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@article{2316138,
author = {Formiga, Magno F and Dosbaba, Filip and Hartman, Martin and Baťalík, Ladislav and Senkyr, Vojtech and Radkovcova, Ivana and Richter, Svatopluk and Brat, Kristián and Cahalin, Lawrence P},
article_location = {CARY},
article_number = {8},
doi = {http://dx.doi.org/10.1093/ptj/pzad051},
keywords = {1 Minute Sit-to-Stand Test; COVID-19; Function; Functional Performance; Inspiratory Muscle Performance; Maximal Inspiratory Pressure},
language = {eng},
issn = {0031-9023},
journal = {PHYSICAL THERAPY},
title = {Role of the Inspiratory Muscles on Functional Performance From Critical Care to Hospital Discharge and Beyond in Patients With COVID-19},
url = {https://academic.oup.com/ptj/article/103/8/pzad051/7185578?login=true},
volume = {103},
year = {2023}
}
TY - JOUR
ID - 2316138
AU - Formiga, Magno F - Dosbaba, Filip - Hartman, Martin - Baťalík, Ladislav - Senkyr, Vojtech - Radkovcova, Ivana - Richter, Svatopluk - Brat, Kristián - Cahalin, Lawrence P
PY - 2023
TI - Role of the Inspiratory Muscles on Functional Performance From Critical Care to Hospital Discharge and Beyond in Patients With COVID-19
JF - PHYSICAL THERAPY
VL - 103
IS - 8
SP - 1-12
EP - 1-12
PB - OXFORD UNIV PRESS INC
SN - 00319023
KW - 1 Minute Sit-to-Stand Test
KW - COVID-19
KW - Function
KW - Functional Performance
KW - Inspiratory Muscle Performance
KW - Maximal Inspiratory Pressure
UR - https://academic.oup.com/ptj/article/103/8/pzad051/7185578?login=true
N2 - Objective The role of inspiratory muscle performance in functional performance in patients with coronavirus disease 2019 (COVID-19) is poorly understood. The purpose of this study was to perform a longitudinal examination of inspiratory and functional performance from intensive care unit (ICU) discharge (ICUD) to hospital discharge (HD) and symptoms at HD and 1 month after HD in patients with COVID-19. Methods Thirty patients (19 men, 11 women) with COVID-19 were included. Examination of inspiratory muscle performance at ICUD and HD was performed with an electronic manometer, which provided the maximal inspiratory pressure (MIP) and several other inspiratory measures. Examination of dyspnea and functional performance was performed at ICUD and HD with the Modified Borg Dyspnea Scale and the 1-minute sit-to-stand test (1MSST), respectively. Results The mean age was 71 (SD = 11) years, the mean length of ICU stay was 9 (SD = 6) days, and the mean length of hospital stay was 26 (SD = 16) days. Most of the patients were diagnosed with severe COVID-19 (76.7%) and had a mean Charlson Comorbidity Index of 4.4 (SD = 1.9), reflecting high comorbidity. The mean MIP of the entire cohort increased minimally from ICUD to HD (from 36 [SD = 21] to 40 [SD = 20] cm H2O), reflecting predicted values for men and women at ICUD and HD of 46 (25%) to 51 (23%) and 37 (24%) to 37 (20%), respectively. The 1MSTS score increased significantly from ICUD to HD (9.9 [SD = 7.1] vs 17.7 [SD = 11.1]) for the entire cohort but remained far below population-based reference values (2.5th percentile) for the majority of patients at ICUD and HD. At ICUD, MIP was found to be a significant predictor of a favorable change in 1MSTS performance (& beta; = 0.308; odds ratio = 1.36) at HD. Conclusion A significant reduction in inspiratory and functional performance exists in patients with COVID-19 at both ICUD and HD, with a greater MIP at ICUD being a significant predictor of a greater 1MSTS score at HD. Impact This study shows that inspiratory muscle training may be an important adjunct after COVID-19.
ER -
FORMIGA, Magno F, Filip DOSBABA, Martin HARTMAN, Ladislav BAŤALÍK, Vojtech SENKYR, Ivana RADKOVCOVA, Svatopluk RICHTER, Kristián BRAT and Lawrence P CAHALIN. Role of the Inspiratory Muscles on Functional Performance From Critical Care to Hospital Discharge and Beyond in Patients With COVID-19. \textit{PHYSICAL THERAPY}. CARY: OXFORD UNIV PRESS INC, 2023, vol.~103, No~8, p.~1-12. ISSN~0031-9023. Available from: https://dx.doi.org/10.1093/ptj/pzad051.
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