在COVID-19幸存者的身体功能预测模型.
João Eduardo de Azevedo Vieira1, Arthur de Sá Ferreira2, Laura Braga Monnerat3
1Rehabilitation Sciences Post-Graduation Programme, Augusto Motta University Centre (UNISUAM), Rio de Janeiro, Brazil.
Journal of bodywork and movement therapies
|March 3, 2024
概括
后COVID-19综合征显著影响身体功能,疲劳和肌肉力量降低是关键指标. 客观措施可以改善对康复计划的评估.
科学领域:
- 医疗康复 医疗康复
- 肺部病理学 肺部病理学
- 临床评估 临床评估
背景情况:
- 长期的COVID-19幸存者的负担包括显著的身体功能障碍.
- 后COVID-19功能状态 (PCFS) 尺度是评估这些患者身体功能的标准工具.
研究的目的:
- 为PCFS规模开发预测模型.
- 确定影响COVID-19后综合征 (PCS) 身体功能的主要因素.
主要方法:
- 二百一名PCS患者完成了PCFS和慢性疾病治疗-疲劳 (FACIT-F) 尺度的功能评估.
- 使用手握强度 (HGS) 和螺旋测量来评估肌肉强度和肺功能.
- 收集了社会人口统计数据,临床发现和住院史.
主要成果:
- 在PCFS尺度显示了与FACIT-F得分 (r=-0.424),HGS (r=-0.339),之前住院 (r=0.226),BMI (r=0.163) 和性别 (r=-0.153) 的显著相关性.
- 结合年龄,性别,BMI,FACIT-F,HGS和先前住院治疗的回归模型 (R=0.559) 为PCFS分数提供了最好的预测.
- 更糟糕的疲劳和更低的HGS与更严重的身体障碍有关.
结论:
- 像HGS和疲劳评估 (FACIT-F) 这样的客观措施对于评估PCS患者的身体功能至关重要.
- 以前住院治疗与更糟糕的身体功能结果有关.
- 整合这些因素的预测模型可以增强对身体功能的评估,并指导康复策略.
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