Nuevo Consenso Argentino de Rehabilitacion Respiratoria Actualizacion 2008

Translated title of the contribution: New Argentine Consensus of Respiratory Rehabilitation 2008

Martín Sívori, Marta Almeida, Roberto Benzo, Clarisa Boim, Marisa Brassesco, Osvaldo Callejas, Ignacio Capparelli, Ernesto Conti, Mariano Diaz, Jorge Draghi, Javier Franco, Sebastian Gando, German Giuliano, Roxana Guida, Enrique Jolly, Fernando Pessolano, Roberto Rabinovich, Patricia Ratto, Edgardo Rhodius, Marcela SaadiaAlejandro Salvado, Edgardo Sobrino, Carlos Victorio

Research output: Contribution to journalReview articlepeer-review

9 Scopus citations

Abstract

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.

Translated title of the contributionNew Argentine Consensus of Respiratory Rehabilitation 2008
Original languageSpanish
Pages (from-to)325-344
Number of pages20
JournalMedicina
Volume68
Issue number4
StatePublished - 2008

Keywords

  • COPD
  • Consensus
  • Guideline
  • Respiratory rehabilitation

ASJC Scopus subject areas

  • Medicine(all)

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