Post-Acute COVID-19 Syndrome: a 12-month telemonitoring cohort to assess the persistent symptoms and the quality of life

Raiany Franca Guimarães; Marcela  Cangussu Barbalho Moulim; Veronica Lourenço Wittmer Pascoal; Lais Mello Serafim; Elizangela Kuster; Flavia Azevedo de Brito; Vanessa Rodrigues Gomes; Karla Nascimento Netto Zangerolame; Jonaina Fiorim Pereira de Oliveira; Juliana Zangirolami-Raimundo; Rodrigo Daminello Raimundo; Luiz Carlos Abreu; Flavia Marini Paro

doi:10.47456/rbps.v27i1.47684

Autores/as

Raiany Franca Guimarães Universidade Federal do Espírito Santo
Marcela Cangussu Barbalho Moulim Universidade Federal do Espírito Santo
Veronica Lourenço Wittmer Pascoal Universidade Federal do Espírito Santo
Lais Mello Serafim Universidade Federal do Espírito Santo
Elizangela Kuster Universidade Federal do Espírito Santo
Flavia Azevedo de Brito Hospital Universitário Cassiano Antônio Moraes
Vanessa Rodrigues Gomes Hospital Universitário Cassiano Antônio Moraes
Karla Nascimento Netto Zangerolame Hospital Universitário Cassiano Antônio Moraes
Jonaina Fiorim Pereira de Oliveira Hospital Universitário Cassiano Antônio Moraes
Juliana Zangirolami-Raimundo Centro Universitário FMABC
Rodrigo Daminello Raimundo Centro Universitário FMABC
Luiz Carlos Abreu Universidade Federal do Espírito Santo
Flavia Marini Paro Universidade Federal do Espírito Santo

DOI:

https://doi.org/10.47456/rbps.v27i1.47684

Palabras clave:

Síndrome postagudo de COVID-19, COVID-19, SARS-CoV-2, Calidad de vida, Telemonitoreo

Resumen

Introducción: Tras la pandemia de COVID-19, el síndrome postagudo de COVID-19 continúa representando un importante desafío para los sistemas de salud. Objetivo: Evaluar los síntomas respiratorios y la calidad de vida (CV) de pacientes previamente hospitalizados por COVID-19 doce meses después del alta, e identificar factores clínicos asociados. Métodos: Estudio longitudinal con una cohorte de 12 meses, realizado con adultos dados de alta tras hospitalización por COVID-19. Los participantes fueron evaluados mediante videollamadas o llamadas telefónicas y respondieron cuestionarios sobre síntomas persistentes y calidad de vida. Se utilizó la escala modificada del Medical Research Council (mMRC) para evaluar la disnea y el WHOQoL-BREF para medir la CV. Resultados: La cohorte incluyó 15 pacientes, con edad media de 63,53 ± 7,32 años. Doce meses después del alta, 66,66% presentaban al menos un síntoma persistente. La tos fue reportada por el 40% de los participantes, la fatiga por el 20%, la disnea en reposo por el 20% y la disnea durante las actividades por el 40%. El dominio físico presentó la menor puntuación de calidad de vida (9,14 ± 3,54). La edad, el sexo, la diabetes y un puntaje mMRC ≥ 1 se asociaron con la calidad de vida. Conclusión: La persistencia de síntomas respiratorios y el deterioro de la calidad de vida un año después del alta hospitalaria evidencian la necesidad de protocolos de rehabilitación intrahospitalaria y de programas de ejercicio físico y rehabilitación tras el alta.

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