Dispneia e força dos membros inferiores de sobreviventes da Covid-19 avaliados após alta hospitalar no Rio Grande do Norte: estudo observacional
Introduction: COVID-19 is an infectious disease, caused by the SARS-CoV-2 coronavirus, which has spread rapidly around the world, causing the contamination of millions of people. The main clinical findings at the beginning of the disease outbreak were fever, difficulty breathing and chest X-rays...
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| Formato: | bachelorThesis |
| Idioma: | pt_BR |
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Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/50518 |
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| Resumo: | Introduction: COVID-19 is an infectious disease, caused by the SARS-CoV-2 coronavirus,
which has spread rapidly around the world, causing the contamination of millions of people.
The main clinical findings at the beginning of the disease outbreak were fever, difficulty
breathing and chest X-rays showing infiltrates in both lungs. Survivors may persist with
residual symptoms after the acute infection, including fatigue, respiratory and neurological
symptoms, negatively impacting physical function, ability to perform Activities of Daily
Living (ADLs) and quality of life. Objective: To assess dyspnea and lower limb strength (LL)
in COVID-19 survivors after hospitalization in Rio Grande do Norte. Methodology:
Observational, cross-sectional study with a quantitative approach. The participants were
evaluated on an online platform and the Medical Research Council (MRC) Scale was applied
to investigate the presence of dyspnea and the five-repetition sit-to-stand test was performed
to indirectly assess lower limb strength. The sample was divided into three groups, according
to the time elapsed between discharge and evaluation. Statistical analysis was performed
using the Statistical Package for the Social Sciences (SPSS) software, version 20.0 for
Windows. Results: 96 individuals were evaluated. 46.88% were interviewed within 1 month
after leaving the hospital and of these, 75.56% reported MRC equal to or greater than 2;
15.56% were unable to perform the sit and stand test and 33.33% performed the same test in
16.7s or more. In the group assessed with more than one to six months, 75% reported MRC
equal to or greater than 2 and 41.67% performed the sit-to-stand test in 16.7s or more. Of the
group assessed more than six months after discharge, 48.14% reported a degree of dyspnea
equal to or greater than 2 by the MRC; 33.33% finished the sit and stand test between 11.2
and 13.69 seconds and another 33.33% completed it in up to 11.19 seconds. Conclusion:
Patients evaluated more than 6 months after hospital discharge due to COVID-19 had a lower
degree of dyspnea, consequently, it was easier to perform ADLs and better performance in the
sit-to-stand test, thus indirectly indicating an improvement in the strength of the muscles
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