Care Pathways COPD-R Process and outcome indicators in the management of patients with respiratory disease: observational study
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Abstract
Introduction: Respiratory system pathologies represent a condition that affects the lungs and all the other parts of the respiratory system. Coronavirus disease (COVID-19) is caused by severe acute respiratory syndrome Covid 2 (SARS-CoV-2). This study aims to analyze the effectiveness of a rehabilitation protocol already tested in the literature for patients with COPD, on patients affected by Post Corona Virus Syndrome, and to evaluate the organizational and clinical process indicators involved in patient care.
Methods: This research was conducted following an observational study carried out by the rehabilitation team of Poliambulatorio San Felice (ASL Rome 2), which is dedicated to respiratory rehabilitation. Ten assessment tools were used to analyze different aspects. The patients performed breathing exercises and aerobic training to get used to the effort. The outcomes evaluated in the study included the effectiveness of the rehabilitation protocol, the exacerbation after rehabilitation treatment at 12 months, the adherence to the functional assessment and rehabilitation treatment, and customer satisfaction.
Results: For this study, one hundred and ninety-six patients with breathing difficulties were recruited, of whom fifty five were affected by Long Covid Syndrome and one hundred and five were diagnosed with COPD, associated or not with Long Covid. Of these, thirty-six patients did not adhere to the rehabilitation treatment and were excluded from the sample. Statistical analysis did not show statistically significant differences between the groups; however according to the results of the health assessment questionnaire, a significant improvement was found in patients with Long Covid Syndrome.
Conclusion: From the results obtained, it is possible to state that the rehabilitation treatment, according to the World Health Organization guidelines, produced a statistically significant improvement for all patients included in the treatment programparticularly those affected by the syndrome.
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References
Haddad M, Sharma S. Physiology, Lung [Internet]. PubMed. 2022. Available from: https://www.ncbi.nlm.nih.gov/books/NBK545177/
BRONCOPNEUMOPATIA CRONICA OSTRUTTIVA – epiCentro.iss.it https://www.epicentro.iss.it/broncopneumopatia/
Galeoto G, Bellucci S, Berardi A, et al. Who.int. 2022, Management Riabilitativo per il recupero dalla malattia COVID-19, seconda edizione, Available from: Https://apps.who.int/iris/bitstream/handle/10665/344472/WHO-EURO-2021-855-40590-59892-ita.pdf?sequence=35&isAllowed=y
G. Galeoto, A. Berardi, F. Panuccio, A. et al. Management Fisioterapico per la Malattia COVID-19 in un Setting Ospedaliero per Acuti e in Altri Contesti: Aggiornamento delle Raccomandazioni di Pratica Clinica. Traduzione in lingua italiana - Journal of Physiotherapy (2022),doi: https://doi.org/10.1016/j.jphys.2021.12.012
M. Tamburlani, R. Cuscito, A. Servadio, et al. Effectiveness of Respiratory Rehabilitation in COVID-19’s Post-Acute Phase: A Systematic Review, Healthcare, Healthcare 2023, 11(8), 1071; https://doi.org/10.3390/healthcare11081071
Coronavirus disease (COVID-19): Post COVID-19 condition [Internet]. Who.int. Available from: https://www.who.int/news-room/questions-and-answers/item/coronavirus-disease-(Covid-19)-post-Covid-19-condition.
EpiCentro. Tutto sulla pandemia di SARS-CoV-2 [Internet]. Iss.it. [cited 2022 Oct 13]. Available from: https://www.epicentro.iss.it/coronavirus/sars-cov-2.
CDC. Symptoms of COVID-19 [Internet]. Centers for Disease Control and Prevention. 2022 [cited 2022 Oct 13]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html.
Cascella M, Rajnik M, Aleem A, el al. Features, evaluation, and treatment of Coronavirus (COVID-19). In: StatPearls [Internet]. StatPearls Publishing; 2022.
Long-term effects of coronavirus (Long COVID) [Internet]. nhs.uk. Available from: https://www.nhs.uk/conditions/coronavirus-Covid-19/Long-term-effects-of-coronavirus-Long-Covid/.
G. Casati, M. Panella, F. Di Stanislao, et al. Gestione per processi professionali e percorsi assistenziali. Manuale 1 Terza edizione, Roma-Ancona, marzo 2005.
Linee di indirizzo Nazionali sui Percorsi Diagnostico Terapeutici Assistenziali per le demenze - Tavolo per il monitoraggio del recepimento ed implementazione del Piano Nazionale Demenze. Tavolo per il monitoraggio del recepimento ed implementazione del Piano Nazionale Demenze 5/07/2017. Linee di indirizzo – Ministero della Salute https://www.salute.gov.it/
Bohannon RW, Crouch R. 1-Minute Sit-to-Stand Test: SYSTEMATIC REVIEW OF PROCEDURES, PERFORMANCE, AND CLINIMETRIC PROPERTIES. J Cardiopulm Rehabil Prev. 2019 Jan;39(1):2-8. doi: 10.1097/HCR.0000000000000336. PMID: 30489442.
ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test: Guidelines for the six-minute walk test. Am J Respir Crit Care Med [Internet]. 2002 [cited 2022 Oct 13];166(1):111–7. Available from: https://pubmed.ncbi.nlm.nih.gov/12091180/.
Enright PL. The six-minute walk test. Respir Care. 2003 Aug;48(8):783-5. PMID: 12890299.Available from: https://pubmed.ncbi.nlm.nih.gov/12890299/
Walking test [Internet]. Humanitas Medical Care. 2018. Available from: https://www.humanitas-care.it/visite-ed-esami/walking-test/.
Huo T, Guo Y, Shenkman E, et al. Assessing the reliability of the short form 12 (SF-12) health survey in adults with mental health conditions: a report from the wellness incentive and navigation (WIN) study. Health Qual Life Outcomes. 2018 Feb 13;16(1):34. doi: 10.1186/s12955-018-0858-2. PMID: 29439718; PMCID: PMC5811954.
Penko AL, Barkley JE, Koop MM, el al. Borg scale is valid for ratings of perceived exertion for individuals with Parkinson’s disease. Int J Exerc Sci [Internet]. 2017;10(1):76–86. Available from: https://pubmed.ncbi.nlm.nih.gov/28479949/.
Klimek L, Bergmann K-C, Biedermann T, et al. Visual analogue scales (VAS): Measuring instruments for the documentation of symptoms and therapy monitoring in cases of allergic rhinitis in everyday health care: Position Paper of the German Society of Allergology (AeDA) and the German Society of Allergy and Clinical Immunology (DGAKI), ENT Section, in collaboration with the working group on Clinical Immunology, Allergology and Environmental Medicine of the German Society of Otorhinolaryngology, Head and Neck Surgery (DGHNOKHC): Position Paper of the German Society of Allergology (AeDA) and the German Society of Allergy and Clinical Immunology (DGAKI), ENT Section, in collaboration with the working group on Clinical Immunology, Allergology and Environmental Medicine of the German Society of Otorhinolaryngology, Head and Neck Surgery (DGHNOKHC). Allergo J Int [Internet]. 2017 [cited 2022 Oct 13];26(1):16–24. Available from: http://dx.doi.org/10.1007/s40629-016-0006-7.
G. Galeoto, A. Scialpi, ML. Grassi, et al. General Sleep Disturbance Scale: Translation, cultural adaptation, and psychometric properties of the Italian version. Cranio. 2021 Jul;39(4):326-334. doi: 10.1080/08869634.2019.1627067. Epub 2019 Jun 11. PMID: 31181984.
The IMACS clinical trial/study outcomes data repository uses the scoring of the HAQ disability index of the CLINHAQ [Internet]. Nih.gov. [cited 2022 Oct 13]. Available from: https://www.niehs.nih.gov/research/resources/assets/docs/haq_instructions_508.pdf
Goodwin E, Hawton A, Green C. - Using the Fatigue Severity Scale to inform healthcare decision-making in multiple sclerosis: mapping to three quality-adjusted life-year measures (EQ-5D-3L, SF-6D, MSIS-8D). Health Qual Life Outcomes. 2019 Aug 5;17(1):136. doi: 10.1186/s12955-019-1205-y. PMID: 31382960; PMCID: PMC6683407.
Michelle E. Mlinac, Michelle C. Feng, Assessment of Activities of Daily Living, Self-Care, and Independence, Archives of Clinical Neuropsychology, Volume 31, Issue 6, September 2016, Pages 506-516, https://doi.org/10.1093/arclin/acw049.
C. The Lawton instrumental activities of daily living scale. Am J Nurs. 2008 Apr;108(4):52-62; quiz 62-3. doi: 10.1097/01.NAJ.0000314810.46029.74. PMID: 18367931.
Covid: l’impatto sulla società e sulle persone [Internet]. Unitn.it. 2021 [cited 2022 Nov 12]. Available from: https://webmagazine.unitn.it/ricerca/88697/Covid-l-impatto-sulla-societ-e-sulle-persone.
Yu, C., Helwig, E.J. Role of rehabilitation amidst the COVID-19 pandemic: a review. J Transl Med 19, 376 (2021). https://doi.org/10.1186/s12967-021-03048-1.
Mishra NP, Das SS, Yadav S, et al. Global impacts of pre- and post-COVID-19 pandemic: Focus on socio-economic consequences. Sens Int. 2020;1:100042. doi: 10.1016/j.sintl.2020.100042. Epub 2020 Sep 23. PMID: 34766044; PMCID: PMC7510561.
Huo T, Guo Y, Shenkman E, et al. Assessing the reliability of the short form 12 (SF-12) health survey in adults with mental health conditions: a report from the wellness incentive and navigation (WIN) study. Health Qual Life Outcomes. 2018 Feb 13;16(1):34. doi: 10.1186/s12955-018-0858-2. PMID: 29439718; PMCID: PMC5811954.