Symptoms in post-COVID-19 patients who require hospitalization can persist for months, significantly affecting their health-related quality of life (HRQoL). Thus, the present study aimed to discuss the main findings regarding HRQoL in post-COVID-19 patients who required hospitalization. An electronic search was performed in the MEDLINE, EMBASE, CINAHL, Web of Science, LILACS, and Scopus databases, without date and language restrictions, until July 2021. Twenty-four articles were included in the analysis. It seems that HRQoL partially improved soon after hospital discharge, although the negative impact on HRQoL may persist for months. The physical and mental aspects are affected because patients report pain, discomfort, anxiety, and depression. The HRQoL of COVID-19 infected patients was worse than that of uninfected patients. Additionally, HRQoL seemed worse in patients admitted to the intensive care unit than in those who remained in the ward. Improvements in HRQoL after hospital discharge are independent of imaging improvement, and there seems to be no association between HRQoL after hospital discharge and disease severity on hospital admission. Many factors have been identified as determinants of HRQoL, with women and advanced age being the most related to worse HRQOL, followed by the duration of invasive mechanical ventilation and the need for intensive care. Other factors included the presence and number of comorbidities, lower forced vital capacity, high body mass index, smoking history, undergraduate education, and unemployment. In conclusion, these findings may aid in clinical management and should be considered in the aftercare of patients.
Com o avançar da idade as perdas funcionais tornam-se evidentes e o idoso deixa de realizar atividades básicas da vida diária, diminuindo assim sua capacidade funcional. A capacidade funcional é dimensionada em termos de habilidade e independência para realizar determinadas atividades, sendo esta um dos grandes componentes da saúde do idoso. Objetivo: identificar a capacidade funcional dos idosos em tratamento fisioterápico. Métodos: Foram avaliados 40 idosos que encontravam-se em tratamento fisioterápico na clínica escola do UNILAVRAS, nos setores de neurologia e ortopedia. Foi utilizado o Índice de Katz para avaliar a Capacidade Funcional. Resultados: Os resultados obtidos demonstram que houve diferença estatisticamente significativa entre os pacientes ortopédicos e neurológicos, sendo que os primeiros apresentaram um maior nível de independência (p=0,003) e nenhum deles apresentou-se totalmente dependente (p=0,007) na realização de suas atividades diárias. Conclusão: os idosos em tratamento fisioterápico por patologias neurológicas apresentam menor capacidade funcional e, conseqüentemente, uma maior dependência daqueles que apresentam patologias ortopédicas
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.