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Closing the Gap between Inpatient and Outpatient Settings: Integrating Pulmonary Rehabilitation and Technological Advances in the Comprehensive Management of Frail Patients

Author

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  • Lorenzo Lippi

    (Physical and Rehabilitative Medicine, Department of Health Sciences, University of Eastern Piedmont “A. Avogadro”, 28100 Novara, Italy
    Dipartimento Attività Integrate Ricerca e Innovazione (DAIRI), Translational Medicine, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, 15121 Alessandria, Italy
    These authors contributed equally to this work.)

  • Francesco D’Abrosca

    (Physical and Rehabilitative Medicine, Department of Health Sciences, University of Eastern Piedmont “A. Avogadro”, 28100 Novara, Italy
    These authors contributed equally to this work.)

  • Arianna Folli

    (Physical and Rehabilitative Medicine, Department of Health Sciences, University of Eastern Piedmont “A. Avogadro”, 28100 Novara, Italy)

  • Alberto Dal Molin

    (Department of Translational Medicine, University of Eastern Piedmont “A. Avogadro”, 28100 Novara, Italy
    Health Professions’ Direction, “Ospedale Maggiore della Carità” University Hospital, 28100 Novara, Italy)

  • Stefano Moalli

    (Physical and Rehabilitative Medicine, Department of Health Sciences, University of Eastern Piedmont “A. Avogadro”, 28100 Novara, Italy)

  • Antonio Maconi

    (Dipartimento Attività Integrate Ricerca e Innovazione (DAIRI), Translational Medicine, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, 15121 Alessandria, Italy)

  • Antonio Ammendolia

    (Physical and Rehabilitative Medicine Unit, Department of Medical and Surgical Sciences, University of Catanzaro “Magna Graecia”, Viale Europa, 88100 Catanzaro, Italy)

  • Alessandro de Sire

    (Physical and Rehabilitative Medicine Unit, Department of Medical and Surgical Sciences, University of Catanzaro “Magna Graecia”, Viale Europa, 88100 Catanzaro, Italy)

  • Marco Invernizzi

    (Physical and Rehabilitative Medicine, Department of Health Sciences, University of Eastern Piedmont “A. Avogadro”, 28100 Novara, Italy
    Dipartimento Attività Integrate Ricerca e Innovazione (DAIRI), Translational Medicine, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, 15121 Alessandria, Italy)

Abstract

Pulmonary rehabilitation (PR) is a well-established intervention supported by strong evidence that is used to treat patients affected by chronic respiratory diseases. However, several barriers still affect its spreading in rehabilitation clinical practices. Although chronic respiratory diseases are common age-related disorders, there is still a gap of knowledge regarding the implementation of sustainable strategies integrating PR in the rehabilitation management of frail patients at high risk of respiratory complications. Therefore, in the present study, we characterized the effects of PR in frail patients, highlighting the evidence supporting its role in improving the complex rehabilitative management of these patients. Moreover, we propose a novel organizational model promoting PR programs for frail patients in both inpatient and outpatient settings. Our model emphasizes the role of interdisciplinary care, specifically tailored to patients and environmental characteristics. In this scenario, cutting-edge technology and telemedicine solutions might be implemented as safe and sustainable strategies filling the gap between inpatient and outpatient settings. Future research should focus on large-scale sustainable interventions to improve the quality of life and global health of frail patients. Moreover, evidence-based therapeutic paths should be promoted and taught in training courses promoting multiprofessional PR knowledge to increase awareness and better address its delivery in frail patients.

Suggested Citation

  • Lorenzo Lippi & Francesco D’Abrosca & Arianna Folli & Alberto Dal Molin & Stefano Moalli & Antonio Maconi & Antonio Ammendolia & Alessandro de Sire & Marco Invernizzi, 2022. "Closing the Gap between Inpatient and Outpatient Settings: Integrating Pulmonary Rehabilitation and Technological Advances in the Comprehensive Management of Frail Patients," IJERPH, MDPI, vol. 19(15), pages 1-12, July.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:15:p:9150-:d:872777
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    References listed on IDEAS

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    1. Nurul Hidayah Md Fadzil & Suzana Shahar & Roslee Rajikan & Devinder Kaur Ajit Singh & Arimi Fitri Mat Ludin & Ponnusamy Subramaniam & Norhayati Ibrahim & Divya Vanoh & Nazlena Mohamad Ali, 2022. "A Scoping Review for Usage of Telerehabilitation among Older Adults with Mild Cognitive Impairment or Cognitive Frailty," IJERPH, MDPI, vol. 19(7), pages 1-14, March.
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    3. Eva Vázquez-Gandullo & Antonio Hidalgo-Molina & Francisca Montoro-Ballesteros & María Morales-González & Isabel Muñoz-Ramírez & Aurelio Arnedillo-Muñoz, 2022. "Inspiratory Muscle Training in Patients with Chronic Obstructive Pulmonary Disease (COPD) as Part of a Respiratory Rehabilitation Program Implementation of Mechanical Devices: A Systematic Review," IJERPH, MDPI, vol. 19(9), pages 1-14, May.
    4. Sarah Bernard & Rui Vilarinho & Inês Pinto & Rosa Cantante & Ricardo Coxo & Rosa Fonseca & Sagrario Mayoralas-Alises & Salvador Diaz-Lobato & João Carvalho & Cátia Esteves & Cátia Caneiras, 2021. "Enhance Access to Pulmonary Rehabilitation with a Structured and Personalized Home-Based Program— reabilitAR : Protocol for Real-World Setting," IJERPH, MDPI, vol. 18(11), pages 1-12, June.
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    Cited by:

    1. Lorenzo Lippi & Arianna Folli & Claudio Curci & Francesco D’Abrosca & Stefano Moalli & Kamal Mezian & Alessandro de Sire & Marco Invernizzi, 2022. "Osteosarcopenia in Patients with Chronic Obstructive Pulmonary Diseases: Which Pathophysiologic Implications for Rehabilitation?," IJERPH, MDPI, vol. 19(21), pages 1-18, November.
    2. Lorenzo Lippi & Alessandro de Sire & Arianna Folli & Alessio Turco & Stefano Moalli & Antonio Ammendolia & Antonio Maconi & Marco Invernizzi, 2022. "Environmental Factors in the Rehabilitation Framework: Role of the One Health Approach to Improve the Complex Management of Disability," IJERPH, MDPI, vol. 19(22), pages 1-13, November.

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