Parámetros respiratorios durante la hospitalización como predictores de disnea residual en pacientes post COVID-19
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Date
2023-12-20
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Universidad Nacional de Trujillo
Abstract
La pandemia de COVID-19 tuvo gran impacto en la salud mundial, caracterizándose por un variado espectro clínico durante su curso y las secuelas posteriores a la resolución de la enfermedad; siendo la disnea la más frecuente y relevante, por lo cual es importante definir predictores que se presenten durante el curso de la infección.
Objetivo: Determinar que parámetros respiratorios durante la hospitalización son predictores de disnea residual en pacientes post COVID-19.
Material y métodos: Estudio analítico, casos y controles. Se incluyeron las historias clínicas de pacientes hospitalizados por COVID-19 en el Hospital de Alta Complejidad “Virgen de la Puerta” durante el periodo de noviembre 2021 hasta marzo 2022.
Resultados: De 180 historias clínicas registradas, 42 cumplían con los criterios de inclusión: 24 mujeres (57.1%) y 18 hombres (42.9%). La disnea se presentó en el 66.7% de los casos donde el grado que prevaleció fue la percepción subjetiva de un esfuerzo leve (21.4%), seguida del esfuerzo moderado, severo y muy severo. El grupo de pacientes con disnea tuvo mayor FiO2 y menor PaO2, PaO2/FiO2, SatO2/FiO2, índice de Rox que el grupo de pacientes sin disnea.
Conclusión: Ninguno de los parámetros respiratorios estudiados durante la hospitalización son predictores de disnea residual en pacientes post COVID-19.
The COVID-19 pandemic had a great impact on global health, characterized by a varied clinical spectrum during its course and the sequelae that the disease subsequently resolves, with the disease being the most frequent and highly relevant, for which it is important to define whether this sequelae can be predicted in patients at the time of infection. Objective: To determine which respiratory parameters during hospitalization are predictors of residual dyspnea in post COVID-19 patients. Material and methods: Analytical study, cases and controls.The medical records of patients hospitalized for COVID-19 at the Hospital de Alta Complejidad "Virgen de la Puerta" during the period from November 2021 to March 2022 were included. Results: Of a total of 180 clinical histories recorded, only 42 met the inclusion criteria, being 24 women (57.1%) and 18 (42.9%) men. In addition dyspnea was present in 66.7% of cases where the prevailing grade was subjective perception of mild exertion (21.4%), followed by moderate, severe and very severe exertion in that order. The group of patients with dyspnea had higher FiO2 and lower PaO2, PaO2/FiO2, SatO2/FiO2, Rox index than the group of patients without dyspnea. Conclusion: None of the respiratory parameters studied during hospitalization are predictors of residual dyspnea in post COVID-19 patients.
The COVID-19 pandemic had a great impact on global health, characterized by a varied clinical spectrum during its course and the sequelae that the disease subsequently resolves, with the disease being the most frequent and highly relevant, for which it is important to define whether this sequelae can be predicted in patients at the time of infection. Objective: To determine which respiratory parameters during hospitalization are predictors of residual dyspnea in post COVID-19 patients. Material and methods: Analytical study, cases and controls.The medical records of patients hospitalized for COVID-19 at the Hospital de Alta Complejidad "Virgen de la Puerta" during the period from November 2021 to March 2022 were included. Results: Of a total of 180 clinical histories recorded, only 42 met the inclusion criteria, being 24 women (57.1%) and 18 (42.9%) men. In addition dyspnea was present in 66.7% of cases where the prevailing grade was subjective perception of mild exertion (21.4%), followed by moderate, severe and very severe exertion in that order. The group of patients with dyspnea had higher FiO2 and lower PaO2, PaO2/FiO2, SatO2/FiO2, Rox index than the group of patients without dyspnea. Conclusion: None of the respiratory parameters studied during hospitalization are predictors of residual dyspnea in post COVID-19 patients.
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COVID 19