In this retrospective study, we used data from the hospital information system (HIS) to evaluate the influence of the COVID-19 pandemic on rehabilitation care at the University Hospital of Ostrava (UHO). From March 2020 to December 2021, 5173 COVID-19 cases were hospitalized at UHO. Cases within individual groups and categories are shown in a flowchart. The average patient age was 64.9 ± 16.9 years. The mean BMI value was 30.6 ± 6.8 in the rehabilitated group, which was significantly higher compared to that among the non-rehabilitated cases 29.1 ± 6.9 (p < 0.001). Among the admitted patients, 16.6% required artificial pulmonary ventilation (APV), 1.8% extracorporeal membrane oxygenation (ECMO), and 11.9% high-flow oxygenation (HF). The days of rehabilitation ranged from 1–102 days. Among all rehabilitated patients, 92.0% (n = 1302) had a hospitalization duration ranging from 1–15 days and 8.0% (n = 114) longer than 15 days. Overall, rehabilitation care plays an important role in providing exercise, mobilization, and rehabilitation interventions to survivors of critical illness associated with COVID-19, enabling the early and functional return to home, and it must, therefore, be integrated into the clinical care of patients with COVID-19.

Data from 5173 patients hospitalized for COVID-19 at the University Hospital of Ostrava (UHO) between March 2020 and December 2021 were analysed in this retrospective study. The research aimed to find out whether the comorbidities being present increased the need for acute rehabilitation during COVID-19 hospitalization. Data were examined using descriptive statistics, Spearman's correlation coefficient, and binomial logistic regression. Among the total patient cohort (n = 5173), 27% required rehabilitation (RHB). The average age of patients was 64.9 ± 16.9 years, with rehabilitation durations ranging from 1 to 102 days. Of the rehabilitated patients, 92% (n = 1302) had hospital stays from 1 to 15 days, while 8% (n = 114) stayed more than 15 days. Patients had a median of 4 diagnoses each, with approximately one-fifth having more than six diagnoses. A weak but statistically significant positive association was observed for the length of rehabilitation and the number of diagnoses (Spearman’s correlation coefficient rs = 0.24). Adjusted statistical analysis revealed that patients with concomitant neurological conditions (G62, G81 according to ICD-10) (OR = 8.4; 95% CI 4.82–14.67) and certain respiratory diseases had the highest likelihood of requiring rehabilitation during their COVID-19 hospitalization. Additionally, patients with obesity were approximately 1.4 times more likely to need RHB than non-obese patients. The need for rehabilitation increased with the number of comorbidities, with the greatest need connected with neurological diagnosis. In light of these findings, more effective strategies for diagnosis, treatment and prevention can be developed for future epidemics or pandemics. It is imperative to reinforce health recommendations. The analysis of data enables the formulation of evidence-based public health guidelines that can serve as the foundation for a prompt and effective response in the event of another pandemic.