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Respiration . Pulmonary Rehabilitation in Patients Recovering from COVID-19

tetano

Editor, Senior Moderator
Respiration


. 2021 Mar 30;1-7.
doi: 10.1159/000514387. Online ahead of print.
Pulmonary Rehabilitation in Patients Recovering from COVID-19


Elisabetta Zampogna[SUP] 1 [/SUP], Mara Paneroni[SUP] 2 [/SUP], Stefano Belli[SUP] 3 [/SUP], Maria Aliani[SUP] 4 [/SUP], Alessandra Gandolfo[SUP] 5 [/SUP], Dina Visca[SUP] 1 6 [/SUP], Maria Teresa Bellanti[SUP] 3 [/SUP], Nicolino Ambrosino[SUP] 7 [/SUP], Michele Vitacca[SUP] 2 [/SUP]



Affiliations

Abstract

Background: In hospitalized patients recovering from the SARS-coronavirus-2 disease 19 (COVID-19), high prevalence of muscle weakness and physical performance impairment has been observed.
Objectives: The aim of this study was to evaluate the effectiveness of pulmonary rehabilitation in these subjects in a real-life setting.
Methods: Retrospective data analysis of patients recovering from COVID-19, including those requiring assisted ventilation or oxygen therapy, consecutively admitted to an in-patient pulmonary rehabilitation program between April 1 and August 15, 2020. Short Physical Performance Battery (SPPB: primary outcome), Barthel Index (BI), and six-min walking distance were assessed as outcome measures.
Results: Data of 140 patients were analyzed. After rehabilitation, patients showed improvements in SPPB {from: (median [IQR]) 0.5 (0-7) to 7 (4-10), p < 0.001} and BI (from 55 [30-90] to 95 [65-100], p < 0.001), as well as in other assessed outcome measures. The proportion of patients unable at admission to stand, rise from a chair and walk was significantly reduced (p < 0.00).
Conclusions: Pulmonary rehabilitation is possible and effective in patients recovering from COVID-19. Our findings may be useful to guide clinicians taking care of patients surviving COVID-19 infection.

Keywords: Dyspnoea; Exercise capacity; Exercise training; Pulmonary rehabilitation.
 
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