Análisis de la capacidad funcional tras el alta por covid-19
DOI:
https://doi.org/10.1590/Palabras clave:
Estado Funciona, Prueba de Paso; Dinamómetro de Fuerza Muscular, ovid-19, ehabilitación, Saturación de OxígenoResumen
El objetivo de este estudio fue analizar si existe una
asociación entre tres métodos de evaluación de la capacidad
funcional, la fuerza de agarre (FA), la medida de independencia
funcional (MIF) y la prueba de caminata de seis minutos (6MWT),
con variables clínicas y datos de hospitalización en una muestra
de pacientes dados de alta de la hospitalización por covid-19. Se
trata de un estudio observacional, analítico y transversal. Se
incluyeron 125 pacientes de ambos sexos, mayores de 18 años
de edad. Los participantes se sometieron a una evaluación
aproximadamente tres meses después del alta hospitalaria
cuando realizaron FA, 6MWT y respondieron a MIF. Los datos
de la historia clínica se analizaron para recopilar datos clínicos
y de hospitalización. Los pacientes presentaron distancia de
caminata elevada en la 6MWT (mediana de 457m), fuerza de
agarre similar a los valores encontrados en individuos sanos
(38,9±11,7kgf en hombres, 27,3±2,8kgf en mujeres), y clasificación
de independencia en MIF (122,8 ±9,9puntos). Se encontraron
correlaciones positivas significativas entre 6MWT y MIF (r=0,470,
p<0,001), entre 6MWT y FA (r=0,375, p<0,001) y entre FA y
MIF (r=0,317, p<0,001). A pesar de la gravedad en el ingreso
hospitalario o la duración de la estancia en el hospital, a los
tres meses del alta los pacientes evaluados presentaron una
recuperación funcional satisfactoria. Las herramientas utilizadas
evalúan diferentes dimensiones de la capacidad funcional, y
las correlaciones encontradas entre ellas apuntan que pueden
utilizarse de manera complementaria.
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Derechos de autor 2026 Laís Bacchin de Oliveira, Ana Lúcia Cavallaro Baraúna Lima, Bruna Scharlack Vian, Lígia dos Santos Roceto Ratti, Mônica Corso Pereira
Esta obra está bajo una licencia internacional Creative Commons Atribución-CompartirIgual 4.0.
