Sintomatología cardiorrespiratoria y neuromusculoesquelética en COVID-19 posagudo en una unidad de rehabilitación.

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Title: Sintomatología cardiorrespiratoria y neuromusculoesquelética en COVID-19 posagudo en una unidad de rehabilitación.
Alternate Title: Cardiorespiratory and neuromusculoskeletal symptoms with post-acute COVID-19 in a Rehabilitation center.
Authors: Lilia Varela-Tapia, Clara1, Contreras-Del Carmen, Nallely2, Hernández-Amaro, Hermelinda3, Luisa Domínguez-Paredes, Ana1, Martínez-Barro, Daniel4 daniel.martinezba@imss.gob.mx
Source: Revista Medica del IMSS. jul/aug2022, Vol. 60 Issue 4, p395-401. 7p.
Abstract (English): Background: COVID-19 predominantly affects the respiratory system. However, persistent extrapulmonary (musculoskeletal and cardiovascular) conditions have been reported. Objective: To determine the most frequent cardiorespiratory and neuromusculoskeletal symptoms in patients with post-acute COVID 19 in a rehabilitation center. Material and methods: An observational, cross-sectional, descriptive and analytical study of post-acute COVID-19 patients was carried out. Clinical-demographic data, cardiorespiratory and neuromusculoskeletal symptoms were collected upon admission to the cardiopulmonary rehabilitation program. Descriptive statistics and association tests were used through the Chi squared test, taking p < 0.05 as significant. Results: 262 files were collected. The age was 49.9 ± 11.5 years. There was a predominance of males (69.8%). The most prevalent symptoms, in the different degrees of severity (mild, moderate, severe and critical, respectively) were MRC 3 dyspnea (30.4%, 56.8%, 43.1% and 42.9%), weakness (60.9%, 59.5%, 56.9 % and 87.8%), and paresthesias (65.2%, 56.8%, 49.7% and 75.5%). SARS-CoV-2 critical infection was associated with a higher presentation of weakness (p < 0.01), paresthesias (p = 0.01), and dependency in activities of daily living (p < 0.01). Conclusions: The most frequent cardiorespiratory and neuromusculoskeletal symptoms in patients with post-acute COVID were dyspnea and paresthesias. Critical infection by SARS-CoV-2 was associated with a greater presentation of weakness, paresthesias and dependence on activities of daily living. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: la COVID-19 afecta predominantemente el sistema respiratorio. Sin embargo, se han reportado afecciones extrapulmonares (musculoesqueléticas y cardiovasculares) persistentes. Objetivo: determinar las sintomatología cardiorrespiratoria y neuromusculoesquelética más frecuente en pacientes con COVID-19 posagudo en una unidad de rehabilitación. Material y métodos: se realizó un estudio observacional, trasversal, descriptivo y analítico de los pacientes de COVID-19 posagudo. Se tomaron datos clínico-demográficos, sintomatología cardiorrespiratoria y neuromusculoesquelética al ingreso al programa de rehabilitación cardiopulmonar. Se utlizó estadística descriptiva y pruebas de asociación a través de la prueba Chi cuadrada, tomando como significativo una p < 0.05. Resultados: se recolectaron 262 expedientes. La edad fue de 49.9 ± 11.5 años. Hubo predominio del sexo masculino (69.8%). Los síntomas más prevalentes, en los diferentes grados de severidad (leve, moderado, severo y crítico, respectivamente) fueron la disnea en grado 3 (30.4%, 56.8%, 43.1% y 42.9%), debilidad (60.9%, 59.5%, 56.9% y 87.8%), y parestesias (65.2%, 56.8%, 49.7% y 75.5%). La infección por SARS-CoV-2 crítica se asoció a: mayor presentación de debilidad (p < 0.01), parestesias (p = 0.01) y dependencia para las actividades de la vida diaria (p < 0.01). Conclusiones: la sintomatología cardiorrespiratoria y neuromusculoesquelética más frecuente en pacientes con COVID posagudo fueron la disnea, la debilidad y las parestesias. La infección crítica por SARS-CoV-2 se asoció a mayor presentación de debilidad, parestesias y dependencia para las actividades de la vida diaria. [ABSTRACT FROM AUTHOR]
Copyright of Revista Medica del IMSS is the property of Direccion de Prestaciones Medicas - IMSS and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Sintomatolog&#237;a cardiorrespiratoria y neuromusculoesquel&#233;tica en COVID-19 posagudo en una unidad de rehabilitaci&#243;n.
