Post-COVID-19 respiratory sequelae: study of critical and intermediate patients in a high complexity clinic in Neiva (2020-2021)
DOI:
https://doi.org/10.61182/rnavmed.v10n1a3Keywords:
COVID-19, Respiratory complications, Intensive Care Units, SARS-CoV-2, Dyspnea, Pulmonary fibrosisAbstract
Background: COVID-19 infection, caused by SARS-CoV-2, has generated a significant impact on respiratory health globally, with a high percentage of hospitalized patients developing long-term pulmonary sequelae, especially in those with severe disease requiring intensive care.
Objective: to identify and analyze the persistent respiratory sequelae in patients who were hospitalized in a high complexity clinic in Neiva, Colombia, during the period between 2020 and 2021.
Methods: a descriptive and retrospective study was carried out based on the review of 285 medical records.
Results: 72.2% of patients hospitalized for COVID-19 developed long-term respiratory sequelae after hospital discharge, with dyspnea (45.6%) and pulmonary fibrosis (24.9%) being the most frequent. A significant relationship was identified between length of ICU stay, prolonged use of mechanical ventilation and the development of pulmonary fibrosis. In addition, comorbidities such as hypertension and diabetes were associated as important risk factors for the development of these sequelae.
Conclusion: it is imperative to establish pulmonary rehabilitation programs and ensure prolonged follow-up in post-COVID-19 patients in order to mitigate the impact of sequelae and optimize their quality of life. This study provides valuable insight into the situation in a previously under-researched region, contributing to the growing body of knowledge about COVID-19-associated respiratory sequelae in critical care settings.
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