Repercussões respiratórias, motoras e funcionais em pacientes que necessitaram de internação em unidade de terapia intensiva por covid-19

• Ano de defesa: 2022
• Autor(a) principal: MARQUES, Maria Jhany da Silva
• Orientador(a): ALVES, Cláudia Maria Coelho
• Banca de defesa: ALVES, Cláudia Maria Coelho , BRANCO, Maria dos Remédios Freitas Carvalho , ALMEIDA, Fabiano de Jesus Furtado , QUEIROZ, Rejane Christine de Sousa , ALVES, Maria Teresa Seabra Soares de Britto e
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal do Maranhão
• Programa de Pós-Graduação: PROGRAMA DE PÓS-GRADUAÇÃO EM SAÚDE COLETIVA/CCBS
• Departamento: DEPARTAMENTO DE ODONTOLOGIA II/CCBS
• País: Brasil
• Palavras-chave em Português: infecções por coronavírus; unidade de terapia intensiva; força muscular; capacidade funcional;
• Palavras-chave em Inglês: coronavirus infections; intensive care unit; muscle strength; functional capacity.
• Área do conhecimento CNPq: Ciências da Saúde
• Link de acesso: https://tedebc.ufma.br/jspui/handle/tede/4028

Introduction: COVID-19 is a multisystem disease that affects the musculoskeletal system, with losses in muscle strength and functionality. Objective: To evaluate respiratory and peripheral muscle strength and functionality after hospital discharge in patients who required admission to an intensive care unit (ICU) for COVID-19. Methods: Cross-sectional study with 52 adults who were admitted to the COVID ICU of a university hospital in 2020. Sociodemographic and clinical data were obtained from electronic medical records. Respiratory muscle strength, peripheral muscle strength and functionality were evaluated 180 to 365 days after hospital discharge, using manovacuometry, dynamometry and Barthel and Katz indices and Karnofsky scale. Quantitative variables were expressed as mean and standard deviation and qualitative variables were presented as absolute and relative frequencies. Statistical analyzes were performed using linear regressions, Pearson's correlation matrix and mixed model, using the R 4.1.0 software with the aid of the lme4 and lmerTest packages. Results: Measures 70% lower than expected were identified for maximal inspiratory pressure in 6 patients (28.6%) and for maximal expiratory pressure in 7 (33.3%). The hand grip strength of the dominant hand was lower than predicted in 10 patients (47.6%). Five (23.81%) patients were unable to work, 3 (14.3%) reported difficulty walking outside the home and 2 (9.5%) reported inability to perform household chores. The increase in IMV time was related to the reduction in muscle strength. Conclusion: There were long-term respiratory, motor and functional impacts in patients who were admitted to the ICU for COVID-19 in terms of respiratory and peripheral muscle strength and functionality, especially in those who used IMV for a longer time. The results of this study are applicable in planning rehabilitation programs for this population.