A Pulmonary Rehabilitation Decisional Score to Define Priority Access for COPD Patients
Joint Authors
Vitacca, Michele
Comini, Laura
Barbisoni, Marilena
Francolini, Gloria
Paneroni, Mara
Ramponi, Jean Pierre
Source
Rehabilitation Research and Practice
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-01-23
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
This retrospective study aimed to evaluate, through an ad hoc 17-item tool, the Pulmonary Rehabilitation Decisional Score (PRDS), the priority access to PR prescription by respiratory specialists.
The PRDS, scoring functional, clinical, disability, frailty, and participation parameters from 0 = low priority to 34 = very high priority for PR access, was retrospectively calculated on 124 specialist reports sent to the GP of subjects (aged 71 ± 11 years, FEV1% 51 ± 17 ) consecutively admitted to our respiratory outpatient clinic.
From the specialist’s report the final subject’s allocation could be low priority (LP) (>60 days), high priority (HP) (30–60 days), or very high priority (VHP) (<30 days) to rehabilitation.
The PRDS calculation showed scores significantly higher in VHP versus LP ( p < 0.001 ) and significantly different between HP and VHP ( p < 0.001 ).
Comparing the specialist’s allocation decision and priority choice based on PRDS cut-offs, PR prescription was significantly more appropriate in VHP than in HP ( p = 0.016 ).
Specialists underprescribed PR in 49% of LP cases and overprescribed it in 46% and 30% of the HP and VHP prescriptions, respectively.
A multicomprehensive score is feasible being useful for staging the clinical priorities for PR prescription and facilitating sustainability of the health system.
American Psychological Association (APA)
Vitacca, Michele& Comini, Laura& Barbisoni, Marilena& Francolini, Gloria& Paneroni, Mara& Ramponi, Jean Pierre. 2017. A Pulmonary Rehabilitation Decisional Score to Define Priority Access for COPD Patients. Rehabilitation Research and Practice،Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1197641
Modern Language Association (MLA)
Vitacca, Michele…[et al.]. A Pulmonary Rehabilitation Decisional Score to Define Priority Access for COPD Patients. Rehabilitation Research and Practice No. 2017 (2017), pp.1-8.
https://search.emarefa.net/detail/BIM-1197641
American Medical Association (AMA)
Vitacca, Michele& Comini, Laura& Barbisoni, Marilena& Francolini, Gloria& Paneroni, Mara& Ramponi, Jean Pierre. A Pulmonary Rehabilitation Decisional Score to Define Priority Access for COPD Patients. Rehabilitation Research and Practice. 2017. Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1197641
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1197641