An Italian consensus on pulmonary rehabilitation in COVID-19 patients recovering from acute respiratory failure: results of a Delphi process
Authors
- Michele Vitacca – articles in this journal Corresponding author Email https://orcid.org/0000-0002-9389-7915 Respiratory Rehabilitation Division, ICS Maugeri IRCCS, Institute of Lumezzane (BS), Italy.
- Marta Lazzeri – articles in this journal https://orcid.org/0000-0002-4654-6362 Department of Cardiothoracic and Vascular Surgery; Italian Association of Respiratory Physiotherapists (ARIR) Unità Spinale, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
- Enrico Guffanti – articles in this journal https://orcid.org/0000-0002-0624-4941 Pneumologia Riabilitativa INRCA Casatenovo-IRCCS, Italy.
- Pamela Frigerio – articles in this journal https://orcid.org/0000-0003-4436-0553 Maternal and Pediatric Department, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
- Francesco D’Abrosca – articles in this journal https://orcid.org/0000-0003-0505-2371 Italian Association of Respiratory Physiotherapists (ARIR), Unità Spinale ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
- Silvia Gianola – articles in this journal Unit of Clinical Epidemiology, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
- Mauro Carone – articles in this journal https://orcid.org/0000-0002-5478-8521 Respiratory Rehabilitation Division, ICS Maugeri IRCCS, Institute of Bari, Italy.
- Mara Paneroni – articles in this journal https://orcid.org/0000-0003-3982-2098 Respiratory Rehabilitation Division, ICS Maugeri IRCCS, Institute of Lumezzane (BS), Italy.
- Piero Ceriana – articles in this journal https://orcid.org/0000-0002-4186-4257 Respiratory Rehabilitation Unit, ICS Maugeri IRCCS, Pavia, Italy.
- Franco Pasqua – articles in this journal https://orcid.org/0000-0001-7992-7789 Pulmonary Rehabilitation Unit, Clinical Rehabilitation Institute of Villa delle Querce, Nemi (RM), Italy.
- Paolo Banfi – articles in this journal https://orcid.org/0000-0001-8162-0751 Pulmonary Rehabilitation Unit, Fondazione Don Carlo Gnocchi, Milan, Italy.
- Francesco Gigliotti – articles in this journal https://orcid.org/0000-0003-4608-2059 Pulmonary Rehabilitation Unit, Fondazione Don Carlo Gnocchi, Florence, Italy.
- Carla Simonelli – articles in this journal https://orcid.org/0000-0003-2238-7499 Respiratory Rehabilitation Division, ICS Maugeri IRCCS, Institute of Lumezzane (BS), Italy.
- Serena Cirio – articles in this journal https://orcid.org/0000-0002-9714-8970 Pulmonary Rehabilitation Units, ICS Maugeri IRCCS, Pavia, Italy.
- Veronica Rossi – articles in this journal https://orcid.org/0000-0002-7114-7937 Health Professions Department Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy.
- Chiara G. Beccaluva – articles in this journal Pulmonary Rehabilitation Unit, ASST Ospedale Maggiore, Crema, Italy.
- Mariangela Retucci – articles in this journal https://orcid.org/0000-0003-2952-4847 Respiratory Unit and Cystic Fibrosis Adult Center, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy.
- Martina Santambrogio – articles in this journal https://orcid.org/0000-0002-7428-7927 Italian Association of Respiratory Physiotherapists (ARIR), Unità Spinale, Grande Ospedale Metropolitano Niguarda, Milan, Italy.
- Andrea Lanza – articles in this journal https://orcid.org/0000-0001-5859-2238 Italian Association of Respiratory Physiotherapists (ARIR), Unità Spinale; Department of Neuroscience, Sleep Medicine Center ,Grande Ospedale Metropolitano Niguarda, Milan, Italy.
- Francesca Gallo – articles in this journal Respiratory Unit and Cystic Fibrosis Adult Center, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy.
- Alessia Fumagalli – articles in this journal https://orcid.org/0000-0003-1367-8374 Pulmonary Rehabilitation Unit, Italian National Research on Aging (IRCCS INRCA), Casatenovo (LC), Italy.
- Marco Mantero – articles in this journal https://orcid.org/0000-0001-7324-1217 Respiratory Unit and Cystic Fibrosis Adult Center, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy.
- Greta Castellini – articles in this journal https://orcid.org/0000-0002-3345-8187 Unit of Clinical Epidemiology, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
- Mariaconsiglia Calabrese – articles in this journal AOU San Giovanni di Dio e Ruggi d’Aragona, University of Salerno, Italy.
- Giorgio Castellana – articles in this journal Pulmonary Rehabilitation Units, ICS Maugeri IRCCS, Pavia, Italy.
- Eleonora Volpato – articles in this journal Pulmonary Rehabilitation Unit, Fondazione Don Carlo Gnocchi, Milan, Italy.
- Marina Ciriello – articles in this journal Società Italiana Fisioterapia e Riabilitazione (S.I.Fi.R.), Italy.
- Marina Garofano – articles in this journal https://orcid.org/0000-0003-1600-4682 Società Italiana Fisioterapia e Riabilitazione (S.I.Fi.R.), Italy.
- Enrico Clini – articles in this journal https://orcid.org/0000-0002-1515-5094 Department of Medical and Surgical Sciences of Mothers, Children and Adults, University of Modena and Reggio Emilia, Modena, Italy.
- Nicolino Ambrosino – articles in this journal https://orcid.org/0000-0002-5331-1393 Pulmonary Rehabilitation Unit, ICS Maugeri IRCCS, Pavia;, Italy.
- on behalf of AIPO, ARIR, SIP, AIFI and SIFIR – articles in this journal
- Published
- 23 June 2020
- Issue
- Vol. 90 No. 2 (2020)
- Section
- COVID-19 - Collection of articles on the Coronavirus outbreak
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.
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)
Metrics
Citations and online attention from Dimensions, Altmetric and PlumX.
License
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.