TY - JOUR
T1 - Italian suggestions for 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
AU - Arir Associazione Riabilitatori dell'Insufficienza Respiratoria Sip Società Italiana di Pneumologia Aifi Associazione Italiana Fisioterapisti And Sifir Società Italiana di Fisioterapia E Riabilitazione, On Behalf Of Aipo Associazione Italiana Pneumologi O
PY - 2020/6/23
Y1 - 2020/6/23
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 - Ambulatory Care
KW - Betacoronavirus
KW - COVID-19
KW - Coronavirus Infections/complications
KW - Delphi Technique
KW - Exercise Test
KW - Humans
KW - Intensive Care Units
KW - Italy
KW - Nutritional Status
KW - Pandemics
KW - Personal Protective Equipment
KW - Physical Therapy Modalities
KW - Pneumonia, Viral/complications
KW - Quality of Life
KW - Respiratory Function Tests
KW - Respiratory Insufficiency/etiology
KW - Respiratory Therapy/methods
KW - SARS-CoV-2
KW - Stress Disorders, Post-Traumatic
U2 - 10.4081/monaldi.2020.1444
DO - 10.4081/monaldi.2020.1444
M3 - Article
C2 - 32573175
VL - 90
JO - Monaldi Arch. Chest Dis.
JF - Monaldi Arch. Chest Dis.
SN - 1122-0643
IS - 2
ER -