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  Data: Cardiorespiratory and neuromusculoskeletal symptoms with post-acute COVID-19 in a Rehabilitation center.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Lilia+Varela-Tapia%2C+Clara%22&quot;&gt;Lilia Varela-Tapia, Clara&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Contreras-Del+Carmen%2C+Nallely%22&quot;&gt;Contreras-Del Carmen, Nallely&lt;/searchLink&gt;&lt;relatesTo&gt;2&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Hern&#225;ndez-Amaro%2C+Hermelinda%22&quot;&gt;Hern&#225;ndez-Amaro, Hermelinda&lt;/searchLink&gt;&lt;relatesTo&gt;3&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Luisa+Dom&#237;nguez-Paredes%2C+Ana%22&quot;&gt;Luisa Dom&#237;nguez-Paredes, Ana&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Mart&#237;nez-Barro%2C+Daniel%22&quot;&gt;Mart&#237;nez-Barro, Daniel&lt;/searchLink&gt;&lt;relatesTo&gt;4&lt;/relatesTo&gt;&lt;i&gt; daniel.martinezba@imss.gob.mx&lt;/i&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Revista+Medica+del+IMSS%22&quot;&gt;Revista Medica del IMSS&lt;/searchLink&gt;. jul/aug2022, Vol. 60 Issue 4, p395-401. 7p.
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Background: COVID-19 predominantly affects the respiratory system. However, persistent extrapulmonary (musculoskeletal and cardiovascular) conditions have been reported. Objective: To determine the most frequent cardiorespiratory and neuromusculoskeletal symptoms in patients with post-acute COVID 19 in a rehabilitation center. Material and methods: An observational, cross-sectional, descriptive and analytical study of post-acute COVID-19 patients was carried out. Clinical-demographic data, cardiorespiratory and neuromusculoskeletal symptoms were collected upon admission to the cardiopulmonary rehabilitation program. Descriptive statistics and association tests were used through the Chi squared test, taking p &lt; 0.05 as significant. Results: 262 files were collected. The age was 49.9 &#177; 11.5 years. There was a predominance of males (69.8%). The most prevalent symptoms, in the different degrees of severity (mild, moderate, severe and critical, respectively) were MRC 3 dyspnea (30.4%, 56.8%, 43.1% and 42.9%), weakness (60.9%, 59.5%, 56.9 % and 87.8%), and paresthesias (65.2%, 56.8%, 49.7% and 75.5%). SARS-CoV-2 critical infection was associated with a higher presentation of weakness (p &lt; 0.01), paresthesias (p = 0.01), and dependency in activities of daily living (p &lt; 0.01). Conclusions: The most frequent cardiorespiratory and neuromusculoskeletal symptoms in patients with post-acute COVID were dyspnea and paresthesias. Critical infection by SARS-CoV-2 was associated with a greater presentation of weakness, paresthesias and dependence on activities of daily living. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Introducci&#243;n: la COVID-19 afecta predominantemente el sistema respiratorio. Sin embargo, se han reportado afecciones extrapulmonares (musculoesquel&#233;ticas y cardiovasculares) persistentes. Objetivo: determinar las sintomatolog&#237;a cardiorrespiratoria y neuromusculoesquel&#233;tica m&#225;s frecuente en pacientes con COVID-19 posagudo en una unidad de rehabilitaci&#243;n. Material y m&#233;todos: se realiz&#243; un estudio observacional, trasversal, descriptivo y anal&#237;tico de los pacientes de COVID-19 posagudo. Se tomaron datos cl&#237;nico-demogr&#225;ficos, sintomatolog&#237;a cardiorrespiratoria y neuromusculoesquel&#233;tica al ingreso al programa de rehabilitaci&#243;n cardiopulmonar. Se utliz&#243; estad&#237;stica descriptiva y pruebas de asociaci&#243;n a trav&#233;s de la prueba Chi cuadrada, tomando como significativo una p &lt; 0.05. Resultados: se recolectaron 262 expedientes. La edad fue de 49.9 &#177; 11.5 a&#241;os. Hubo predominio del sexo masculino (69.8%). Los s&#237;ntomas m&#225;s prevalentes, en los diferentes grados de severidad (leve, moderado, severo y cr&#237;tico, respectivamente) fueron la disnea en grado 3 (30.4%, 56.8%, 43.1% y 42.9%), debilidad (60.9%, 59.5%, 56.9% y 87.8%), y parestesias (65.2%, 56.8%, 49.7% y 75.5%). La infecci&#243;n por SARS-CoV-2 cr&#237;tica se asoci&#243; a: mayor presentaci&#243;n de debilidad (p &lt; 0.01), parestesias (p = 0.01) y dependencia para las actividades de la vida diaria (p &lt; 0.01). Conclusiones: la sintomatolog&#237;a cardiorrespiratoria y neuromusculoesquel&#233;tica m&#225;s frecuente en pacientes con COVID posagudo fueron la disnea, la debilidad y las parestesias. La infecci&#243;n cr&#237;tica por SARS-CoV-2 se asoci&#243; a mayor presentaci&#243;n de debilidad, parestesias y dependencia para las actividades de la vida diaria. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of Revista Medica del IMSS is the property of Direccion de Prestaciones Medicas - IMSS and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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