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

Submitted: June 9, 2020
Accepted: June 16, 2020
Published: June 23, 2020
Abstract Views: 15587
PDF: 7697
Appendix: 607
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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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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)

How to Cite

Vitacca, Michele, Marta Lazzeri, Enrico Guffanti, Pamela Frigerio, Francesco D’Abrosca, Silvia Gianola, Mauro Carone, Mara Paneroni, Piero Ceriana, Franco Pasqua, Paolo Banfi, Francesco Gigliotti, Carla Simonelli, Serena Cirio, Veronica Rossi, Chiara G. Beccaluva, Mariangela Retucci, Martina Santambrogio, Andrea Lanza, Francesca Gallo, Alessia Fumagalli, Marco Mantero, Greta Castellini, Mariaconsiglia Calabrese, Giorgio Castellana, Eleonora Volpato, Marina Ciriello, Marina Garofano, Enrico Clini, Nicolino Ambrosino, and on behalf of AIPO, ARIR, SIP, AIFI and SIFIR. 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).