The effect of mild to moderate COVID-19 infection on the cardiorespiratory fitness of firefighters

D'Isabel, Susanne; Berny, Lauren M.; Frost, Alex; Thongphok, Chanhtel; Jack, Kepra; Chaudhry, Sundeep; Arena, Ross; Smith, Denise L.

doi:10.3389/fpubh.2023.1308605

Cited by 3 publications

(1 citation statement)

References 43 publications

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“…Individuals with poor exercise performance compared to pre-acute infection status should be re-evaluated for mild, undiagnosed, or evolving cardiopulmonary, endocrine-metabolic and/or neurocognitive pathology. Monitoring cardiorespiratory fitness may be especially important in public safety groups with minimum fitness for duty standards ( 63 ). Referral to specialized cardiopulmonary rehabilitation programs may be necessary.…”

Section: Clinical Characterization Of Long Covid-related Fatiguementioning

confidence: 99%

Developing a clinical-pathological framework of long COVID-related fatigue applied to public safety workers

Lofrano-Porto,

D’Isabel,

Smith

2024

Front. Med.

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In the wake of the COVID-19 pandemic, millions worldwide are still struggling with persistent or recurring symptoms known as long COVID. Fatigue is one of the most prevalent symptoms associated with long COVID, and for many it can be debilitating. Understanding the potential pathological processes that link fatigue to long COVID is critical to better guide treatment. Challenges with diagnosis and treatment are reviewed, recognizing that post-COVID fatigue does not always present with corroborating clinical evidence, a situation that is frustrating for both patients and healthcare providers. Firefighters are a group of public safety workers who are particularly impacted by long COVID-related fatigue. Firefighters must be able to engage in strenuous physical activity and deal with demanding psychological situations, both of which may be difficult for those suffering from fatigue. Disruption in public safety worker health can potentially impact community welfare. This review creates a framework to explain the clinical-pathological features of fatigue resulting from long COVID, addresses diagnosis and treatment challenges, and explores the unique impact fatigue may pose for public safety workers and their organizations.

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Section: Clinical Characterization Of Long Covid-related Fatiguementioning

confidence: 99%

Developing a clinical-pathological framework of long COVID-related fatigue applied to public safety workers

Lofrano-Porto,

D’Isabel,

Smith

2024

Front. Med.

Self Cite

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Review of organ damage from COVID and Long COVID: a disease with a spectrum of pathology

Ewing,

Salamon,

Pretorius

et al. 2024

Medical Review

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Long COVID, as currently defined by the World Health Organization (WHO) and other authorities, is a symptomatic condition that has been shown to affect an estimated 10 %–30 % of non-hospitalized patients after one infection. However, COVID-19 can also cause organ damage in individuals without symptoms, who would not fall under the current definition of Long COVID. This organ damage, whether symptomatic or not, can lead to various health impacts such as heart attacks and strokes. Given these observations, it is necessary to either expand the definition of Long COVID to include organ damage or recognize COVID-19-induced organ damage as a distinct condition affecting many symptomatic and asymptomatic individuals after COVID-19 infections. It is important to consider that many known adverse health outcomes, including heart conditions and cancers, can be asymptomatic until harm thresholds are reached. Many more medical conditions can be identified by testing than those that are recognized through reported symptoms. It is therefore important to similarly recognize that while Long COVID symptoms are associated with organ damage, there are many individuals that have organ damage without displaying recognized symptoms and to include this harm in the characterization of COVID-19 and in the monitoring of individuals after COVID-19 infections.

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Musculoskeletal, Pulmonary, and Cardiovascular COVID-19 Sequelae in the Context of Firefighter Occupational Health: A Narrative Review

Graham,

D’Isabel,

Lofrano-Porto

et al. 2024

IJERPH

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For most individuals infected with SARS-CoV-2, the acute illness resolves completely. However, for millions of people, symptoms or sequelae from COVID-19 recur or persist for months to years after infection. Post-COVID-19 sequelae are wide-ranging, often affecting the musculoskeletal, pulmonary, and cardiovascular systems. All who experience post-COVID-19 sequelae face significant challenges navigating home and work life. Occupations such as firefighting, however, are of particular concern given the strenuous nature of a job that relies on a healthy musculoskeletal, pulmonary, and cardiovascular system. Research has documented significant musculoskeletal impairment (including muscle weakness, pain, and fatigue), respiratory dysfunction (including reduced lung function, interstitial disease, and diffusion abnormalities), cardiovascular conditions (including cardiac events, ischemic disease, dysrhythmias, and infectious diseases), and diminished cardiorespiratory fitness that continues for months to years in some individuals. These persistent post-COVID-19 conditions may affect a firefighter’s ability to return to work, function at full capacity while at work, and potentially compromise firefighter health and public safety. This review, therefore, explores musculoskeletal, pulmonary, and cardiovascular sequelae post-COVID-19 and the impact of these sequelae on firefighter health and occupational readiness.

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The effect of mild to moderate COVID-19 infection on the cardiorespiratory fitness of firefighters

Cited by 3 publications

References 43 publications

Developing a clinical-pathological framework of long COVID-related fatigue applied to public safety workers

Developing a clinical-pathological framework of long COVID-related fatigue applied to public safety workers

Review of organ damage from COVID and Long COVID: a disease with a spectrum of pathology

Musculoskeletal, Pulmonary, and Cardiovascular COVID-19 Sequelae in the Context of Firefighter Occupational Health: A Narrative Review

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