An Italian consensus on pulmonary rehabilitation in COVID-19 patients recovering from acute respiratory failure: results of a Delphi process

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.

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Author Biographies

Martina Santambrogio, Italian Association of Respiratory Physiotherapists (ARIR), Unità Spinale, Grande Ospedale Metropolitano Niguarda, Milan

Respiratory Unit and Cystic Fibrosis Adult Center, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan

Marco Mantero, Respiratory Unit and Cystic Fibrosis Adult Center, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan

Department of Pathophysiology and Transplantation, University of Milan

Mariaconsiglia Calabrese, AOU San Giovanni di Dio e Ruggi d’Aragona, University of Salerno

Società Italiana Fisioterapia e Riabilitazione (S.I.Fi.R.)

Marina Ciriello, Società Italiana Fisioterapia e Riabilitazione (S.I.Fi.R.)

Monaldi Hospital, A.O.R.N. dei Colli, Naples, Italy

on behalf of AIPO, ARIR, SIP, AIFI and SIFIR

AIPO (Associazione Italiana Pneumologi Ospedalieri), ARIR (Associazione Riabilitatori dell’Insufficienza Respiratoria), SIP (Società Italiana di Pneumologia), AIFI (Associazione Italiana Fisioterapisti), SIFIR (Società Italiana di Fisioterapia e Riabilitazione)

Published
2020-06-23
Info
Issue
Section
COVID-19 - Collection of articles on the Coronavirus outbreak
Keywords:
COVID-19, SARS-CoV-2, physiotherapy, exercise, dyspnea, pandemics, Delphi process
Statistics
  • Abstract views: 4757

  • PDF: 2837
  • Appendix: 173
How to Cite
Vitacca, M., Lazzeri, M., Guffanti, E., Frigerio, P., D’Abrosca, F., Gianola, S., Carone, M., Paneroni, M., Ceriana, P., Pasqua, F., Banfi, P., Gigliotti, F., Simonelli, C., Cirio, S., Rossi, V., Beccaluva, C. G., Retucci, M., Santambrogio, M., Lanza, A., Gallo, F., Fumagalli, A., Mantero, M., Castellini, G., Calabrese, M., Castellana, G., Volpato, E., Ciriello, M., Garofano, M., Clini, E., Ambrosino, N., & ARIR, SIP, AIFI and SIFIR, on behalf of A. (2020). 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, 90(2). https://doi.org/10.4081/monaldi.2020.1444

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