Banca de DEFESA: PRISCILA BEZERRA DE LIMA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : PRISCILA BEZERRA DE LIMA
DATE: 12/04/2022
TIME: 09:30
LOCAL: Ambiente Virtual link: https://meet.google.com/hkv-uqes-itv
TITLE:

ASSESSMENT OF CARDIOPULMONARY FUNCTION OF PATIENTS SURVIVING COVID-19 IN OUTDOOR REHABILITATION

KEY WORDS:

Evaluation; Cardiopulmonary; COVID-19; Physiotherapy

PAGES: 97
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

COVID-19 is a disease that broke out in late December 2019 in China and became an unprecedented pandemic in March 2020 to the present day. There is concern that COVID-19 is a disease that causes impairment, mainly, of the functions of the cardiorespiratory system and, according to the clinical severity presented, there may be a deficit in respiratory muscle function and exercise tolerance, causing limitations that include difficulties in performing basic daily activities. Objective: to evaluate the cardiopulmonary function of COVID-19 survivors undergoing outpatient rehabilitation in the city of Santarém. Material and Method: After submission and approval by the Research Ethics Committee with human beings, an analytical-descriptive, longitudinal prospective, quantitative and clinical interventional interference study was carried out. An evaluation was carried out consisting of: interview through a pre-established questionnaire; pulmonary function test through spirometry; six-minute step test (TD6), in addition to dyspnea (Medical Research Council - MRC) and perceived exertion (Borg Scale) scales. Statistical analyzes were performed using Microsoft Excel 2010 software and R software. Results and Discussion: The sample consisted of 30 volunteers affected by COVID-19 undergoing outpatient rehabilitation, where males were prevalent (73%), the average age was 53 ± 13 years, with a predominant age group from 56 to 75 years, 60% had the disease in its severe form. Compensatedly controlled comorbidities were found not to be risk factors for disease severity. Just as there was no relationship between age and gender with the outcome of the disease, which suggests that anyone is predisposed to COVID-19 infection. The first symptoms of the disease did not define nor were related to the hospitalization history, making the patient's stability during the course of the disease unpredictable. On the other hand, pulmonary impairment through chest tomography and hospitalization history generated a strong impact with the ventilatory support used, where respiratory support therapy and hospitalization time were directly related to the severity of the disease. Spirometry as an evaluative criterion for outpatient rehabilitation showed lower than normal reference values after COVID-19, evidencing restrictive disorders. Functionality scales after outpatient rehabilitation showed a mild degree of MRC, changes in cognitive behavior in category 6 of the MIF. When evaluating the TD6, variables such as age, sex and ∆WF explain, in part, the number of steps climbed and, generally, they are predictors for physical capacity tests in other physical capacity tests. And as expected, the decrease in TD6 performance with aging is strongly associated, since with advancing age there is a reduction in physical capacity. Final considerations: The patients in this study are the survivors of the first two strong waves of the disease. In the current scenario, even with the availability of mass vaccination, with a significant reduction in the number of cases, hospitalizations and deaths, the third wave has already been experienced. Therefore, it is necessary to maintain a state of alert in order to avoid the worsening of this serious disease and to develop more and more studies to contain it, including to welcome the survivors of the first waves, as the premise of the postnatal syndrome is increasingly strengthened. COVID-19, causing numerous functional limitations and long-term public health disruptions. It is essential, in a good cardiopulmonary evaluation, the inclusion and association of physical capacity tests with pulmonary function tests, in order to maintain the follow-up of these patients as well as measure the functional impact over time after acute infection of the illness.

BANKING MEMBERS:
Externo à Instituição - EDGARD MORYA - IESP
Presidente - 1562643 - MAXWELL BARBOSA DE SANTANA
Externo à Instituição - RODRIGO LUIS FERREIRA DA SILVA - UEPA
Interna - 2171514 - TANIA MARA PIRES MORAES