Perfil clínico e capacidade físico funcional de pacientes pós-COVID-19: um estudo observacional
DOI:
https://doi.org/10.53660/1034.prw2643Palavras-chave:
COVID Longa, Perfil de Saúde, Desempenho Físico Funcional, Síndrome Pós-COVID-19Resumo
Este estudo teve como objetivo descrever o perfil clínico e a capacidade físico funcional de pacientes pós-COVID-19 que desenvolveram manifestações clínicas leves da doença. Trata-se de um estudo observacional transversal, no qual 45 pacientes na condição pós-COVID-19 com sintomas clínicos leves foram submetidos à avaliação clínica, a Escala de Estado Funcional Pós-COVID-19 (PCFS) e mensuração do desempenho físico funcional por meio do teste de caminhada de seis minutos (TC6M). Foi constatado que 56% dos pacientes apresentaram dispneia, tosse, anosmia e confusão mental. Além disso, foi observada associação estatisticamente significativa entre a distância percorrida no TC6M e o grau da PCFS. Os resultados permitem concluir que além da presença de sintomas persistentes na condição pós-COVID-19, os pacientes com maiores limitações físicas apresentaram menor desempenho físico funcional.
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Referências
ALWAN, N. A. Surveillance is underestimating the burden of the COVID-19 pandemic. Lancet, v. 396, n. 10252, p. e24, 2020.
ATS COMMITTEE ON PROFICIENCY STANDARDS FOR CLINICAL PULMONARY FUNCTION LABORATORIES. ATS statement: guidelines for the six-minute walk test. American Journal of Respiratory and Critical Care Medicine, v. 166, n. 1, p. 111–117, 2002.
BORG, G. Psychophysical scaling with applications in physical work and the perception of exertion. Scandinavian Journal of Work, Environment and Health, v. 16, n. Suppl 1, p. 55–58, 1990.
BRASIL. Ministério da Saúde. Manual para avaliação e manejo de condições pós-covid na Atenção Primária à Saúde. Brasília: Ministério da Saúde, 2022.
BRASIL. Ministério da Saúde. Secretaria de Vigilância em Saúde. Boletim epidemiológico especial: doença pelo Coronavírus COVID-19. Brasília: Ministério da Saúde, 2022.
BULL, F. C. et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British Journal of Sports Medicine, v. 54, n. 24, p. 1451–1462, 2020.
CRUZ-JENTOFT, A. J. et al. Sarcopenia: Revised European consensus on definition and diagnosis. Age and Ageing, v. 48, n. 1, p. 16–31, 2019.
DOURADO, V. Z. et al. Classification of cardiorespiratory fitness using the six-minute walk test in adults: Comparison with cardiopulmonary exercise testing. Pulmonology, v. 27, n. 6, p. 500–508, 2021.
DUGGAL, P. et al. Post-sequelae symptoms and comorbidities after COVID-19. Journal of Medical Virology, v. 94, n. 5, p. 2060–2066, 2022.
HALLEK, M. et al. Post-COVID syndrome. Deutsches Arzteblatt International, v. 120, n. 4, p. 48–55, 2023.
HAN, Q. et al. Long-term sequelae of COVID-19: a systematic review and meta-analysis of one-year follow-up studies on post-COVID symptoms. Pathogens, v. 11, n. 2, p. 269, 2022.
HARALDSTAD, K. et al. A systematic review of quality of life research in medicine and health sciences. Quality of Life Research, v. 28, n. 10, p. 2641–2650, 2019.
HOCKELE, L. F. et al. Pulmonary and Functional Rehabilitation Improves Functional Capacity, Pulmonary Function and Respiratory Muscle Strength in Post COVID-19 Patients: Pilot Clinical Trial. International Journal of Environmental Research and Public Health, v. 19, n. 22, p. 14899, 2022.
HOLLAND, A. E. et al. An official European Respiratory Society/American Thoracic Society technical standard: field walking tests in chronic respiratory disease. European Respiratory Journal, v. 44, n. 6, p. 1428–1446, 2014.
