Banca de DEFESA: JAKSON HENRIQUE SILVA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : JAKSON HENRIQUE SILVA
DATE: 17/03/2023
TIME: 09:00
LOCAL: Departamento de Fisioterapia
TITLE:

SCREENING OF RESPIRATORY DYSFUNCTIONS IN INDIVIDUALS IN THE POST-COVID-19 CONDITION

KEY WORDS:

COVID-19; Breathing pattern; Pulmonary Function; Diagnosis; Physiotherapy; Technological Innovation; Device.

PAGES: 50
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Introduction: The post-COVID-19 condition confers symptoms that remain beyond 12 weeks after diagnosis and may persist, when associated or not with another pre-existing disease. Understanding that COVID-19 is a multisystemic disease, it becomes relevant to investigate the presence of respiratory system dysfunctions after the acute phase period. Objective: Multidimensionally evaluate respiratory function, ventilometry, manovacuometry and breathing pattern measurements measured by the Respiratory Diagnostic Assistant (RDA) in post-COVID-19 patients, in order to track the prevalence of respiratory dysfunctions. Methods: Observational and cross-sectional study registered in Clinical Trials (NCT05659615). The forced vital capacity (FVC), forced expiratory volume in the first second (FEV1) and FVC/FEV1 were assessed by spirometry. Besides, Maximal Ins and Expiratory Pressures (MIP and MEP, respectively) and ventilometry (minute volume - MV, tidal volume - Vt, respiratory rate - RR, inspiratory capacity - IC and slow vital capacity - SVC) were evaluated. In addition to the ventilometry variables (VENT), in the RDA, flows and times (ins and expiratory) were measured simultaneously, generating qualitative data over time. Bland Altman's and correlation analyzes were also applied for the breathing pattern variables measured by the ventilometer and RDA. Result:  A total of 102 patients in post-COVID-19 condition (65 women, 48.21 ± 12.49 years, convalescence time  23.22 ± 8.40 weeks) participated in the study. 43% of these had moderate pulmonary obstruction, and 53% had reduced lung volumes and capacities, and 65% had MEP below predicted values. The RDA indicates changes in the rhythm of the breathing pattern in more than 81% of those investigated. The RR and MV showed agreement between the two evaluation methods (ventilometry vs RDA). There was a significant correlation (p<0.05) between the variable MVexpRDA with the variables: FVC, MVVENT, MEP and MIPx and the variable MIP with the variables FlowexpRDA, MVinspRDA, MVexpRDA, SVCVENT and MVVENT.Conclusion: Patients in post-COVID-19 conditions may present with obstructive dysfunction with moderate respiratory compromise, leading to reduced lung volumes and capacities. The rhythm of the breathing pattern can remain altered after COVID-19 regardless of the severity of the disease in previously healthy individuals. The use of these evaluations in the physiotherapist's routine allows the stabilization of objectives and can serve as a parameter to measure and monitor the evolution of the treatment.

COMMITTEE MEMBERS:
Presidente - 1900364 - SHIRLEY LIMA CAMPOS
Externo ao Programa - 3258453 - CAIO CESAR ARAUJO MORAIS - UFPEExterno à Instituição - FRANCISCO DE ASSIS DA SILVA SANTOS - Fiocruz - PE