-
Je něco špatně v tomto záznamu ?
A temporal examination of inspiratory muscle strength and endurance in hospitalized COVID-19 patients
F. Dosbaba, M. Hartman, L. Batalik, V. Senkyr, I. Radkovcova, S. Richter, K. Brat, LP. Cahalin, MF. Formiga
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články, práce podpořená grantem
- MeSH
- COVID-19 * komplikace MeSH
- dechová cvičení škodlivé účinky MeSH
- dýchací svaly * fyziologie MeSH
- dyspnoe etiologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- svalová síla fyziologie MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
BACKGROUND: The two most common symptoms associated with COVID-19 are dyspnea and fatigue. One possible cause of such symptoms may be inspiratory muscle weakness. OBJECTIVES: The purpose of this study was to examine inspiratory muscle performance (IMP) from intensive care unit discharge (ICUD) to hospital discharge (HD) in patients with COVID-19 hypothesizing that IMP would be markedly depressed at both ICUD and HD. METHODS: IMP was examined at ICUD and HD via the PrO2 device (PrO2 Health, Smithfield, RI) which provided the maximal inspiratory pressure (MIP), sustained MIP (SMIP), inspiratory duration (ID), and fatigue index test (FIT). Patient symptoms were assessed at ICUD, HD, and 1-month post-HD. RESULTS: 30 patients (19 men, 11 women) with COVID-19 were included. The mean±SD age, BMI, and length of ICU and hospital stay was 71±11 yrs, 27.9 ± 6.3 kg/m, 9 ± 6 days, and 26±16 days, respectively. The mean±SD MIP, SMIP, ID, and FIT of the entire cohort at ICUD vs HD were 36±21 vs 40±20 cm H2O, 231±157 vs 297±182 PTU, 8.8 ± 4.2 vs 9.5 ± 4.6 s, and 9.0 ± 9.4 vs 13.1 ± 12.3, respectively, with only SMIP and FIT significantly greater at HD (p=.006 and 0.03, respectively). SMIP at HD was significantly related to resting dyspnea at HD (r=-0.40; p=.02). The SMIP and FIT of men were found to increase significantly from ICUD to HD, but no measure of IMP in the women increased significantly from ICUD to HD. At least one COVID-19-related symptom was present 1 month after HD with the most persistent symptoms being fatigue, cough, and dyspnea in 47%, 40%, and 37% of the patients, respectively. CONCLUSIONS: A significant reduction in IMP exists in patients with COVID-19 at both ICUD and HD and no measure of IMP in women was observed to increase significantly from ICUD to HD. Impaired inspiratory muscle endurance rather than strength was associated with greater dyspnea at HD.
Department of Public Health Faculty of Medicine Masaryk University Brno Brno 62500 Czech Republic
Department of Radiology and Nuclear Medicine University Hospital Brno Brno 62500 Czech Republic
Department of Rehabilitation University Hospital Brno Brno 62500 Czech Republic
Department of Respiratory Diseases University Hospital Brno Brno 62500 Czech Republic
Citace poskytuje Crossref.org
- 000
- 00000naa a2200000 a 4500
- 001
- bmc23010945
- 003
- CZ-PrNML
- 005
- 20230801132720.0
- 007
- ta
- 008
- 230718s2023 xxu f 000 0|eng||
- 009
- AR
- 024 7_
- $a 10.1016/j.hrtlng.2023.03.007 $2 doi
- 035 __
- $a (PubMed)36934476
- 040 __
- $a ABA008 $b cze $d ABA008 $e AACR2
- 041 0_
- $a eng
- 044 __
- $a xxu
- 100 1_
- $a Dosbaba, Filip $u Department of Rehabilitation, University Hospital Brno, Brno 62500, Czech Republic. Electronic address: dosbaba.filip@fnbrno.cz
- 245 12
- $a A temporal examination of inspiratory muscle strength and endurance in hospitalized COVID-19 patients / $c F. Dosbaba, M. Hartman, L. Batalik, V. Senkyr, I. Radkovcova, S. Richter, K. Brat, LP. Cahalin, MF. Formiga
- 520 9_
