Journal
MONALDI ARCHIVES FOR CHEST DISEASE
Volume 90, Issue 2, Pages 385-393Publisher
FONDAZIONE SALVATORE MAUGERI
DOI: 10.4081/monaldi.2020.1444
Keywords
COVID-19; SARS-CoV-2; physiotherapy; exercise; dyspnoea; pandemics; Delphi process
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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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