
1st STUDENT SCIENTIFIC CONFERENCE OF THE BRAZILIAN ASSOCIATION FOR RESEARCH AND POSTGRADUATE IN PHYSIOTHERAPY (ABRAPG-FT)
Mais dadosAt the peak of the pandemic, there was a great need for hospitalization of some of the infected according to the World Health Organization (WHO) about 20% of those infected require hospitalization. The hospitalized have impairment in functionality and cognitive aspects. When looking at COVID-19 survivors, there is an increasing number of patients with prolonged symptoms, a condition called Long COVID, defined as the persistence of symptoms for weeks or months after the resolution of the acute illness. The sum of these factors leads to a complex picture of the health of patients. It is extremely important to understand the recovery process of post-COVID individuals at a time when the world is dealing with the consequences left by the pandemic and many people struggle with the difficulty of returning to their daily activities and dealing with the associated financial losses.
ObjectivesTo identify and evaluate the factors associated with the presence or absence of persistent symptoms in the 6 months after discharge in individuals hospitalized for COVID-19.
MethodsThis is a prospective cohort study of individuals who were hospitalized for COVID-19. This research is based on ethical principles, with appreciation by the Ethics Committee and with an Exceptional Free and Informed Consent Form from all participants. To assess the persistence of symptoms in the 6 months after discharge, an evaluation instrument was created based on previous articles. Pearson's chi-square test was used for the univariate association between the presence or absence of symptoms in general and the prevalence of the most frequent symptoms and possible risk factors.
ResultsThere was no association between the presence of persistent symptoms in general and possible risk factors. Analyzing the association between the presence of the most prevalent symptoms (joint pain, fatigue, dyspnea and myalgia) and possible risk factors (gender, severity, ICU stay, age≥60 years and BMI), some significant associations were found. Joint pain and gender, where more than half of those who reported this symptom were women (57.1%; p=0.03). The age of individuals hospitalized with COVID-19 (≥60 years) was statistically associated with the presence of Myalgia (p =0.003). Obesity was associated with the presence of the symptom fatigue (BMI≥30; p=0.02). No association was found between severity and ICU stay with the analyzed symptoms.
ConclusionAs for risk factors, association analyzes indicated that: joint pain was more significant in females, myalgia was more pronounced in elderly individuals, and fatigue was closely related to obesity.
ImplicationsEssential information were found about the post-hospitalization recovery process due to COVID-19, demonstrating important particularities of each group, which contributes to offering specific health care to the demands of the region.
Conflict of interest: The authors declare no conflict of interest.
Acknowledgment: Not applicable.
Ethics committee approval: The Ethics Committee for Research with Human Beings (CEPSH-UFSC) approved the research under the Certificate of Presentation of Ethical Appreciation (CAAE) 33485120.4.0000.0121