Open AccessItalian suggestions for pulmonary rehabilitation in COVID-19 patients recovering from acute respiratory failure: results of a Delphi process
Author(s) -
Michele Vitacca,
Marta Lazzeri,
E. Guffanti,
Pamela Frigerio,
Francesco D’Abrosca,
Silvia Gianola,
Mauro Carone,
Mara Paneroni,
Piero Ceriana,
Franco Pasqua,
Paolo Banfi,
Francesco Gigliotti,
Carla Simonelli,
Serena Cirio,
Verónica Rossi,
Chiara Giuseppina 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,
ARIR On behalf of AIPO
Publication year - 2020
Publication title -
monaldi archives for chest disease. pulmonary series/monaldi archives for chest disease/monaldi archives for chest disease. cardiac series
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.196
H-Index - 46
eISSN - 2465-101X
pISSN - 1122-0643
DOI - 10.4081/monaldi.2020.1444
Subject(s) - concordance , delphi method , context (archaeology) , knowledge translation , delphi , psychological intervention , medicine , covid-19 , medical education , psychology , nursing , knowledge management , computer science , pathology , paleontology , disease , artificial intelligence , infectious disease (medical specialty) , biology , operating system
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.