Letter from Chile

Valle, María Fernanda Del; Valenzuela, Jorge; Godoy, Loretto; Sol, Mariano del; Lizana, Pablo A.; Escobar-Cabello, Máximo; Muñoz-Cofré, Rodrigo

doi:10.1111/resp.14196

Cited by 8 publications

(8 citation statements)

References 2 publications

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“…However, in both studies, people older than 60 years were more susceptible to muscle atrophy. This information is important for health teams to place greater emphasis on the rehabilitation process of critically ill patients from groups with greater muscle loss during their stay in the ICU (del Valle et al, 2022), as early mobilization and rehabilitation of those patients are effective in preventing the occurrence of ICUAW, shortening the length of ICU stay, and improving functional status (Zhang et al, 2019;Anekwe et al, 2020;Zang et al, 2020) The differences described above were found despite the floor and ceiling effects in the evaluation instruments used in the heterogeneous ICU context, thus limiting the ability to detect changes over time in terms of improvement and/or deterioration of physical recovery and functional status (Parry et al, 2015c;Parry et al, 2017). Moreover, the level of functional status in the ICU not only requires muscle strength and endurance, but also postural control and cognitive processing to anticipate obstacles and respond to the changing demands of the surrounding environment, which is noted to be particularly affected by sedation in the ICU awakening settings (Hough, 2013;Herridge et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

Characterization of muscle mass, strength and mobility of critically ill patients with SARS-CoV-2 pneumonia: Distribution by sex, age, days on mechanical ventilation, and muscle weakness

et al. 2023

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Objective: Quantify and categorize by sex, age, and time spent on mechanical ventilation (MV), the decline in skeletal muscle mass, strength and mobility in critically ill patients infected with SARS-CoV-2 and requiring mechanical ventilation while at intensive care unit (ICU).Design: Prospective observational study including participants recruited between June 2020 and February 2021 at Hospital Clínico Herminda Martin (HCHM), Chillán, Chile. The thickness of the quadriceps muscle was evaluated by ultrasonography (US) at intensive care unit admission and awakening. Muscle strength and mobility were assessed, respectively, through the Medical Research Council Sum Score (MRC-SS) and the Functional Status Score for the Intensive Care Unit Scale (FSS-ICU) both at awakening and at ICU discharge. Results were categorized by sex (female or male), age (<60 years old or ≥60 years old) and time spent on MV (≤10 days or >10 days).Setting: Intensive care unit in a public hospital.Participants: 132 participants aged 18 years old or above (women n = 49, 60 ± 13 years; men n = 85, 59 ± 12 years) admitted to intensive care unit with a confirmed diagnosis of severe SARS-CoV-2 and requiring MV for more than 48 h were included in the study. Patients with previous physical and or cognitive disorders were excluded.Interventions: Not applicable.Results: Muscle thickness have significantly decreased during intensive care unit stay, vastus intermedius (−11%; p = 0.025), rectus femoris (−20%; p < 0.001) and total quadriceps (−16%; p < 0.001). Muscle strength and mobility were improved at intensive care unit discharge when compared with measurements at awakening in intensive care unit (time effect, p < 0.001). Patients ≥60 years old or on MV for >10 days presented greater muscle loss, alongside with lower muscle strength and mobility.Conclusion: Critically ill patients infected with SARS-CoV-2 and requiring MV presented decreased muscle mass, strength, and mobility during their intensive care unit stay. Factors associated with muscle mass, such as age >60 years and >10 days of MV, exacerbated the critical condition and impaired recovery.

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Section: Discussionmentioning

confidence: 99%

Characterization of muscle mass, strength and mobility of critically ill patients with SARS-CoV-2 pneumonia: Distribution by sex, age, days on mechanical ventilation, and muscle weakness

et al. 2023

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“…The arrival of the COVID-19 pandemic in early 2020 led to quarantines and lockdowns for billions of people worldwide ( 1 , 2 ). Confinement due to COVID-19 generated structural changes for the daily activities of most people ( 3 , 4 ).…”

Section: Introductionmentioning

confidence: 99%

Musculoskeletal disorders and quality of life for Chilean teachers during the COVID-19 pandemic at the academic year-end

