Assessment of functional outcomes, level of fatigue, and risk of sarcopenia in COVID-19 patients at discharge: A cross sectional study

Authors

  • Nithin Ravindran Nair Department of Community Physiotherapy, MGM College of Physiotherapy, Navi Mumbai, Maharashtra, India
  • Shruti Prabhakaran Nair Department of Cardiovascular and Respiratory Physiotherapy, MGM College of Physiotherapy, Navi Mumbai, Maharashtra, India
  • Vrushali Prashant Panhale Department of Musculoskeletal Physiotherapy, MGM College of Physiotherapy, Navi Mumbai, Maharashtra, India
  • Ammarah Imtiaz Ravi Department of Community Physiotherapy, MGM College of Physiotherapy, Navi Mumbai, Maharashtra, India
  • Khushboo Sitaram Jangid Department of Community Physiotherapy, MGM College of Physiotherapy, Navi Mumbai, Maharashtra, India
  • Sameer Sudhir Chandra Kadam MGM Hospital and Research Centre, CBD Belapur, Navi Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20240615

Keywords:

COVID-19, Discharge, Functional outcomes, Fatigue, Sarcopenia

Abstract

Background: There is emerging evidence with regards to reduced physical performance in patients recovering from COVID- 19 at time of hospital discharge. Assessing various functional parameters at discharge would shed light on the multi-system affection that could be helpful in formulating rehabilitation goals for the patient. Objectives of the study were to assess the physical performance, functional capacity, muscular strength, level of fatigue, and risk of sarcopenia in COVID-19 patients at discharge using short physical performance battery test, 1 minute sit to stand test, grip strength, fatigue assessment scale, SARC-CalF Scale respectively.

Methods: This cross-sectional study comprised of 42 patients diagnosed with COVID-19 recruited from a tertiary care hospital. Demographic details and clinical variables were documented. Participants were assessed for physical performance, muscular strength, level of fatigue, functional capacity, and risk of sarcopenia. Data was analyzed using SPSS version 24.

Results: The study comprised of 42 participants including 71.43% males (N=30) and 28.57% females (N=12) having mean age of 49.86±15.83 years. Findings of the assessed parameters were as follows: SPPB=7.57±2.84, 1 MSST=13.17±5.79 repetitions, grip strength=19.44±8.38 kg, FAS=19.79±10.83, SARC-CalF score=5.19±4.83. There was a weak positive correlation found between CT severity score and level of fatigue (r=0.325, p=0.036).

Conclusions: This study provides a descriptive information about the functional outcomes of COVID -19 patients at discharge which can further be utilized for development of a tailor-made exercise program.

References

Andrews MA, Areekal B, Rajesh KR, Krishnan J, Suryakala R, Krishnan B, et al. First confirmed case of COVID-19 infection in India: A case report. Indian J Med Res. 2020;151(5):490-2.

WHO Coronavirus Disease (COVID-19) Dashboard with Vaccination Data. Available at: https://covid19. who.int/region/searo/country/in. Accessed on 20 November 2023.

WHO Coronavirus (COVID-19) Dashboard with Vaccination Data. Available at: https://covid19.who. int/. Accessed on 20 November 2023.

Raveendran AV, Jayadevan R, Sashidharan S. Long COVID: an overview. Diabetes & Metabolic Syndrome: Clin Res Rev. 2021;15(3):869-75.

Lithander FE, Neumann S, Tenison E, Lloyd K, Welsh TJ, Rodrigues JC, et al. COVID-19 in older people: a rapid clinical review. Age Ageing. 2020; 49(4):501-15.

Honardoost M, Janani L, Aghili R, Emami Z, Khamseh ME. The association between presence of comorbidities and COVID-19 severity: a systematic review and meta-analysis. Cerebrovasc Dis. 2021; 50(2):132-40.

Paneroni M, Simonelli C, Saleri M, Bertacchini L, Venturelli M, Troosters T, et al. Muscle strength and physical performance in patients without previous disabilities recovering from COVID-19 pneumonia. Am J Phys Med Rehabil. 2021;100(2):105-9.

Huang C, Huang L, Wang Y, Li X, Ren L, Gu X, et al. 6-month consequences of COVID-19 in patients discharged from hospital: a cohort study. Lancet. 2021;397(10270):220-32.

Baig AM. Chronic COVID syndrome: Need for an appropriate medical terminology for long-COVID and COVID long-haulers. J Med Virol. 2021;93(5):2555-6.

Mendelson M, Nel J, Blumberg L, Madhi SA, Dryden M, Stevens W, et al. Long-COVID: An evolving problem with an extensive impact. South Afr Med J. 2020;111(1):10-2.

