Complicações cardiovasculares em pacientes hospitalizados Com COVID-19 e a repercussão sobre a mobilidade
DOI:
https://doi.org/10.1590/Palavras-chave:
Covid-19, Sistema Cardiovascular, Limitação da Mobilidade, Serviço Hospitalar de Fisioterapia, Mobilização PrecoceResumo
As manifestações cardiovasculares
ocasionadas pela covid-19 podem resultar em redução
da funcionalidade aguda, que persiste para além da
internação. Este estudo teve como objetivo descrever a
ocorrência de eventos cardiovasculares em pacientes
internados com covid-19 e identificar o impacto destes
sobre a mobilidade do paciente. Trata-se de um estudo
retrospectivo, realizado através da busca de dados em
prontuários digitais, no período compreendido entre
março de 2021 e março de 2022. Foram analisados 567
casos, dos quais 19,6% (n=111) dos pacientes apresentaram
eventos cardiovasculares na internação. A prevalência
foi no sexo masculino, com idade média de 47,5±9,8,
representando 52,3% (n=58) dos casos. A injúria do
miocárdio foi o evento cardiovascular mais frequente
e a arritmia cardíaca foi o principal evento associado
ao desfecho óbito (p=0,01). A ocorrência de eventos
cardiovasculares apresentou moderada correlação
negativa com a Escala de Mobilidade em Unidade de
Terapia Intensiva na alta hospitalar (p=0,05). A ocorrência
de eventos cardiovasculares em pacientes hospitalizados
por covid-19 foi de 19,6%, sendo que a ocorrência mais
frequente foi a injúria do miocárdio, estando esses eventos
associados à redução do nível de mobilidade.
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