Browsing by Author "Nilufer Kutay Ordu Gokkaya"

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    COVID-19, cardiac involvement and cardiac rehabilitation: Insights from a rehabilitation perspective - State of the Art
    (2022) BİRKAN SONEL TUR; Yeşim Kurtaiş Aytür; Aysun GENÇ; Hande Özdemir; Belma Füsun Köseoğlu; Nilufer Kutay Ordu Gokkaya; Ozden Ozyemisci-Taskiran; Derya Demirbağ Kabayel; nur kesiktas; canan Tıkız; Ebru Alemdaroğlu; Başak Bilir Kaya; Serap Tomruk Sutbeyaz
    Since 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.
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    Applying the WHO ICF framework to long COVID patients with persistent respiratory symptoms
    (2023) Belma Füsun Köseoğlu; BİRKAN SONEL TUR; Nilufer Kutay Ordu Gokkaya; ismail güneş gökmen; nur kesiktas; Başak Bilir Kaya; Refiye ONAL; FİGEN TUNCAY; Aysun GENÇ; GULIN FINDIKOGLU; Şebnem Koldaş Doğan; Serap Tomruk Sutbeyaz; Selda Sarıkaya; canan Tıkız; Hande Özdemir; Derya Demirbağ Kabayel; Merve Örücü Atar; Tuğba; Selcen Yüksel
    Objectives: 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.