RESUMO
ABSTRACT BACKGROUND: Patients with severe coronavirus disease 2019 (COVID-19) often require hospital admission and experience sequelae such as chronic fatigue or low muscle mass. OBJECTIVE: To analyze the functional capacity of a cohort of patients with severe acute respiratory syndrome coronavirus 2 who required hospitalization. DESIGN AND SETTING: An observational descriptive study was conducted on post-COVID-19 patients referred to the Rehabilitation Department of Gregorio Marañón Hospital (Madrid, SPAIN). METHODS: Cardiorespiratory fitness, muscle strength, body composition, and perception of fatigue and dyspnea were analyzed. Furthermore, the existing correlations between clinical variables and physical conditions were analyzed. RESULTS: Forty-two patients who required hospital admission (80 ± 22.45 days) or intensive care unit (ICU) admission (58 ± 10.52 days) were analyzed. They presented with decreased strength, respiratory capacity, and moderate-to-severe perceived fatigue. Additionally, an inverse correlation was found between right-handgrip strength and days in the ICU, as well as the 6-minute walk test for women. Similarly, strength and fitness were negatively associated with perceived fatigue. CONCLUSIONS: Post-COVID-19 patients showed low muscle function and low levels of physical fitness associated with high perceived fatigue.
RESUMO
Los programas de rehabilitación cardíaca (RC) disponen de una sólida evidencia científica en cuanto a beneficios en casos de pacientes adultos en situación de pre y post trasplante. Sin embargo, hasta el momento actual, no existen estudios de rehabilitación pretrasplante en edad infantil y se desconocen sus efectos. El objetivo de nuestro artículo es presentar los resultados de un programa de rehabilitación cardíaca en el caso de una paciente en lista de espera de trasplante.
Cardiac rehabilitation (CR) programs have solid scientific evidence regarding their benefits in adult patients in pre- and post-transplant situations. However, up to the present time, there are no studies of pretransplant rehabilitation in children and its effects are unknown. The aim of our article is to present the results of a cardiac rehabilitation program in the case of a patient on the transplant waiting list.