An Italian consensus on pulmonary rehabilitation in COVID-19 patients recovering from acute respiratory failure: results of a Delphi process
7ABSTRACT:
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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REFERÊNCIA:
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, CG, 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 e SIFIR, em nome de A. (2020). Sugestões italianas de reabilitação pulmonar em pacientes com COVID-19 em recuperação de insuficiência respiratória aguda: resultados de um processo Delphi. Arquivos Monaldi para Doenças do Peito , 90 (2). https://doi.org/10.4081/monaldi.2020.1444
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