Physical and pulmonary capacities of individuals with severe coronavirus disease after hospital discharge: A preliminary cross-sectional study based on cluster analysis

Physical and pulmonary capacities of individuals with severe coronavirus disease after hospital discharge: A preliminary cross-sectional study based on cluster analysis

This study aimed to analyze the physical and pulmonary capacities of hospitalized patients with severe coronavirus disease and its correlation with the time of hospitalization and complications involved. A total of 54 patients, aged ≥18 years of both sexes, were evaluated 2-4 months after hospital d...

Full description

Saved in:
Bibliographic Details
Published in:Clinics (São Paulo, Brazil) Vol. 76; p. e3540
Main Authors: Alonso, Angelica Castilho, Silva-Santos, Paulo Roberto, Quintana, Marília Simões Lopes, Silva, Vanderlei Carneiro da, Brech, Guilherme Carlos, Barbosa, Lorena Gonçalves, Pompeu, José Eduardo, Silva, Erika Christina Gouveia e, Silva, Elizabeth Mendes da, Godoy, Caroline Gil de, Greve, Julia Maria D'Andréa
Format: Journal Article
Language:English
Published: United States Elsevier España, S.L.U 01-01-2021
Faculdade de Medicina / USP
Elsevier España
Subjects:
Adolescent
Adult
Brazil
Cluster Analysis
Clustering Analysis
Coronavirus
Coronavirus Disease
Cross-Sectional Studies
Female
Functional Physical Performance
Hand Strength
Hospitalization
Hospitals
Humans
Lung
Male
MEDICINE, GENERAL & INTERNAL
Original
Patient Discharge
Physical Rehabilitation
Brazil
Physical Rehabilitation
Functional Physical Performance
Clustering Analysis
Coronavirus Disease
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:This study aimed to analyze the physical and pulmonary capacities of hospitalized patients with severe coronavirus disease and its correlation with the time of hospitalization and complications involved. A total of 54 patients, aged ≥18 years of both sexes, were evaluated 2-4 months after hospital discharge in São Paulo, Brazil. The physical characteristics analyzed were muscle strength, balance, flexibility, and pulmonary function. The K-means cluster algorithm was used to identify patients with similar physical and pulmonary capacities, related to the time of hospitalization. Two clusters were derived using the K-means algorithm. Patients allocated in cluster 1 had fewer days of hospitalization, intensive care, and intubation than those in cluster 2, which reflected a better physical performance, strength, balance, and pulmonary condition, even 2-4 months after discharge. Days of hospitalization were inversely related to muscle strength, physical performance, and lung function: hand grip D (r=−0.28, p=0.04), Short Physical Performance Battery score (r=−0.28, p=0.03), and forced vital capacity (r=−0.29, p=0.03). Patients with a longer hospitalization time and complications progressed with greater loss of physical and pulmonary capacities.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:1807-5932
1980-5322
1980-5322
DOI:10.6061/clinics/2021/e3540