Oxygen Desaturation and Persistence of Symptoms During Activities of Daily Living in Patients Following Hospital Discharge for COVID-19.
BACKGROUND: COVID-19 can cause respiratory and multisystemic impairments, which lead to impaired activities of daily living (ADL). Telemonitoring after discharge from the hospital may help identify the persistence of such limitations during ADLs simulations. The aim of this study was to compare SpO2...
| Publicado en: | Respiratory Care Vol. 68; no. 3; pp. 346 - 356 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Mar2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=162192224&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 162192224 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: Mar2023 vid: 68 iid: 3 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 162192224 162192224 162192224 10.4187/respcare.09980 162192224 ppf: 346 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Oxygen Desaturation and Persistence of Symptoms During Activities of Daily Living in Patients Following Hospital Discharge for COVID-19. aug: au: Petilli Zopelari, Lívia M. Viana, Daiane R. Carvalho da Silva, Marcela M. Facio, Carina A. Arcuri, Juliano F. Pires Di Lorenzo, Valeria A. affil: Department of Physiotherapy, Federal University of São Carlos, São Carlos, São Paulo, Brazil sug: subj: Activities of Daily Living COVID-19 Diagnosis Transfer, Discharge Oxygen Saturation COVID-19 Symptoms Pulse Oximetry Evaluation Fatigue Dyspnea Telehealth Human Nonexperimental Studies Cross Sectional Studies Male Female Comparative Studies Descriptive Statistics Teleconferencing Scales Adult Middle Age Aged Aged, 80 and Over Data Analysis Software Friedman Test T-Tests Mann-Whitney U Test Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: BACKGROUND: COVID-19 can cause respiratory and multisystemic impairments, which lead to impaired activities of daily living (ADL). Telemonitoring after discharge from the hospital may help identify the persistence of such limitations during ADLs simulations. The aim of this study was to compare SpO2, fatigue, and dyspnea through telemonitoring during a battery of 4 ADLs in patients following hospital discharge for COVID-19. METHODS: An observational cross-sectional study was conducted by using teleconferencing for patients 30 d after hospital discharge for COVID-19. The subjects were assessed and performed a simulated ADL battery (ie, walking, bathing and dressing, floor sweeping, and folding towels). SpO2, fatigue, and dyspnea were monitored immediately after the end of each ADL; also, the subjects were asked to show the pulse oximeter on camera and grade their symptoms by using the Borg scale score (0-10). RESULTS: Sixty-six subjects were evaluated, all of whom were normoxic at rest. No significant difference in Spo was found among the ADLs. A portion of the subjects experienced desaturation on at least 1 ADL, which allowed subject grouping into the desaturated group, with highest portion of subjects who desaturated found during the walking task (18%), and the non-desaturated group. The subjects who desaturated were found to have more cardiovascular diseases (P = .031) and diabetes mellitus (P = .005) compared with those who did not desaturate. Both groups experienced mild symptoms; however, a percentage of the subjects with desaturation presented moderate-to-intense symptoms, with higher fatigue scores during walking, bathing and dressing, and floor sweeping. Increased dyspnea was also found during walking and during bathing and dressing in the subjects with desaturation. CONCLUSIONS: SpO2 was similar among the ADLs but walking triggered desaturation in a larger number of subjects. The subjects presented with mild-to-intense fatigue and dyspnea during ADLs 30 d after discharge after hospitalization for COVID-19 regardless of desaturation status, which demonstrated that the persistence of symptoms is independent of hypoxemia during exercise. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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