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Monaldi Arch Chest Dis ; 90(2)2020 06 23.
Artigo em Inglês | MEDLINE | ID: mdl-32573175

RESUMO

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.


Assuntos
Infecções por Coronavirus/reabilitação , Modalidades de Fisioterapia , Pneumonia Viral/reabilitação , Insuficiência Respiratória/reabilitação , Terapia Respiratória/métodos , Assistência Ambulatorial , Betacoronavirus , COVID-19 , Infecções por Coronavirus/complicações , Infecções por Coronavirus/fisiopatologia , Técnica Delphi , Teste de Esforço , Humanos , Unidades de Terapia Intensiva , Itália , Estado Nutricional , Pandemias , Equipamento de Proteção Individual , Pneumonia Viral/complicações , Pneumonia Viral/fisiopatologia , Qualidade de Vida , Testes de Função Respiratória , Insuficiência Respiratória/etiologia , Insuficiência Respiratória/fisiopatologia , SARS-CoV-2 , Transtornos de Estresse Pós-Traumáticos
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