs of COVID 19, NOT demanding a negative test for COVID 19

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

No

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

Yes

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by other local authorities decree

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

No

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

Yes

Any additional information which is important in your opinion

What were measures on March 31st in acute hospital rehabilitation settings in your area?

  • PRM interventions continued on regular departments and ICUs , but limited only to patients without clinical signs of COVID – 19
  • PRM interventions continued on regular departments and ICUs, including patients with clinical signs of COVID – 19
  • PRM interventions specifically addressed to patients with COVID – 19 in ICU units or other acute care settings (e.g. pneumology, sub-intensive care)

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

  • Stop of admission of new patients from acute departments and implementing fast track discharge
  • Continuing admission of patients without restrictions – including patients with SARS Cov 2 infection
  • Continuing admission of patients with restriction to those without clinical signs of COVID 19, NOT demanding a negative test for COVID 19
  • Continuing admission of patients with restriction to those without clinical signs of COVID 19, BUT demanding a negative test for COVID 19

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

No

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

Yes

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by government decree

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

No

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

No

Any additional information which is important in your opinion

The admission to PRM wards / clinics across the country is very variable and depends on the possibilities the structure has to isolate Covid-19 infected patients and protect staff and non infected patients. If the functioning of a patients allows she/he might a direct discharge home might be considered especially for patients at risk to develop a severe form of the illness. The increased risk in a hospital to get infected is weightened agains the risk of delayed rehabilitation. In all hospitals, no visitors are allowed in (also family members). All outpatient structures are allowed to treat only emergencies or situations of chronic patients who might decompensate otherwise. However the definition of the situations to which this applies is very vague and many different attitudes can be found. If patients with out-patient rehab programs enter in this category is completely unclear. However most public hospitals have closed all ambulatory activities to prevent people from outside to bring the virus into the hospital and to direct all human ressources towards the treatment infected patients (special wards, highly increased number of intensive care and continuous care beds. Parts of the army and the civil protection organisation have been mobilized to assist the acute hospitals. In some cantons privat hospital have been requisitioned by the state to create space in the public hospitals for the Covid-19 units and IC extensions. There is a shortage of protective equipment which means that outpatient treatments outside hospitals by physios, OT, neuropsychologists, speech therapists etc. cannot take place even if there would be some emergency to do it.

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs , but limited only to patients without clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Stop of admission of new patients from acute departments and implementing fast track discharge

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

No

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

Yes

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

No

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

No

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

No

Any additional information which is important in your opinion

Outpatient activity offered only over the phone or by virtual clinics. Rapid discharge of majority of patients in rehabilitation units. Many therapists redeployed. RM physicians covering the work of other colleagues to release more acute general medical time. Much reduced activity of community teams, only seeing unstable patients to avoid admission. Patients who would previously have been offered rehabilitation being sent home early with care/equipment. Concern that resulting in preventable disability and risk of complications

What were measures on March 31st in acute hospital rehabilitation settings in your area?

PRM interventions continued on regular departments and ICUs , but limited only to patients without clinical signs of COVID – 19

What were measures on March 31st in post-acute hospital rehabilitation settings in your area?

Stop of admission of new patients from acute departments and implementing fast track discharge

Did the authorities in your Country identify specific PRM settings for patients positive for SARS Cov-2 infection? (with or without clinical signs)?

No

On March 31st were material and protection equipment for rehab team members supplied adequately for the measures?

No

Did you discontinue work in out-patients settings (by your own decision or by government or by other local authorities decree)?

Yes, by government decree

Did government /authorities decrees in your country explicitly include/mentioned rehabilitation settings?

Yes

Did you register any cases of COVID 19 among PRM doctors in your country?

No

Did your National PRM Society prepare national recommendations for PRM interventions in the time of epidemics?

No

Any additional information which is important in your opinion

No specific policies are taken in regard to COVID and rehab setting at acute and sunacute periods as no such regilations (description and routinely running such settings) are still not existing in the country. Major deficite of personal protection equipment (masks, coats) is existed primarly for the departments, going to / providing specialized care for COVID patients.