J 2023

A temporal examination of inspiratory muscle strength and endurance in hospitalized COVID-19 patients

DOSBABA, Filip, Martin HARTMAN, Ladislav BAŤALÍK, Vojtěch ŠENKÝŘ, Ivana RADKOVCOVÁ et. al.

Basic information

Original name

A temporal examination of inspiratory muscle strength and endurance in hospitalized COVID-19 patients

Authors

DOSBABA, Filip (203 Czech Republic, guarantor), Martin HARTMAN (203 Czech Republic), Ladislav BAŤALÍK (203 Czech Republic, belonging to the institution), Vojtěch ŠENKÝŘ, Ivana RADKOVCOVÁ (203 Czech Republic), Svatopluk RICHTER (203 Czech Republic), Kristián BRAT (703 Slovakia), L. P. CAHALIN and M. F. FORMIGA

Edition

HEART & LUNG, NEW YORK, MOSBY-ELSEVIER, 2023, 0147-9563

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30307 Nursing

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 2.800 in 2022

RIV identification code

RIV/00216224:14110/23:00130466

Organization unit

Faculty of Medicine

UT WoS

000959317300001

Keywords in English

COVID-19; Inspiratory muscle performance; Inspiratory muscle endurance; Maximal inspiratory pressures; Test of Incremental Respiratory Endurance

Tags

Tags

International impact, Reviewed
Změněno: 11/5/2023 09:02, Mgr. Tereza Miškechová

Abstract

V originále

Background: The two most common symptoms associated with COVID-19 are dyspnea and fatigue. One possible cause of such symptoms may be inspiratory muscle weakness.Objectives: The purpose of this study was to examine inspiratory muscle performance (IMP) from intensive care unit discharge (ICUD) to hospital discharge (HD) in patients with COVID-19 hypothesizing that IMP would be markedly depressed at both ICUD and HD. Methods: IMP was examined at ICUD and HD via the PrO2 device (PrO2 Health, Smithfield, RI) which provided the maximal inspiratory pressure (MIP), sustained MIP (SMIP), inspiratory duration (ID), and fatigue index test (FIT). Patient symptoms were assessed at ICUD, HD, and 1-month post-HD. Results: 30 patients (19 men, 11 women) with COVID-19 were included. The mean +/- SD age, BMI, and length of ICU and hospital stay was 71 +/- 11 yrs, 27.9 +/- 6.3 kg/m, 9 +/- 6 days, and 26 +/- 16 days, respectively. The mean +/- SD MIP, SMIP, ID, and FIT of the entire cohort at ICUD vs HD were 36 +/- 21 vs 40 +/- 20 cm H2O, 231 +/- 157 vs 297 +/- 182 PTU, 8.8 +/- 4.2 vs 9.5 +/- 4.6 s, and 9.0 +/- 9.4 vs 13.1 +/- 12.3, respectively, with only SMIP and FIT significantly greater at HD (p=.006 and 0.03, respectively). SMIP at HD was significantly related to resting dyspnea at HD (r=-0.40; p=.02). The SMIP and FIT of men were found to increase significantly from ICUD to HD, but no measure of IMP in the women increased significantly from ICUD to HD. At least one COVID-19related symptom was present 1 month after HD with the most persistent symptoms being fatigue, cough, and dyspnea in 47%, 40%, and 37% of the patients, respectively.Conclusions: A significant reduction in IMP exists in patients with COVID-19 at both ICUD and HD and no measure of IMP in women was observed to increase significantly from ICUD to HD. Impaired inspiratory muscle endurance rather than strength was associated with greater dyspnea at HD. (c) 2023 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)