Gender differences in patients after COVID pneumonia at the third stage of rehabilitation


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Resumo

The aim of the study is to evaluate a group of patients (men and women) after a new coronavirus infection SARS-CoV-2 complicated by viral pneumonia, in the convalescence phase, receiving medical rehabilitation at the third stage. Materials and methods. The data of the case histories of 357 patients who underwent the third stage of rehabilitation were analyzed for the gender distribution of patients, the degree of damage to the lung tissue, and the time of seeking medical help. The Patient Routing Scale (RRM) was assessed for the study of impaired functions, limitation of activity and participation, the 6-minute walk test for assessing physical performance, the hospital scale for assessing anxiety and depression for assessing mental disorders in patients. Results and conclusion. Among all persons who underwent rehabilitation, the share of men was 28.8% (103 people), the share of women was 71.2% (254 people). According to computed tomography of the lungs, the proportion of severe bilateral pneumonia of the 3rd degree did not exceed 16.2%; extremely severe pneumonia of the 4th degree - 3.1%. Most often, patients had a history of 40.6% of minor changes on (CT 1) and disorders of moderate severity (CT 2) in 40.1%. Patients most often come to the third stage of rehabilitation in the period from 2 to 6 months after discharge from the hospital or the closure of a completed case - 43.7%; in the interval from 6 to 12 months, 44.2% applied, after 1 year the smallest number of patients was registered - 8.5%. In patients admitted to rehabilitation, 78.9% had an assessment of 3 points on the SRM, 21.1% - 2 points. SCR and 6-minute walk test scores before treatment in both men and women in each age group were comparable. The overall average increase in the 6-minute walk test scores among women was 106.22 m. Among men - 102.25 m. The greatest increase in SRM was recorded in patients aged 60-69 years.

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Sobre autores

V. Malysheva

Chuvash State University named after I.N. Ulyanov

E. Guryanova

Chuvash State University named after I.N. Ulyanov; Sanatorium «Chuvashiyakurort»

S. Tyurnikova

Sanatorium «Chuvashiyakurort»

Yu. Simunov

Sanatorium «Chuvashiyakurort»

A. Dmitrieva

Republican Clinical Oncological Dispensary of the Ministry of Healthcare of the Chuvash Republic

D. Peskov

Chuvash State University named after I.N. Ulyanov

D. Vorontsov

Chuvash State University named after I.N. Ulyanov

Bibliografia

  1. Li J. Rehabilitation management of patients with COVID-19: Lessons learned from the first experience in China. Eur J Phys Rehab Med. 2020; 56(3): 335-38. doi: 10.23736/S1973-9087.20.06292-9.
  2. Inoue S., Hatakeyama J., Kondo Y. et al. Post-intensive care syndrome: Its pathophysiology, prevention, and future directions. Acute Med Surg. 2019; 6(3): 233-46. doi: 10.1002/ams2.415.
  3. Huang C., Wang Y., Li X. et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020; 395(10223): 497-506. doi: 10.1016/S0140-6736(20)30183-5.
  4. Hellemons M.E., Huijts S., Bek L. et al. Persistent Health Problems beyond Pulmonary Recovery up to 6 Months after Hospitalization for SARS-CoV-2; A Longitudinal Study of Respiratory, Physical and Psychological Outcomes. Ann Am Thorac Soc. 2022; 19(4): 551-61. doi: 10.1513/AnnalsATS.202103-3400C.
  5. Boldrini P., Bernetti A., Fiore P. SIMFER Executive Committee and SIMFER Committee for international affairs. Impact of COVID-19 outbreak on rehabilitation services and Physical and Rehabilitation Medicine (PRM) physicians’ activities in Italy. An official document of the Italian PRM Society (SIMFER). Eur J Phys Rehabil Med. 2020; 56(3): 316-18. doi: 10.23736/S1973-9087.20.06256-5.
  6. Временные методические рекомендации. «Медицинская реабилитация при новой коронавирусной инфекции COVID-19». Министерство здравоохранения Российской Федерации. Версия 2. 31.07.2020. 151 с.
  7. Временные методические рекомендации. «Профилактика, диагностика и лечение новой коронавирусной инфекции COVID-19». Министерство здравоохранения Российской Федерации. Версия 13». 14.10.2021. 237 с.
  8. Приказ Министерства здравоохранения РФ от 31.07.2020 № 788н «Об утверждении Порядка организации медицинской реабилитации взрослых». 25.09.2020. 122 с.
  9. ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: Guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002; 166(1): 111-17. doi: 10.1164/ajrccm.166.1.at1102.
  10. Opasich C., Pinna G.D., Mazza A. et al. Reproducibility of the six-minute walking test in patients with chronic сongestive heart failure: practical implications. Am J Cardiol. 1998; 81(12): 1497-500. doi: 10.1016/s0002-9149(98)00218-5.
  11. https://psylab.info/Госпитальная_шкала_тревоги_и_депрессии#.YcRM1akP0ms.vk
  12. Шакула А.В. Перспективы использования «сухих» углекислых ванн (СУВ) в комплексных программах медицинской реабилитации и санаторно-курортного лечения пациентов, перенесших СОУГО-19. Вопросы курортологии, физиотерапии и лечебной физической культуры. 2020; 6-2: 135.
  13. Бодрова Р. А., Кучумова Т.В., Закамырдина А.Д. с соавт. Эффективность низкочастотной магнитотерапии у пациентов, перенесших пневмонию, вызванную COVID-19. Вопросы курортологии, физиотерапии и лечебной физической культуры. 2020; 6: 11-16. doi: 10.17116/kurort20209706111.
  14. Васильева А.В. Психические нарушения, связанные с пандемией COVID-19 (международный опыт и подходы к терапии). Журнал неврологии и психиатрии им. С.С. Корсакова. 2020; 9: 121-129. doi: 10.17116/jnevro2020120091121.
  15. Фесюн А.Д., Лобанов А.А., Рачин А.П. с соавт. Вызовы и подходы к медицинской реабилитации пациентов, перенесших осложнения COVID-19. Вестник восстановительной медицины. 2020; 3 :3-13. doi: 10.38025/2078-1962-2020-97-3-3-13.
  16. Тяжельников А. А., Полунина Н.В., Костенко Е.В., Полунин В.С. Особенности амбулаторно-поликлинической помощи пациентам с COVID-19 с использованием телемедицинских технологий. Российский медицинский журнал. 2021; 2: 107-114. doi: 10.17816/0869-2106-2021 -27-2-107-114.
  17. Lei J., Yang L., Wen G. et al. Pulmonary telerehabilitation and efficacy among discharged COVID-19 patients: Rational and design of a prospective real-world study. Clin Respir J. 2021; 15(11): 1158-67. doi: 10.1111/crj.13422.

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