Publikationen

Publikationen der Mitarbeitenden der Zürcher RehaZentren auf PubMed

Background: Pulmonary rehabilitation (PR) following severe and very severe COVID-19
infection is known to be effective, according to typical assessments. However, not all patients benefit
from PR to the same extent. This analysis aimed to identify the impact of different factors on PR
outcomes in post-COVID-19 patients. Methods: This prospective observational study included 184
post-COVID-19 patients. The achievement of the predicted reference walking distance (6 min walking
distance (6-MWD)) served as a parameter with which to identify responders and non-responders
to PR. Several parameters (e.g., Functional Independent Measurement (FIM); pulmonary function
testing (Forced Vital Capacity, FVC); 6MWD) were assessed in order to estimate their impact on PR
success. Logistic regression models and classification and regression trees were used for multivariate
analysis. Results: A total of 94 patients (51%) reached their reference 6MWD by the end of PR. FVC
(0.95 (0.93–0.97)), 6MWD at admission (0.99 (0.99–1.00)), and FIM motoric (0.96 (0.93–0.99)) correlated
with the risk not reaching the reference distance. The most important variable was the 6MWD
at admission. Classification and regression tree identified 6MWD  130 m at admission and FVC
predicted of >83% as the strongest predictor for reaching predicted 6-MWD. Conclusion: Post-COVID-
19 patients with lower 6MWD, lower motoric FIM scores and lower FVC at admission have a high
risk of not reaching their target values of physical performance despite intensive rehabilitation. As
well as identifying them, it is of utmost importance to develop optimal PR concepts for these patients.

We aimed to longitudinally monitor the recovery in breathlessness, symptom burden, health-related quality-of-life, and mental health status in individuals hospitalised due to SARS-CoV-2 associated respiratory failure.

Impact of a smartphone application (KAIA COPD app) in combination with Activity Monitoring as a maintenance prOgram following Pulmnoary Rehabilitation in COPD: the protocol for the AMOPUR Study, an international, multicenter, parallel group, randomized, controlled study

Aktuelle Strategien zum Erhalt der Effekte einer pneumologischen Reha bei COPD-Patienten

Die pneumologische Rehabilitation in der Schweiz 2019