TY - JOUR
T1 - Nuevo Consenso Argentino de Rehabilitacion Respiratoria Actualizacion 2008
AU - Sívori, Martín
AU - Almeida, Marta
AU - Benzo, Roberto
AU - Boim, Clarisa
AU - Brassesco, Marisa
AU - Callejas, Osvaldo
AU - Capparelli, Ignacio
AU - Conti, Ernesto
AU - Diaz, Mariano
AU - Draghi, Jorge
AU - Franco, Javier
AU - Gando, Sebastian
AU - Giuliano, German
AU - Guida, Roxana
AU - Jolly, Enrique
AU - Pessolano, Fernando
AU - Rabinovich, Roberto
AU - Ratto, Patricia
AU - Rhodius, Edgardo
AU - Saadia, Marcela
AU - Salvado, Alejandro
AU - Sobrino, Edgardo
AU - Victorio, Carlos
PY - 2008
Y1 - 2008
N2 - Respiratory rehabilitation (PR) is a multidisciplinary program of care for patients with chronic respiratory impairment, individually tailored, designed to optimize physical and social performance and patient autonomy. It is particularly indicated in chronic obstructive pulmonary disease (COPD) patients with exercise intolerance. The objectives of respiratory rehabilitation are: reduction in symptoms and exercise intolerance, improvement of health-related quality of life, and reduction of health costs. A group of neumonologists, nutritionists and physical therapists performed a systematic review of the evidence in RR to update previous local guidelines. Inclusion and exclusion criteria, guidelines for initial evaluation and follow up and resources needed are defined. Training characteristics are recommended regarding frequency of the visits, intensity, progression and duration of the exercise training. Aerobic training was recommended for lower limb (1A), upper limb (1B). Strength training must be added (1B). Respiratory muscle training and other physiotherapy techniques were recommended only for specific patients (1C). In addition recommendations have been made for educational objectives of the program including smoking cessation, nutritional and psychological support. The positive impact of PR on reductions of health care costs and reductions on hospitalizations (Evidence A) and mortality (Evidence B) were analized. Respiratory rehabilitation is a key component in the modern treatment of COPD patients. This consensus statement was prepared based on the most recent scientific evidence and adjusted to the local environment with the aim of being implemented nationally.
AB - Respiratory rehabilitation (PR) is a multidisciplinary program of care for patients with chronic respiratory impairment, individually tailored, designed to optimize physical and social performance and patient autonomy. It is particularly indicated in chronic obstructive pulmonary disease (COPD) patients with exercise intolerance. The objectives of respiratory rehabilitation are: reduction in symptoms and exercise intolerance, improvement of health-related quality of life, and reduction of health costs. A group of neumonologists, nutritionists and physical therapists performed a systematic review of the evidence in RR to update previous local guidelines. Inclusion and exclusion criteria, guidelines for initial evaluation and follow up and resources needed are defined. Training characteristics are recommended regarding frequency of the visits, intensity, progression and duration of the exercise training. Aerobic training was recommended for lower limb (1A), upper limb (1B). Strength training must be added (1B). Respiratory muscle training and other physiotherapy techniques were recommended only for specific patients (1C). In addition recommendations have been made for educational objectives of the program including smoking cessation, nutritional and psychological support. The positive impact of PR on reductions of health care costs and reductions on hospitalizations (Evidence A) and mortality (Evidence B) were analized. Respiratory rehabilitation is a key component in the modern treatment of COPD patients. This consensus statement was prepared based on the most recent scientific evidence and adjusted to the local environment with the aim of being implemented nationally.
KW - COPD
KW - Consensus
KW - Guideline
KW - Respiratory rehabilitation
UR - http://www.scopus.com/inward/record.url?scp=52949100545&partnerID=8YFLogxK
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M3 - Review article
C2 - 18786894
AN - SCOPUS:52949100545
VL - 68
SP - 325
EP - 344
JO - Medicina (Argentina)
JF - Medicina (Argentina)
SN - 0025-7680
IS - 4
ER -