Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2022 Nov;58(11):754-763.
doi: 10.1016/j.arbres.2022.05.010. Epub 2022 Jun 10.

Breathing Back Better! A State of the Art on the Benefits of Functional Evaluation and Rehabilitation of Post-Tuberculosis and Post-COVID Lungs

[Article in English, Spanish]
Emanuele Pontali  1 , Denise Rossato Silva  2 , Florian M Marx  3 , Jose Antonio Caminero  4 , Rosella Centis  5 , Lia D'Ambrosio  6 , Jose Maria Garcia-Garcia  7 , Jeremiah Chakaya Muhwa  8 , Simon Tiberi  9 , Giovanni Battista Migliori  5
Affiliations
Review

Breathing Back Better! A State of the Art on the Benefits of Functional Evaluation and Rehabilitation of Post-Tuberculosis and Post-COVID Lungs

[Article in English, Spanish]
Emanuele Pontali et al. Arch Bronconeumol. 2022 Nov.

Abstract

Currently, tuberculosis (TB) and COVID-19 account for substantial morbidity and mortality worldwide, not only during their acute phase, but also because of their sequelae. This scoping review aims to describe the specific aspects of post-TB and post-COVID (long-COVID-19) sequelae, and the implications for post-disease follow-up and rehabilitation. In particular, evidence on how to identify patients affected by sequelae is presented and discussed. A section of the review is dedicated to identifying patients eligible for pulmonary rehabilitation (PR), as not all patients with sequelae are eligible for PR. Components of PR are presented and discussed, as well as their effectiveness. Other essential components to implement comprehensive rehabilitation programmes such as counselling and health education of enrolled patients, evaluation of cost-effectiveness of PR and its impact on health systems as well as research priorities for the future are included in this scoping review.

Keywords: COVID-19; Post-COVID-19; Post-TB; Rehabilitation; TB sequelae; Tuberculosis.

PubMed Disclaimer

References

    1. Migliori G.B., Marx F.M., Ambrosino N., Zampogna E., Schaaf H.S., van der Zalm M.M., et al. Clinical standards for the assessment, management and rehabilitation of post-TB lung disease. Int J Tuberc Lung Dis. 2021;25:797–813. doi: 10.5588/ijtld.21.0425. - DOI - PMC - PubMed
    1. Ranzani O.T., Rodrigues L.C., Bombarda S., Minto C.M., Waldman E.A., Carvalho C.R.R. Long-term survival and cause-specific mortality of patients newly diagnosed with tuberculosis in Sao Paulo state, Brazil, 2010–15: a population-based, longitudinal study. Lancet Infect Dis. 2020;20:123–132. doi: 10.1016/S1473-3099(19)30518-3. - DOI - PMC - PubMed
    1. Visca D., Tiberi S., Pontali E., Spanevello A., Migliori G.B. Tuberculosis in the time of COVID-19: quality of life and digital innovation. Eur Respir J. 2020;56:2001998. doi: 10.1183/13993003.01998-2020. - DOI - PMC - PubMed
    1. Migliori G.B., Tiberi S., Zumla A., Petersen E., Chakaya J.M., Wejse C., et al. MDR/XDR-TB management of patients and contacts: Challenges facing the new decade. The 2020 clinical update by the Global Tuberculosis Network. Int J Infect Dis. 2020;92S:S15–S25. doi: 10.1016/j.ijid.2020.01.042. - DOI - PubMed
    1. Meghji J., Gregorius S., Madan J., Chitimbe F., Thomson R., Rylance J., et al. The long term effect of pulmonary tuberculosis on income and employment in a low income, urban setting. Thorax. 2020;76:387–395. doi: 10.1136/thoraxjnl-2020-215338. - DOI - PMC - PubMed