Van den Borst B, Peters JB, Brink M, Schoon Y, Bleeker-Rovers CP, Schers H, et al. Comprehensive health assessment 3 months after recovery from acute coronavirus disease 2019 (COVID-19). Clin Infect Dis. 2021;73(5):e1089-98.

Dennis A, Wamil M, Alberts J, Oben J, Cuthbertson DJ, Wootton D, et al. Multiorgan impairment in low-risk individuals with post-COVID-19 syndrome: a prospective, community-based study. BMJ. 2021; 11(3):e048391.

Belli S, Balbi B, Prince I, Cattaneo D, Masocco F, Zaccaria S, et al. Low physical functioning and impaired performance of activities of daily life in COVID-19 patients who survived hospitalisation. Eur Respir J. 2020;56(4):2002.

Kara Ö, Kara M, Akın ME, Özçakar L. Grip strength as a predictor of disease severity in hospitalized COVID-19 patients. Heart Lung. 2021;50(6):743-7.

El Sayed S, Shokry D, Gomaa SM. Post-COVID-19 fatigue and anhedonia: A cross-sectional study and their correlation to post-recovery period. Neuropsychol Pharmacol Rep. 2021;41(1):50-5.

Sousa AS, Guerra RS, Fonseca I, Pichel F, Amaral TF. Sarcopenia among hospitalized patients-a cross-sectional study. Clin Nutr. 2015;34(6):1239-44.

Piotrowicz K, Gąsowski J, Michel JP, Veronese N. Post-COVID-19 acute sarcopenia: physiopathology and management. Aging Clin Exp Res. 2021;33(10): 2887-98.

Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, et al. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994;49(2):M85-94.

Hamilton GF, McDonald C, Chenier TC. Measurement of grip strength: validity and reliability of the sphygmomanometer and jamar grip dynamometer. J Orthop Sports Phys Ther. 1992;16(5): 215-9.

Han SH, Nam KS, Cho YS, Ryu KJ. Normative data on hand grip strength. J Nov Physiother. 2011;102(1): 10-41.

Michielsen HJ, De Vries J, Van Heck GL. Psychometric qualities of a brief self-rated fatigue measure: The Fatigue Assessment Scale. J Psychosom Res. 2003;54(4):345-52.

Bahat G, Oren MM, Yilmaz O, Kiliç C, Aydin K, Karan MA. Comparing SARC-F with SARC-CalF to screen sarcopenia in community living older adults. J Nutr Health Aging. 2018;22(9):1034-8.

Lee SY, Choo PL, Pang BW, Lau LK, Jabbar KA, Seah WT, et al. SPPB reference values and performance in assessing sarcopenia in community-dwelling Singaporeans-Yishun study. BMC Geriatr. 2021;21(1):213.

Mullerpatan RP, Karnik G, John R. Grip and pinch strength: normative data for healthy Indian adults. Hand Ther. 2013;18(1):11-6.

Walankar P, Verma C, Mehta A. Study of hand grip strength in Indian population. Int J Health Sci Res. 2016;6(11):162-6.

Vaidya T, De Bisschop C, Beaumont M, Ouksel H, Jean V, Dessables F, et al. Is the 1-minute sit-to-stand test a good tool for the evaluation of the impact of pulmonary rehabilitation? Determination of the minimal important difference in COPD. Int J Chron Obstruct Pulmon Dis. 2016;11:2609-16.

Zaim S, Chong JH, Sankaranarayanan V, Harky A. COVID-19 and multiorgan response. Curr Probl Cardiol. 2020;45(8):100618.

Demeco A, Marotta N, Barletta M, Pino I, Marinaro C, Petraroli A, et al. Rehabilitation of patients post-COVID-19 infection: a literature review. J Int Med Res. 2020;48(8):3000.

Tanriverdi A, Savci S, Kahraman BO, Ozpelit E. Extrapulmonary features of post-COVID-19 patients: muscle function, physical activity, mood, and sleep quality. Ir J Med Sci. 2022;191(3):969-75.

Rossi AP, Rubele S, Pelizzari L, Fantin F, Morgante S, Marchi O, et al. Hospitalization effects on physical performance and muscle strength in hospitalized elderly subjects. J Gerontol Geriatr Res. 2017;6(2):1-5.

Downloads

Published

2024-02-29

How to Cite

Nair, N. R., Nair, S. P., Panhale, V. P., Ravi, A. I., Jangid, K. S., & Kadam, S. S. C. (2024). Assessment of functional outcomes, level of fatigue, and risk of sarcopenia in COVID-19 patients at discharge: A cross sectional study. International Journal Of Community Medicine And Public Health, 11(3), 1173–1178. https://doi.org/10.18203/2394-6040.ijcmph20240615

Issue

Section

Original Research Articles