Variabilidad en la asistencia hospitalaria. El caso de la rehabilitación respiratoria en Colombia

Translated title of the contribution: Variability in hospital care. Pulmonary rehabilitation in Colombia

O. Chapeton, D. Duran-Palomino, V. Cubillos, J. Martínez-Santa, A. Campos, R. Ramírez-Vélez

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Objective: To describe variations in the management of pulmonary rehabilitation (PR) programs in patients with Chronic Obstructive Pulmonary Disease (COPD) by Colombian physiotherapists. Materials and method: We conducted a cross-sectional, observational study with 250 Colombian physiotherapists who routinely work with COPD patients from Colombia. A survey was made to identify variations in procedures, components, structure and characteristics of PR programs according to the «Guidelines for the physiotherapy management in patients with pulmonary disease with spontaneously breathing» published by British Thoracic Society Physiotherapy (BTS). Additionally, socio-demographic data were collected. Results: The response rate was 89.6% (n = 224). At the time of the survey, 92% of those surveied spent most of their time working in rehabilitation programs. Regarding variations in the clinical practice, the physiotherapists mainly answered «always perform» activities with low level of evidence (Grade C and D) such as diaphragmatic breathing techniques (48.7%), pursed-lip breathing during exercise (62.9%) and techniques of breath control (37.5%). A high percentage of professionals also included interventions with a higher degree of recommendation (Grade A) such as peripheral muscle training (42.9%), respiratory muscle training (52.2%), education or counseling disease (56.7%), use of intermittent positive pressure ventilation (31.7%), and application of oxygen (40.6%). Conclusions: The study confirms that there are important variations in therapeutic care components of the PR proposed by the BTS for patients with Chronic Obstructive Pulmonary Disease.

Translated title of the contributionVariability in hospital care. Pulmonary rehabilitation in Colombia
Original languageSpanish
Pages (from-to)65-72
Number of pages8
JournalFisioterapia
Volume36
Issue number2
DOIs
StatePublished - Mar 2014

All Science Journal Classification (ASJC) codes

  • Physical Therapy, Sports Therapy and Rehabilitation

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