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Functional impact on adults and older people after hospitalization by Covid-19.
Ochiai, Gabriela Sayuri; de Godoy, Caroline Gil; Silva, Érika Christina Gouveia E; de Oliveira, Danielle Brancolini; da Silva, Elizabeth Mendes; Viana, Bianca de Oliveira Candido; da Silva, Juliana Magalhães; de Souza, Roberta Oliveira Bueno; Dos Santos, Michelle Didone; de Campos, Camila Machado; Schmitt, Ana Carolina Basso; de Carvalho, Celso Ricardo Fernandes; Fu, Carolina; Tanaka, Clarice; Toufen, Carlos; de Carvalho, Carlos Roberto Ribeiro; Pompeu, José Eduardo.
Afiliação
  • Ochiai GS; School of Medicine, Department of Physical Therapy, Speech Therapy and Occupational Therapy, University of São Paulo, São Paulo, Brazil.
  • de Godoy CG; School of Medicine, Department of Physical Therapy, Speech Therapy and Occupational Therapy, University of São Paulo, São Paulo, Brazil.
  • Silva ÉCGE; School of Medicine, Department of Physical Therapy, Speech Therapy and Occupational Therapy, University of São Paulo, São Paulo, Brazil.
  • de Oliveira DB; School of Medicine, Department of Physical Therapy, Speech Therapy and Occupational Therapy, University of São Paulo, São Paulo, Brazil.
  • da Silva EM; School of Medicine, Department of Physical Therapy, Speech Therapy and Occupational Therapy, University of São Paulo, São Paulo, Brazil.
  • Viana BOC; School of Medicine, Department of Physical Therapy, Speech Therapy and Occupational Therapy, University of São Paulo, São Paulo, Brazil.
  • da Silva JM; School of Medicine, Department of Physical Therapy, Speech Therapy and Occupational Therapy, University of São Paulo, São Paulo, Brazil.
  • de Souza ROB; School of Medicine, Department of Physical Therapy, Speech Therapy and Occupational Therapy, University of São Paulo, São Paulo, Brazil.
  • Dos Santos MD; School of Medicine, Department of Physical Therapy, Speech Therapy and Occupational Therapy, University of São Paulo, São Paulo, Brazil.
  • de Campos CM; School of Medicine, Department of Physical Therapy, Speech Therapy and Occupational Therapy, University of São Paulo, São Paulo, Brazil.
  • Schmitt ACB; School of Medicine, Department of Physical Therapy, Speech Therapy and Occupational Therapy, University of São Paulo, São Paulo, Brazil.
  • de Carvalho CRF; School of Medicine, Department of Physical Therapy, Speech Therapy and Occupational Therapy, University of São Paulo, São Paulo, Brazil.
  • Fu C; School of Medicine, Department of Physical Therapy, Speech Therapy and Occupational Therapy, University of São Paulo, São Paulo, Brazil.
  • Tanaka C; School of Medicine, Department of Physical Therapy, Speech Therapy and Occupational Therapy, University of São Paulo, São Paulo, Brazil.
  • Toufen C; Instituto do Coração of Hospital das Clínicas of the School of Medicine of the University of São Paulo, São Paulo, Brazil.
  • de Carvalho CRR; Instituto do Coração of Hospital das Clínicas of the School of Medicine of the University of São Paulo, São Paulo, Brazil.
  • Pompeu JE; School of Medicine, Department of Physical Therapy, Speech Therapy and Occupational Therapy, University of São Paulo, São Paulo, Brazil.
Physiother Res Int ; 28(2): e1983, 2023 Apr.
Article em En | MEDLINE | ID: mdl-36377222
BACKGROUND AND OBJECTIVES: Hospitalization by Covid-19 can cause persistent functional consequences after hospital discharge due to direct and indirect effects of SARS-COV-2 in several organs and systems of the body added to post-intensive care syndrome and prolonged bed rest. These impacts can lead to dependency in activities of daily living, mainly in older people due to aging process and functional decline. This study aimed to compare the effects of hospitalization by Covid-19 on functional capacity of adults and older people and to identify its associated factors. METHODS: Cross-sectional observational study of 159 survivors of hospitalization by Covid-19 after 1 month from discharge at Hospital das Clínicas of the University of São Paulo, divided into groups: adults (aged < 60 years) and older people (aged ≥ 60 years). Those who did not accept to participate, without availability or without ability to understand the questionnaires were excluded. Functional capacity was assessed by the Barthel Index and patients were classified according to their scores. Data analysis was performed in JASP Statistics program and the sample was compared between the age groups. Wilcoxon test was applied to compare before and after periods, Mann-Whitney test was used for between groups comparison. We adopted alpha = 0.05. RESULTS: The total Barthel Index median score was lower 1 month after hospital discharge than in the pre-Covid-19 period. Older people had worse functional status than adults before and also showed greater impairment after hospital discharge. Both groups showed lower Barthel Index classification than before, and older people presented more functional dependence than adults in both periods. Age, sarcopenia and frailty were associated factors. DISCUSSION: Hospitalization by Covid-19 impacts functional capacity after 1 month from discharge, especially in older people. Age, sarcopenia and frailty are associated factors. These results suggest need for care and rehabilitation of Covid-19 survivors.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Sarcopenia / Fragilidade / COVID-19 Tipo de estudo: Observational_studies / Prognostic_studies Limite: Adult / Aged / Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Sarcopenia / Fragilidade / COVID-19 Tipo de estudo: Observational_studies / Prognostic_studies Limite: Adult / Aged / Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article