- $a BACKGROUND: The two most common symptoms associated with COVID-19 are dyspnea and fatigue. One possible cause of such symptoms may be inspiratory muscle weakness. OBJECTIVES: The purpose of this study was to examine inspiratory muscle performance (IMP) from intensive care unit discharge (ICUD) to hospital discharge (HD) in patients with COVID-19 hypothesizing that IMP would be markedly depressed at both ICUD and HD. METHODS: IMP was examined at ICUD and HD via the PrO2 device (PrO2 Health, Smithfield, RI) which provided the maximal inspiratory pressure (MIP), sustained MIP (SMIP), inspiratory duration (ID), and fatigue index test (FIT). Patient symptoms were assessed at ICUD, HD, and 1-month post-HD. RESULTS: 30 patients (19 men, 11 women) with COVID-19 were included. The mean±SD age, BMI, and length of ICU and hospital stay was 71±11 yrs, 27.9 ± 6.3 kg/m, 9 ± 6 days, and 26±16 days, respectively. The mean±SD MIP, SMIP, ID, and FIT of the entire cohort at ICUD vs HD were 36±21 vs 40±20 cm H2O, 231±157 vs 297±182 PTU, 8.8 ± 4.2 vs 9.5 ± 4.6 s, and 9.0 ± 9.4 vs 13.1 ± 12.3, respectively, with only SMIP and FIT significantly greater at HD (p=.006 and 0.03, respectively). SMIP at HD was significantly related to resting dyspnea at HD (r=-0.40; p=.02). The SMIP and FIT of men were found to increase significantly from ICUD to HD, but no measure of IMP in the women increased significantly from ICUD to HD. At least one COVID-19-related symptom was present 1 month after HD with the most persistent symptoms being fatigue, cough, and dyspnea in 47%, 40%, and 37% of the patients, respectively. CONCLUSIONS: A significant reduction in IMP exists in patients with COVID-19 at both ICUD and HD and no measure of IMP in women was observed to increase significantly from ICUD to HD. Impaired inspiratory muscle endurance rather than strength was associated with greater dyspnea at HD.
- 650 _2
- $a mužské pohlaví $7 D008297
- 650 _2
- $a lidé $7 D006801
- 650 _2
- $a ženské pohlaví $7 D005260
- 650 _2
- $a lidé středního věku $7 D008875
- 650 _2
- $a senioři $7 D000368
- 650 _2
- $a senioři nad 80 let $7 D000369
- 650 12
- $a dýchací svaly $x fyziologie $7 D012132
- 650 12
- $a COVID-19 $x komplikace $7 D000086382
- 650 _2
- $a dyspnoe $x etiologie $7 D004417
- 650 _2
- $a svalová síla $x fyziologie $7 D053580
- 650 _2
- $a dechová cvičení $x škodlivé účinky $7 D001945
- 655 _2
- $a časopisecké články $7 D016428
- 655 _2
- $a práce podpořená grantem $7 D013485
- 700 1_
- $a Hartman, Martin $u Department of Rehabilitation, University Hospital Brno, Brno 62500, Czech Republic; Department of Rehabilitation and Sports Medicine, 2nd Faculty of Medicine, Charles University, University Hospital Motol, Prague, Czech Republic
- 700 1_
- $a Batalik, Ladislav $u Department of Rehabilitation, University Hospital Brno, Brno 62500, Czech Republic; Department of Public Health, Faculty of Medicine, Masaryk University Brno, Brno 62500, Czech Republic
- 700 1_
- $a Senkyr, Vojtech $u Department of Rehabilitation, University Hospital Brno, Brno 62500, Czech Republic
- 700 1_
- $a Radkovcova, Ivana $u Department of Rehabilitation, University Hospital Brno, Brno 62500, Czech Republic
- 700 1_
- $a Richter, Svatopluk $u Department of Radiology and Nuclear Medicine, University Hospital Brno, Brno 62500, Czech Republic
- 700 1_
- $a Brat, Kristian $u Department of Respiratory Diseases, University Hospital Brno, Brno 62500, Czech Republic
- 700 1_
- $a Cahalin, Lawrence P $u Department of Physical Therapy, University of Miami Miller School of Medicine, Coral Gables, FL, United States
- 700 1_
- $a Formiga, Magno F $u Master's Program in Physical Therapy and Functioning, Department of Physical Therapy, Federal University of Ceara, Fortaleza, CE, Brazil. Electronic address: magno@miami.edu
- 773 0_
- $w MED00002004 $t Heart & lung : the journal of critical care $x 1527-3288 $g Roč. 60, č. - (2023), s. 95-101
- 856 41
- $u https://pubmed.ncbi.nlm.nih.gov/36934476 $y Pubmed
- 910 __
- $a ABA008 $b sig $c sign $y p $z 0
- 990 __
- $a 20230718 $b ABA008
- 991 __
- $a 20230801132717 $b ABA008
- 999 __
- $a ok $b bmc $g 1963393 $s 1197210
- BAS __
- $a 3
- BAS __
- $a PreBMC-MEDLINE
- BMC __
- $a 2023 $b 60 $c - $d 95-101 $e 20230313 $i 1527-3288 $m Heart & lung $n Heart Lung $x MED00002004
- LZP __
- $a Pubmed-20230718
