TY - JOUR
T1 - An Italian consensus on pulmonary rehabilitation in COVID-19 patients recovering from acute respiratory failure
T2 - Results of a Delphi process
AU - Vitacca, Michele
AU - Lazzeri, Marta
AU - Guffanti, Enrico
AU - Frigerio, Pamela
AU - D Abrosca, Francesco
AU - Gianola, Silvia
AU - Carone, Mauro
AU - Paneroni, Mara
AU - Ceriana, Piero
AU - Pasqua, Franco
AU - Banfi, Paolo
AU - Gigliotti, Francesco
AU - Simonelli, Carla
AU - Cirio, Serena
AU - Rossi, Veronica
AU - Beccaluva, Chiara G.
AU - Retucci, Mariangela
AU - Santambrogio, Martina
AU - Lanza, Andrea
AU - Gallo, Francesca
AU - Fumagalli, Alessia
AU - Mantero, Marco
AU - Castellini, Greta
AU - Calabrese, Mariaconsiglia
AU - Castellana, Giorgio
AU - Volpato, Eleonora
AU - Ciriello, Marina
AU - Garofano, Marina
AU - Clini, Enrico
AU - Ambrosino, Nicolino
PY - 2020
Y1 - 2020
N2 - There is a need of consensus about the pulmonary rehabilitation (PR) in patients with COVID-19 after discharge from acute care. To facilitate the knowledge of the evidence and its translation into practice, we developed suggestions based on experts opinion. A steering committee identified areas and questions sent to experts. Other international experts participated to a RAND Delphi method in reaching consensus and proposing further suggestions. Strong agreement in suggestions was defined when the mean agreement was >7 (1 = no agreement and 9 = maximal agreement). Panelists response rate was >95%. Twenty-Three questions from 4 areas: personnel protection equipment, phenotypes, assessments, interventions, were identified and experts answered with 121 suggestions, 119 of which received high level of concordance. The evidence-based suggestions provide the clinicians with current evidence and clinical experts opinion. This framework can be used to facilitate clinical decision making within the context of the individual patient. Further studies will evaluate the clinical usefulness of these suggestions.
AB - There is a need of consensus about the pulmonary rehabilitation (PR) in patients with COVID-19 after discharge from acute care. To facilitate the knowledge of the evidence and its translation into practice, we developed suggestions based on experts opinion. A steering committee identified areas and questions sent to experts. Other international experts participated to a RAND Delphi method in reaching consensus and proposing further suggestions. Strong agreement in suggestions was defined when the mean agreement was >7 (1 = no agreement and 9 = maximal agreement). Panelists response rate was >95%. Twenty-Three questions from 4 areas: personnel protection equipment, phenotypes, assessments, interventions, were identified and experts answered with 121 suggestions, 119 of which received high level of concordance. The evidence-based suggestions provide the clinicians with current evidence and clinical experts opinion. This framework can be used to facilitate clinical decision making within the context of the individual patient. Further studies will evaluate the clinical usefulness of these suggestions.
KW - COVID-19
KW - Delphi process
KW - dyspnoea
KW - exercise
KW - pandemics
KW - physiotherapy
KW - SARS-CoV-2
UR - http://www.scopus.com/inward/record.url?scp=85088437432&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85088437432&partnerID=8YFLogxK
U2 - 10.4081/monaldi.2020.1444
DO - 10.4081/monaldi.2020.1444
M3 - Article
AN - SCOPUS:85088437432
VL - 90
SP - 385
EP - 393
JO - Monaldi Archives for Chest Disease
JF - Monaldi Archives for Chest Disease
SN - 1122-0643
IS - 2
ER -