Original Title: Réadaptation respiratoire à la suite d'une hospitalisation en lien avec un diagnostic de la COVID-19 - rapport de veille scientifique

Authors' objectives: COVID-19 is a disease caused by the SARS-CoV-2 virus which causes respiratory impairment, but can also be associated with other deficiencies such as neurocognitive, cardiovascular, digestive, etc. This respiratory disease is manifested by pneumonia which can progress to a serious condition similar to acute respiratory distress syndrome requiring intensive care. The Multidisciplinary Services Directorate at the Quebec Heart and Lung Institute – Laval University (Institute) requested that the Health Technologies Assessment Unit (HTAU) determine which health intervention methods are the most effective for the respiratory rehabilitation of patients hospitalized following an episode of COVID-19. Following the analysis of available evidence, in a report published in October 2021, the HTAU recommended that the Institute develop a respiratory rehabilitation program for patients with respiratory problems following a hospitalization related to a diagnosis of COVID-19. However, this practice involves a high level of uncertainty with respect to the best intervention and outcomes for measuring the response of the user. In this context, the HTAU was asked to update the report.

Authors' results and conclusions: In light of the new data from the literature, the findings made in the original HTA report are still valid. As mentioned previously, respiratory rehabilitation programs should be individualized in order to include exercises that take into account the characteristics of the patient, their needs, and include documentation monitoring the patient’s progress during rehabilitation. Respiratory rehabilitation in patients with respiratory problems as a result of COVID-19 is a practice that involves a high level of uncertainty. A substantial level of heterogeneity in the rehabilitation programs and outcomes used to measure the effectiveness of respiratory rehabilitation was observed in the available studies. Additionally, it is important to emphasize that it is not possible to establish whether respiratory rehabilitation should be applied differently based on early disease presentation or in patients with late-onset signs and symptoms.

Project Status: Completed

URL for project: https://iucpq.qc.ca/fr/institut/qualite-et-performance/evaluation-des-technologies-et-modes-d-intervention-en-sante-etmis/accueil

Year Published: 2022

URL for published report: https://iucpq.qc.ca/sites/default/files/rap_veille_readaptation_respiratoire_05-2022-vf.pdf

Requestor: Multidisciplinary Services Directorate

English language abstract: There is no English language summary available

Publication Type: Other

Country: Canada

Province: Quebec

Organisation Name: Institut universitaire de cardiologie et de pneumologie de Québec – Université Laval (IUCPQ-ULaval)

Contact Address: 2725, chemin Sainte-Foy Québec QC G1V 4G5

Contact Name: uetmis.iucpq@ssss.gouv.qc.ca

Contact Email: uetmis.iucpq@ssss.gouv.qc.ca

Copyright: Institut universitaire de cardiologie et de pneumologie de Québec - Université Laval