PAULO ROBERTO DOS SANTOS SILVA
Projetos de Pesquisa
Unidades Organizacionais
Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina
LIM/41 - Laboratório de Investigação Médica do Sistema Músculoesquelético, Hospital das Clínicas, Faculdade de Medicina
LIM/41 - Laboratório de Investigação Médica do Sistema Músculoesquelético, Hospital das Clínicas, Faculdade de Medicina
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- Physical and pulmonary capacities of individuals with severe coronavirus disease after hospital discharge: A preliminary cross-sectional study based on cluster analysis(2021) ALONSO, Angelica Castilho; SILVA-SANTOS, Paulo Roberto; QUINTANA, Marilia Simoes Lopes; SILVA, Vanderlei Carneiro da; BRECH, Guilherme Carlos; BARBOSA, Lorena Goncalves; POMPEU, Jose Eduardo; SILVA, Erika Christina Gouveia e; SILVA, Elizabeth Mendes da; GODOY, Caroline Gil de; GREVE, Julia Maria D'AndreaOBJECTIVE: 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. METHODS: A total of 54 patients, aged >= 18 years of both sexes, were evaluated 2-4 months after hospital discharge in Sao 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. RESULTS: 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). CONCLUSION: Patients with a longer hospitalization time and complications progressed with greater loss of physical and pulmonary capacities.