HUANG, L. et al. 1-year outcomes in hospital survivors with COVID-19: a longitudinal cohort study. Lancet, v. 398, n. 10302, p. 747–758, 2021.
HUANG, Y. et al. Impact of coronavirus disease 2019 on pulmonary function in early convalescence phase. Respiratory Research, v. 21, n. 1, p. 163, 2020.
LI, Q. et al. Early transmission dynamics in Wuhan, China, of novel coronavirus‐infected pneumonia. New England Journal of Medicine, v. 382, n. 13, p. 1199–1207, 2020.
LIPSCHITZ, D. A. Screening for nutritional status in the elderly. Primary Care, v. 21, n. 1, p. 55–67, 1994.
MACHADO, F. V. C. et al. Construct validity of the Post-COVID-19 Functional Status Scale in adult subjects with COVID-19. Health and Quality of Life Outcomes, v. 19, n. 1, p. 40, 2021.
MALTA, M. et al. Iniciativa STROBE: subsídios para a comunicação de estudos observacionais. Revista de Saúde Pública, v. 44, n. 3, p. 559–565, 2010.
NALBANDIAN, A.; DESAI, A. D.; WAN, E. Y. Post-COVID-19 Condition. Annual Review of Medicine, v. 74, p. 55–64, 2023.
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE. COVID-19 rapid guideline: managing the long-term effects of COVID-19. London: NICE, 2020.
NOOP, S. et al. Outpatient pulmonary rehabilitation in patientes with long COVID improves exercise capacity, functional status, dyspnea, fatigue, and qualty of life. Respiration, v. 101, n. 6, p. 593–601, 2022.
OFFICE FOR NATIONAL STATISTICS. Updated estimates of the prevalence of long COVID symptoms. Disponível em: https://www.ons.gov.uk/. Acesso em: 16 jan. 2022.
PEROY-BADAL, R. et al. Comparison of different field tests to assess the physical capacity of post-COVID-19 patients. Pulmonology, v. 000, p. 1- 7, 2022.
RAJAN, S. et al. In the wake of the pandemic: preparing for Long COVID. Copenhagen: European Observatory on Health Systems and Policies, 2021.
SADR, S. et al. Isolated severe thrombocytopenia in a patient with COVID‐19: a case report. IDCases, v. 21, p. e00820, 2020.
SORIANO, J. B. et al. A clinical case definition of post-COVID-19 condition by a Delphi consensus. Lancet Infectious Diseases, v. 22, n. 4, p. e102–e107, 2022.
SPRUIT, M. A. et al. COVID-19: Interim Guidance on Rehabilitation in the Hospital and Post-Hospital Phase from a European Respiratory Society and American Thoracic Society-coordinated International Task Force. European Respiratory Journal, v. 56, n. 6, p. 2002197, 2020.
STEWART, A. D. et al. International standards for anthropometric assessment. Lower Hutt: ISAK, 2011.
SZARVAS, Z. et al. Cardiopulmonary rehabilitation programme improves physical health and quality of life in post-COVID syndrome. Ann Palliat Med, v.12, n. 3, p. 548-560, 2023.
VAN AERDE, N. et al. Intensive care unit acquired muscle weakness in COVID-19 patients. Intensive Care Medicine, v. 46, n. 11, p. 2083–2085, 2020.
WONG, A. W. et al. Predictors of reduced 6-minute walk distance after COVID-19: a cohort study in Mexico. Pulmonology, v. 27, n. 6, p. 563–565, 2021.
WORLD HEALTH ORGANIZATION (WHO). Physical Status: the use and interpretation of anthropometry. Geneva: WHO, 1995.
YANG, T. et al. Sequelae of COVID-19 among previously hospitalized patients up to 1 year after discharge: a systematic review and meta-analysis. Infection, v. 50, n. 5, p. 1067–1109, 2022.
