Instrumentos de avaliação da funcionalidade em pacientes críticos com covid-19: uma revisão de literatura
Arquivos
Data
2021-07-28
Autores
Gomes, Rosemeire da Silva 
Orientadores
Volpe, Márcia Souza
Tipo
Trabalho de conclusão de curso
Título da Revista
ISSN da Revista
Título de Volume
Resumo
INTRODUÇÃO: Em março de 2020 a Organização Mundial da Saúde declarou pandemia do novo coronavírus, SARS-CoV-2, e a doença foi denominada de COVID-19. A maioria dos infectados desenvolve a forma leve da doença, porém cerca de 15% necessitam de hospitalização. Esses pacientes podem desenvolver insuficiência respiratória e necessitar de ventilação mecânica invasiva. O tempo de internação prolongado e a gravidade da doença podem acarretar perda da capacidade funcional. OBJETIVO: O objetivo deste estudo foi investigar, por meio de uma revisão de literatura, quais são os instrumentos utilizados para avaliar a capacidade funcional de pacientes críticos com COVI-19 durante a internação hospitalar. MÉTODOS: Foram realizadas buscas no período de fevereiro de 2020 a junho de 2021, nos idiomas inglês e português, na base de dados PubMed. Os descritores foram identificados no DeCS e Mesh. Sendo elas: COVID-19, recuperação da função, atividade de vida diária ou desempenho físico funcional, reabilitação, teste de exercício e alta hospitalar. A análise dos artigos foi realizada pela plataforma Rayyan, inicialmente com dois avaliadores de forma independente, e quando houve conflito, foi avaliado por um terceiro avaliador. RESULTADOS: Foram encontrados 29 artigos, dos quais após a leitura dos títulos e resumos, foram selecionados 15 estudos. Desse total restaram 9 artigos. A partir dessa leitura, identificamos mais 3 artigos, totalizando 12 estudos. Foram encontrados os seguintes testes: teste de caminhada de 6 minutos (TC6min), teste de caminhada de 2 minutos (TC2min), short physical performance battery (SPPB) e o medical research council (MRC), força de preensão palmar. CONCLUSÃO: Os instrumentos de avaliação da capacidade funcional mais comuns foram o MRC e o SPPB em ambiente hospitalar e o TC6min após a alta.
INTRODUCTION: In March 2020, the World Health Organization declared a pandemic of the new coronavirus, SARS-CoV-2, and the disease was named COVID-19. Most infected people develop a mild form of the disease, but about 15% need hospitalization. These patients can develop respiratory failure and require invasive mechanical ventilation. The prolonged length of stay and the severity of the disease can lead to loss of functional capacity. OBJECTIVE: The aim of this study was to investigate, through a literature review, which instruments were used to assess the functional capacity of critically ill patients with COVI-19 during hospitalization. METHODS: Searches were performed from February 2020 to June 2021, in English and Portuguese, in the PubMed database. The descriptors were identified in DeCS and Mesh. These were: COVID-19, function recovery, activity of daily living or functional physical performance, rehabilitation, exercise test and hospital discharge. The analysis of the articles was performed using the Rayyan platform, initially with two reviewers independently, and when there was conflict, it was rated by a third reviewer. RESULTS: 29 articles were found, of which after reading the titles and abstracts, 15 studies were selected. Of this total, 9 articles remained. From this reading, we identified 3 more articles, totaling 12 studies. The following tests were found: 6-minute walk test (6MWT), 2-minute walk test (2MWT), short physical performance battery (SPPB) and the medical research council (MRC), handgrip strength. CONCLUSION: The most common functional capacity assessment instruments were the MRC and the SPPB in a hospital environment and the 6MWT after discharge
INTRODUCTION: In March 2020, the World Health Organization declared a pandemic of the new coronavirus, SARS-CoV-2, and the disease was named COVID-19. Most infected people develop a mild form of the disease, but about 15% need hospitalization. These patients can develop respiratory failure and require invasive mechanical ventilation. The prolonged length of stay and the severity of the disease can lead to loss of functional capacity. OBJECTIVE: The aim of this study was to investigate, through a literature review, which instruments were used to assess the functional capacity of critically ill patients with COVI-19 during hospitalization. METHODS: Searches were performed from February 2020 to June 2021, in English and Portuguese, in the PubMed database. The descriptors were identified in DeCS and Mesh. These were: COVID-19, function recovery, activity of daily living or functional physical performance, rehabilitation, exercise test and hospital discharge. The analysis of the articles was performed using the Rayyan platform, initially with two reviewers independently, and when there was conflict, it was rated by a third reviewer. RESULTS: 29 articles were found, of which after reading the titles and abstracts, 15 studies were selected. Of this total, 9 articles remained. From this reading, we identified 3 more articles, totaling 12 studies. The following tests were found: 6-minute walk test (6MWT), 2-minute walk test (2MWT), short physical performance battery (SPPB) and the medical research council (MRC), handgrip strength. CONCLUSION: The most common functional capacity assessment instruments were the MRC and the SPPB in a hospital environment and the 6MWT after discharge
Descrição
Citação
GOMES, Rosemeire da Silva. Instrumentos de avaliação da funcionalidade em pacientes críticos com covid-19: uma revisão de literatura. 2021. 22 f. Trabalho de conclusão de curso (Graduação em Fisioterapia) - Instituto de Saúde e Sociedade, Universidade Federal de São Paulo, Santos, 2021.