Força muscular e funcionalidade após alta hospitalar de pacientes com Síndrome Respiratória Aguda Grave por COVID-19
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2025.224427Palavras-chave:
Coronavirus infection, Intensive Care Unit, Muscle strength, Functional capacityResumo
Introdução: A COVID-19 pode apresentar-se de forma grave, demandando hospitalização, uso de oxigênio suplementar, cuidados intensivos e ventilação mecânica invasiva. Objetivo: Avaliar a força muscular e a funcionalidade após alta hospitalar de pacientes que receberam cuidados intensivos por COVID-19. Métodos: Estudo transversal realizado em um hospital universitário do Nordeste brasileiro. Os dados clínicos e sociodemográficos foram coletados de prontuários eletrônicos. A funcionalidade foi avaliada através dos índices de Barthel, Katz e escala Karnofsky. Força muscular respiratória e periférica foram verificadas por meio de manovacuometria e dinamometria. Para a análise estatística, utilizaram-se regressões lineares, matriz de correlação de Pearson e modelos mistos para avaliar o efeito do tempo de ventilação mecânica invasiva na força muscular respiratória e periférica, as relações entre essas forças e as diferenças entre as pressões inspiratória máxima e expiratória máxima, reais e previstas. Resultados: Vinte e um pacientes foram avaliados 180 a 365 dias após a alta hospitalar. Os resultados revelaram fraqueza muscular periférica em dez (47,6%), fraqueza muscular inspiratória em seis (28,6%) e fraqueza muscular expiratória em sete (33,3%). Cinco pacientes (23,8%) estavam inaptos para o trabalho. Conclusão: O aumento do tempo de ventilação mecânica invasiva foi associado à redução da força muscular, com comprometimento da funcionalidade 180 a 365 dias após a alta hospitalar.
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Direitos autorais (c) 2026 Maria Jhany da Silva Marques, Maria dos Remédios Freitas Carvalho Branco, Yuri Oliveira Feitosa, Érica Miranda de Castro, Carlos Magno Monteiro Souza, Cláudia Maria Coelho Alves
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
