An Italian consensus on pulmonary rehabilitation in COVID-19 patients recovering from acute respiratory failure: Results of a Delphi process: Monaldi Archives for Chest Disease

AIPO (Associazione Italiana Pneumologi Ospedalieri) ARIR (Associazione Riabilitatori dell'Insufficienza Respiratoria) SIP (Società Italiana di Pneumologia) AIFI (Associazione Italiana Fisioterapisti) And SIFIR (Società Italiana di Fisioterapia E Riabilitazione), M. Vitacca, M. Lazzeri, E. Guffanti, P. Frigerio, F. D Abrosca, S. Gianola, M. Carone, M. Paneroni, P. Ceriana, F. Pasqua, P. Banfi, F. Gigliotti, C. Simonelli, S. Cirio, V. Rossi, C.G. Beccaluva, M. Retucci, M. Santambrogio, A. LanzaF. Gallo, A. Fumagalli, M. Mantero, G. Castellini, M. Calabrese, G. Castellana, E. Volpato, M. Ciriello, M. Garofano, E. Clini, N. Ambrosino

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)385-393
Number of pages9
JournalMonaldi Arch. Chest Dis.
Volume90
Issue number2
DOIs
Publication statusPublished - 2020

Keywords

  • COVID-19
  • Delphi process
  • dyspnoea
  • exercise
  • pandemics
  • physiotherapy
  • SARS-CoV-2
  • acute respiratory failure
  • Article
  • clinical decision making
  • consensus development
  • coronavirus disease 2019
  • Delphi study
  • evidence based practice
  • human
  • physiotherapist
  • prevention and control
  • pulmonary rehabilitation
  • systematic review
  • treatment response

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