Importance of functional capacity assessment and physical exercise during and after hospitalization in COVID-19 patients: revisiting pulmonary rehabilitation

Silva, Audrey Borghi; Alaparthi, Gopala Krishna; Araújo, Adriana

doi:10.36416/1806-3756/e20210277

Cited by 5 publications

(3 citation statements)

References 12 publications

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“…Besides favoring dependence and weight loss, increasing the risk of frailty in institutionalized older adults, SARS-CoV-2 infection also compromised some clinical parameters assessed, such as increased SBP and DBP. It is essential to highlight that, in these institutions, the frequency of hypertensive older adults is high, and BP is difficult to control, being easily altered or dysregulated after aggressive events (29,30) . The central axis of hypertension control is associated with the renin-angiotensin-aldosterone system (RAAS) from the signaling of angiotensin II-converting enzyme (ACE2) receptors, the primary ligand of the S protein of SARS-CoV-2.…”

Section: Discussionmentioning

confidence: 99%

“…The central axis of hypertension control is associated with the renin-angiotensin-aldosterone system (RAAS) from the signaling of angiotensin II-converting enzyme (ACE2) receptors, the primary ligand of the S protein of SARS-CoV-2. Consequently, cellular structures that express ACE2 can absorb and potentiate SARS-CoV-2, causing a hyperinflammatory state and activation of immune cells, compromising BP control (29,30) .…”

Section: Discussionmentioning

confidence: 99%

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Effects of SARS-CoV-2 infection on health and functional capacity in institutionalized older adults

Queiroz,

Nascimento,

Souza

et al. 2023

Rev. esc. enferm. USP

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Objective: To assess the effect of SARS-CoV-2 infection on the health conditions and functional capacity of older adults living in long-term care units in Maceió City – Alagoas State. Methods: A prospective cohort was conducted with institutionalized older adults of both sexes. Older adults were assessed for clinical conditions (diagnosis of chronic diseases and biochemical tests), functional capacity, and nutritional status. All assessments were repeated on two occasions, maintaining a 6-month interval between them. Results: The sample was composed of 289 older adults. Of the total, 98 (33.9%) were positive for COVID-19 and eight died (2.8%). Men were more likely to have COVID-19 (OR = 3.50; p < 0.01). It was observed that the disease contributed to increasing the frequency of dependent older adults after six months (OR = 1.38; p-interaction < 0.01). It was also observed that after six months of positive diagnosis for COVID-19, there was greater weight loss (p < 0.01), reduced BMI (p < 0.01), increased mean SBP (p = 0.04), and DBP (p = 0.03). Conclusion: Effects of COVID-19 in institutionalized older adults go beyond acute complications and compromise blood pressure control, functional capacity, and favor weight loss.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effects of SARS-CoV-2 infection on health and functional capacity in institutionalized older adults

Queiroz,

Nascimento,

Souza

et al. 2023

Rev. esc. enferm. USP

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“…Hussein M, et al (2021) conducted a study to assess the post COVID-19 functional status in Egypt and discovered that 80 percent of COVID-19 recovered cases have varying degrees of functional restrictions ranging from negligible (63.1 percent), slight (14.4 percent), moderate (2 percent), and severe (0.5 percent) based on PCFS and discovered that these restrictions were affected by age, gender, periodic influenza vaccination, smoking, duration since symptoms onset, and need for treatment (3). The most prevalent post-COVID symptoms described by COVID recovered patients include dyspnea, fatigue, cough, sleep difficulties or insomnia, depression or anxiety, muscle pain or headache palpitations, chest discomfort, thromboembolism, chronic kidney disease, and hair loss (4,5,6,9,10,11). Borghi-Silva A, Krishna AG, and Gracia-Araujo AS (2021) revealed in a study to analyze the impact of functional ability and physical activity in COVID-19 patients that post-COVID patients are more prone to dyspnea and fatigue, which may limit their performance of activities of daily living.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of functional limitation in COVID-19 recovered patients

Tom

Sonymol

2022

IJEHS

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Background:The Coronavirus Disease-2019 manifested as a serious infectious disease that affected people of all ages and genders, particularly older patients with comorbidities. Patients who have recovered from COVID have serious restrictions. Aims:The purpose of this study was to determine the prevalence of post-COVID-19 functional status (PCFS) in patients and the relationship between post-COVID-19 functional status and selected demographic characteristics.Methods: This study employed a descriptive survey research design and a quantitative, non-experimental research approach. Data were obtained from 190 COVID-19 recovered patients admitted to an Indian quaternary hospital who met the inclusion criteria utilizing an online survey approach and a mobile app. Prior to the study, the institutional scientific and ethical committees approved it. The study's findings were analyzed using descriptive statistics and chisquare. Results:The percentage of demographic data is identified, and the post COVID functional limitation of samples shows that 58 percent have negligible functional limitation, 24 percent have no functional limitation, 16 percent have slight functional limitation, 1 percent have moderate functional limitation, and 1 percent have severe functional limitation. There was an association between PCFS and age, as well as PCFS and the COVID-19 group. Conclusion:Some COVID-19 survivors suffered functional difficulties after infection. The severity of the disease and its duration are important risk factors for the development of post-COVID-19 functional impairments. The study's findings assist healthcare professionals in improving their understanding of post-COPID functional status and providing appropriate care to post-COPID recovered patients.

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Effects of physical rehabilitation interventions in COVID-19 patients following discharge from hospital: A systematic review

Rahmati

Shamsi

Woo

et al. 2023

Journal of Integrative Medicine

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Importance of functional capacity assessment and physical exercise during and after hospitalization in COVID-19 patients: revisiting pulmonary rehabilitation

Cited by 5 publications

References 12 publications

Effects of SARS-CoV-2 infection on health and functional capacity in institutionalized older adults

Effects of SARS-CoV-2 infection on health and functional capacity in institutionalized older adults

Prevalence of functional limitation in COVID-19 recovered patients

Effects of physical rehabilitation interventions in COVID-19 patients following discharge from hospital: A systematic review

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