Avaliação da função pulmonar e capacidade funcional após a alta hospitalar de Pacie
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Data
2025-10-16
Autores
Polese, Jessica Fabia
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Universidade Federal do Espírito Santo
Resumo
Introduction: COVID-19 emerged as a novel and unexpected disease, demonstrating high mortality and the potential to cause severe sequelae in the population. This study aimed to perform a longitudinal follow-up of a cohort of individuals evaluating lung function and clinical evolution over six months, focusing on the persistence of symptoms and respiratory alterations. Method: Longitudinal follow-up during 6 months of patients with moderate to severe form of COVID-19 confirmed by RT-PCR test, who required hospitalization. Patients were evaluated at 30(D30), 90(D90), and 180(D180) days after hospital discharge. At each assessment, data were obtained by structured questionnaires, and spirometry and the 6 minute walking test (6MWT). Results: A group of 44 patients started the follow-up and 31 completed 6 month follow-up. In D30, all patients were still symptomatic, with the most frequent symptoms being dyspnea (83%), cough (54%), and chest pain (27%). At the D90, almost half of the patients still reported persistent symptoms and difficulties to returning to their usual activities. At D180 28% of participants continued to experience at least one symptom, with dyspnea (17.2%) being the most common. At D30, 14 (45%) participants and in D180, 5 (16%) patients persisted with a forced vital capacity (FVC) below the predicted value suggesting a restrictive pattern and at D30 2 (6%) patients still presented a walk distance (WD) < 330 m and at D180, 8 (25%) patients showed a WD < 75% of the predicted value. Discussion: Although the full extent of COVID-19 consequences is not yet clearly defined, prolonged effects are highly frequent and represent a significant and prevalent public health concern, highlighting the need for continuous follow-up. Conclusion: COVID-19 can evolve with persistent clinic and functional sequelae, which remain present up to six months after hospital discharge
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COVID-19 , Síndrome Pós-COVID , Dispneia , Função pulmonar , Pos-COVID Syndrome , Dyspnea , Pulmonary function