Journal of bodywork and movement therapies · 2025
Evaluation of the relation between the demographic and clinical profile of individuals with COVID-19 and the functional outcomes after hospital discharge: A cross-sectional study.
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da Costa Rayana Fialho, Silva Italo Caldas, Rebouças Ellys Rhaiara Nunes, Ramos Taynara Rodrigues, Cavalcante Romenia Nogueira, de Sousa Barbara Galdino, Vinhote Juliana Freire Chagas, Campos Nataly Gurgel, Pereira Eanes Delgado Barros
Аннотация
INTRODUCTION: Individuals hospitalized for covid-19 can present many physical-functional alterations that may impact in their autonomy, activity, and participation. The purpose of this study was to evaluate the relation between the demographic and clinical profile of individuals with COVID-19 and functional outcomes after hospital discharge.
METHODS: Cross-sectional study included one hundred and two (102) patients with a confirmed diagnosis of sars-cov-2 who were hospitalized for COVID-19. Demographic, clinical and laboratory variables were collected directly from electronic medical records, and after hospital discharge, the katz index, the 1-min sit and stand test (1MSST) and the time up and go (TUG) were applied. Multiple linear regression model and multiple logistic regression were used.
RESULTS: It was noticed that older age and impairment in pulmonary tomography (CT) ≥ 50 % are predictive variables for worse functional performance of the individual when it comes to lower limb strength and resistance on 1MSST (p = 0.000; p = 0.005, respectively). The performance in the TUG, it was evidenced that the greater the age, the more days of hospitalization and the greater the number of comorbidities have some impact on worse outcomes related to mobility and balance of the individual, evidenced by a longer time spent to perform of the test (p = 0.000; p = 0.007; p = 0.024, respectively). In relation the degree of functional independence for self-care activities after hospital discharge, it was shown that patients with more advanced age have a 1.08 greater chance of being classified as less functional individuals, OR (95 % CI) of 1.08 (1 0.03-1.13), when compared to younger individuals. As for the degree of pulmonary impairment, it was possible to verify that those individuals who have a degree of pulmonary impairment on CT ≥ 50 % are 13.55 times more likely to be less functional, OR (95 % CI) of 13.55 (2.03-90.24).
CONCLUSION: The age, length of stay, number of comorbidities, degree of inflammation and CT impairment were predictors of worse functional performance of the individual in relation to lower limb strength and resistance, mobility, and balance. Individuals who are older and have a higher degree of pulmonary impairment on CT are more likely to be less functional, that is, less independent in their self-care after hospital discharge.
DESCRIPTORS: COVID-19, functional status, hospital discharge, 1-min sit and stand test.
METHODS: Cross-sectional study included one hundred and two (102) patients with a confirmed diagnosis of sars-cov-2 who were hospitalized for COVID-19. Demographic, clinical and laboratory variables were collected directly from electronic medical records, and after hospital discharge, the katz index, the 1-min sit and stand test (1MSST) and the time up and go (TUG) were applied. Multiple linear regression model and multiple logistic regression were used.
RESULTS: It was noticed that older age and impairment in pulmonary tomography (CT) ≥ 50 % are predictive variables for worse functional performance of the individual when it comes to lower limb strength and resistance on 1MSST (p = 0.000; p = 0.005, respectively). The performance in the TUG, it was evidenced that the greater the age, the more days of hospitalization and the greater the number of comorbidities have some impact on worse outcomes related to mobility and balance of the individual, evidenced by a longer time spent to perform of the test (p = 0.000; p = 0.007; p = 0.024, respectively). In relation the degree of functional independence for self-care activities after hospital discharge, it was shown that patients with more advanced age have a 1.08 greater chance of being classified as less functional individuals, OR (95 % CI) of 1.08 (1 0.03-1.13), when compared to younger individuals. As for the degree of pulmonary impairment, it was possible to verify that those individuals who have a degree of pulmonary impairment on CT ≥ 50 % are 13.55 times more likely to be less functional, OR (95 % CI) of 13.55 (2.03-90.24).
CONCLUSION: The age, length of stay, number of comorbidities, degree of inflammation and CT impairment were predictors of worse functional performance of the individual in relation to lower limb strength and resistance, mobility, and balance. Individuals who are older and have a higher degree of pulmonary impairment on CT are more likely to be less functional, that is, less independent in their self-care after hospital discharge.
DESCRIPTORS: COVID-19, functional status, hospital discharge, 1-min sit and stand test.