Vega-Fernández,

Gonzalez-Torres,

Solis-Soto

et al. 2024

Front. Public Health

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IntroductionSchoolteachers have reported multiple demands contributing to poor perceptions regarding their quality of life and high rates of musculoskeletal disorders. However, there are few studies about the association between musculoskeletal disorders and quality of life from the end of the academic period during the COVID-19 pandemic.ObjectiveEvaluate musculoskeletal disorders rates and their association with quality of life perceptions among teachers from the last academic period during the COVID-19 pandemic.Participants and methodsA total sample of 161 Chilean schoolteachers was included in a cross-sectional study musculoskeletal disorders prevalence was evaluated using the Standardized Nordic Questionnaire, and quality of life was evaluated through the Short-Form 12 Health Survey Instrument. A logistic regression was applied to evaluate the association between musculoskeletal disorders and quality of life perceptions adjusted by gender, age, and contract type.Results98% of teachers have suffered from some type of musculoskeletal disorders during the last 12 months, and 64% have had six or more painful regions. Women showed a higher musculoskeletal disorders rate than men. The group of teachers with the most musculoskeletal disorders (≥p50) saw significantly greater risk of low scores on the physical (OR: 2.16; p < 0.05) and mental components (OR: 4.86; p < 0.01) of quality of life, regardless of gender, age, and contract type.ConclusionHigh musculoskeletal disorders rates suggest that preventive and informative actions must be taken regarding these disorders in order to protect teachers’ mental and physical health, considering the effects of the school year and the COVID-19 health crisis.

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“…All over the world, millions of people suffered from COVID-19-related severe acute respiratory syndrome [ 1 , 2 ]. Due to their serious respiratory symptoms and, in some cases, acute respiratory difficulty, these patients required prolonged mechanical ventilation (MV) [ 3 ]. This prolonged use of MV can cause respiratory problems, cognitive problems, myopathies, neuropathies, physical deterioration, and cardiac disorders.…”

Section: Introductionmentioning

confidence: 99%

“…The intolerance to exercise is a “key symptom” that limits daily activities, resulting in an effort that goes beyond the typical to perform the basic activities of daily life [ 3 , 8 ]. Thus, an assessment that gives information on the most compromised systems (respiratory and musculoskeletal) in the post-COVID-19 patient is fundamental.…”

Section: Introductionmentioning

confidence: 99%

A pulmonary rehabilitation program is an effective strategy to improve forced vital capacity, muscle strength, and functional exercise capacity similarly in adults and older people with post-severe COVID-19 who required mechanical ventilation

Muñoz-Cofré,

del Valle,

Marzuca-Nassr

et al. 2024

BMC Geriatr

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Background It is internationally known that our population is aging. At the same time, some patients with COVID-19, due to their symptoms, required mechanical ventilation (MV) and subsequent pulmonary rehabilitation (PR). This study aimed to compare the effects of a multimodal PR program “ADULT” versus “OLDER” people with COVID-19 who were on MV. Methods The intervention consisted of an 8-week hybrid PR program (2x week). Forced vital capacity (FVC) was measured at the beginning and end of PR, upper and lower limb strength was obtained through hand grip strength (HGS) and the sit-to-stand test (STST), respectively, and functional exercise capacity was measured with the 6-minute walking test (6MWT). Results The main results were an increase in the FVC in the ADULT and OLDER groups (time effect, P = 0.000; η2 = 0.27), an increase in HGS in the ADULT and OLDER groups (time effect, P = 0.000; η2 = 0.52), in the same way, the number of repetitions on the STST increased in the ADULT and OLDER groups (time effect, P = 0.000; η2 = 0.55). Finally, the distance covered on the 6MWT increased in the ADULT and OLDER groups (time effect, P = 0.000; η2 = 0.65). Conclusions The PR program is an effective strategy to improve FVC, muscle strength, and functional exercise capacity similarly in adults and older people with post severe COVID-19 who required MV.

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Letter from Chile

Cited by 8 publications

References 2 publications

Characterization of muscle mass, strength and mobility of critically ill patients with SARS-CoV-2 pneumonia: Distribution by sex, age, days on mechanical ventilation, and muscle weakness

Characterization of muscle mass, strength and mobility of critically ill patients with SARS-CoV-2 pneumonia: Distribution by sex, age, days on mechanical ventilation, and muscle weakness

Musculoskeletal disorders and quality of life for Chilean teachers during the COVID-19 pandemic at the academic year-end

A pulmonary rehabilitation program is an effective strategy to improve forced vital capacity, muscle strength, and functional exercise capacity similarly in adults and older people with post-severe COVID-19 who required mechanical ventilation

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