Pulmonary Rehabilitation in Patients Recovering from COVID-19
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 subjec...
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| Published in | Respiration Vol. 100; no. 5; pp. 416 - 422 |
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| Main Authors | , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Basel, Switzerland
S. Karger AG
01.05.2021
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| 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. |
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| AbstractList | 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: Exercise training, Exercise capacity, Dyspnoea, Pulmonary rehabilitation 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.BACKGROUNDIn hospitalized patients recovering from the SARS-coronavirus-2 disease 19 (COVID-19), high prevalence of muscle weakness and physical performance impairment has been observed.The aim of this study was to evaluate the effectiveness of pulmonary rehabilitation in these subjects in a real-life setting.OBJECTIVESThe aim of this study was to evaluate the effectiveness of pulmonary rehabilitation in these subjects in a real-life setting.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.METHODSRetrospective 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.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).RESULTSData 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).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.CONCLUSIONSPulmonary 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. 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. 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. The aim of this study was to evaluate the effectiveness of pulmonary rehabilitation in these subjects in a real-life setting. 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. 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). 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. |
| Audience | Academic |
| Author | Zampogna, Elisabetta Visca, Dina Gandolfo, Alessandra Ambrosino, Nicolino Bellanti, Maria Teresa Aliani, Maria Paneroni, Mara Belli, Stefano Vitacca, Michele |
| AuthorAffiliation | g Respiratory Rehabilitation of the Institute of Montescano, Istituti Clinici Scientifici Maugeri, IRCCS, Montescano, Italy a Respiratory Rehabilitation of the Institute of Tradate, Istituti Clinici Scientifici Maugeri, IRCCS, Tradate, Italy e Respiratory Rehabilitation of the Institute of Pavia, Istituti Clinici Scientifici Maugeri, IRCCS, Pavia, Italy b Respiratory Rehabilitation of the Institute of Lumezzane, Istituti Clinici Scientifici Maugeri, IRCCS, Brescia, Italy c Respiratory Rehabilitation of the Institute of Veruno, Istituti Clinici Scientifici Maugeri, IRCCS, Veruno, Italy d Respiratory Rehabilitation of the Institute of Bari, Istituti Clinici Scientifici Maugeri, IRCCS, Bari, Italy f Department of Medicine and Surgery, Respiratory Diseases, University of Insubria, Varese-Como, Italy |
| AuthorAffiliation_xml | – name: f Department of Medicine and Surgery, Respiratory Diseases, University of Insubria, Varese-Como, Italy – name: e Respiratory Rehabilitation of the Institute of Pavia, Istituti Clinici Scientifici Maugeri, IRCCS, Pavia, Italy – name: d Respiratory Rehabilitation of the Institute of Bari, Istituti Clinici Scientifici Maugeri, IRCCS, Bari, Italy – name: a Respiratory Rehabilitation of the Institute of Tradate, Istituti Clinici Scientifici Maugeri, IRCCS, Tradate, Italy – name: c Respiratory Rehabilitation of the Institute of Veruno, Istituti Clinici Scientifici Maugeri, IRCCS, Veruno, Italy – name: b Respiratory Rehabilitation of the Institute of Lumezzane, Istituti Clinici Scientifici Maugeri, IRCCS, Brescia, Italy – name: g Respiratory Rehabilitation of the Institute of Montescano, Istituti Clinici Scientifici Maugeri, IRCCS, Montescano, Italy |
| Author_xml | – sequence: 1 givenname: Elisabetta surname: Zampogna fullname: Zampogna, Elisabetta email: *Elisabetta Zampogna, elisabetta.zampogna@icsmaugeri.it – sequence: 2 givenname: Mara surname: Paneroni fullname: Paneroni, Mara – sequence: 3 givenname: Stefano surname: Belli fullname: Belli, Stefano – sequence: 4 givenname: Maria surname: Aliani fullname: Aliani, Maria – sequence: 5 givenname: Alessandra surname: Gandolfo fullname: Gandolfo, Alessandra – sequence: 6 givenname: Dina surname: Visca fullname: Visca, Dina – sequence: 7 givenname: Maria Teresa surname: Bellanti fullname: Bellanti, Maria Teresa – sequence: 8 givenname: Nicolino orcidid: 0000-0002-5331-1393 surname: Ambrosino fullname: Ambrosino, Nicolino – sequence: 9 givenname: Michele orcidid: 0000-0002-9389-7915 surname: Vitacca fullname: Vitacca, Michele |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33784696$$D View this record in MEDLINE/PubMed |
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| Keywords | Dyspnoea Exercise training Exercise capacity Pulmonary rehabilitation |
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| Snippet | Background: In hospitalized patients recovering from the SARS-coronavirus-2 disease 19 (COVID-19), high prevalence of muscle weakness and physical performance... In hospitalized patients recovering from the SARS-coronavirus-2 disease 19 (COVID-19), high prevalence of muscle weakness and physical performance impairment... |
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| SubjectTerms | Aged Clinical Investigations COVID-19 - complications COVID-19 - rehabilitation Disabled Persons - rehabilitation Dyspnea - etiology Dyspnea - rehabilitation Evaluation Exercise Test Exercise Therapy Female Humans Length of Stay Male Methods Middle Aged Pulmonary function tests Recovery of function Respiratory Therapy Retrospective Studies |
| Title | Pulmonary Rehabilitation in Patients Recovering from COVID-19 |
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