Avaliação multidimensional no seguimento de paciente com síndrome pós Covid-19 : um estudo de caso.

Abstract

Introduction: COVID-19 survivors have physical disabilities that can be exacerbated by prolonged immobility, including muscle weakness, neurological impairment and/or nutritional disorder. The long-term changes caused by COVID-19 vary widely according to the severity of the disease in the acute phase and the presence of previous comorbidities. Objective: Evaluate in a multidimensional way and identify sequelae of post COVID-19 syndrome in a patient over a period of 8 months. Methods: Case study with follow up of 1 male patient who survived COVID-19 in the severe form. A multidimensional evaluation was carried out and the variables collected were clinical, cardiorespiratory, functional capacity, sleep-disordered breathing, and mental alterations. Results: On arrival at rehabilitation, the patient had a very weak estimated VO2, weakness (sarcopenia) and loss of muscle quality (dynapenia), a low risk of falling, poor sleep quality, and minimal symptoms of depression and anxiety. After treatment at the cardiorespiratory rehabilitation laboratory (LARECARE) and its follow-up, the patient showed excellent cardiorespiratory fitness according to the estimated VO2, good respiratory muscle strength, good integrity of lower limb arterial circulation, no longer sarcopenia or dynapenia, no risk of falling, good sleep quality and no symptoms of depression and anxiety. Conclusion: Surviving patient of COVID-19, who participated in a cardiorespiratory rehabilitation program, showing improvement in cardiorespiratory conditions, functional capacity, sleep quality and mental aspects over time. The study showed that multidimensional monitoring is essential to ensure an evolution and recovery of patients affected by this disease.