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OVERVIEW OF SYMPTOMS OF ONGOING SYMPTOMATIC AND POST-COVID-19 PATIENTS WHO WERE REFFERED TO PULMONARY REHABILITATION - FIRST SINGLE-CENTRE EXPERIENCE IN CROATIA
Tajana Jalušić Glunčić
; Clinic for Lung Diseases Jordanovac, University Hospital Centre Zagreb, Zagreb, Croatia
Davorka Muršić
; Clinic for Lung Diseases Jordanovac, University Hospital Centre Zagreb, Zagreb, Croatia
Latinka Basara
; Clinic for Lung Diseases Jordanovac, University Hospital Centre Zagreb, Zagreb, Croatia
Lana Vranić
; Clinic for Lung Diseases Jordanovac, University Hospital Centre Zagreb, Zagreb, Croatia
Andreja Moćan
; Clinic for Lung Diseases Jordanovac, University Hospital Centre Zagreb, Zagreb, Croatia
Mateja Janković Makek
; Clinic for Lung Diseases Jordanovac, University Hospital Centre Zagreb, Zagreb, Croatia
Miroslav Samaržija
; Clinic for Lung Diseases Jordanovac, University Hospital Centre Zagreb, Zagreb, Croatia
Sažetak
Background: Coronavirus-2 pandemic has changed the functioning of health systems worldwide. It is not yet fully known which
symptoms of the disease are most commonly presented in patients referred for pulmonary rehabilitation. Our aim was to investigate
the profile of patients referred for pulmonary rehabilitation; what symptoms they had during the acute phase of the disease and what
symptoms were still present at the start of pulmonary rehabilitation.
Subjects and methods: Study included ongoing symptomatic and post-COVID patients who attended standard, in person
pulmonary rehabilitation program. Patients had COVID-19 disease at least four weeks before attending pulmonary rehabilitation.
Patients completed questionnaires of self-reported somatic deficits during acute and post-COVID-19 stage as well as questionnaires
regarding their psychological symptoms. Pulmonary function test, expiratory and inspiratory muscle strenght, hand grip strenght
and six-minute walk test was performed prior and after pulmonary rehabilitation.
Results: Study included 63 patients (32 male, 31 female), with mean age of 52.9 years. During acute COVID-19, majority of
patients complained of fatigue, cough, dyspnea, myalgia and headache. More than 85% of patients reported pulmonary deficits
during ongoing symptomatic and post-COVID-19 stage. Emotional distress and anxiety levels were significantly elevated in acute
stage, while depression, anger and the need for help was not significantly elevated. All reported symptoms were significantly reduced
in post-COVID-19 stage. There was statistically significant difference in six-minute walk distance, inspiratory and expiratory muscle
strenght and hand grip strenght between first and final testing.
Conclusions: Results of our study are similar with previous studies, the most common symptoms during acute phase were fatigue,
cough and dyspnea and fatigue and respiratory problems during ongoing symptomatic and post-COVID stage. Emotional distress
diminishes signifiacantly in post-COVID stage. Further larger studies are needed to clarify which acute disease symptoms are
predominant in patients referred to pulmonary rehabilitation and cause prolongued discomfort.
Ključne riječi
COVID-19; post-acute COVID-19 syndrome; pulmonary rehabilitation
Hrčak ID:
271747
URI
Datum izdavanja:
19.10.2021.
Posjeta: 397 *