ABSTRACT

Introduction: people with COVID-19 can develop multisystemic complications that require hospitalization and sometimes admission to the intensive care unit, causing cognitive impairment, functional compromise, increased anxiety and depression. Objective: to describe the sociodemographic, clinical and functional differences, functional independence and anxiety/depression in post-COVID-19 patients with and without intensive care unit stay. Material and methods: observational study in patients with a diagnosis of COVID-19 confirmed by real-time polymerase chain reaction (RT-PCR) test who required hospital management in the year 2021. All participating patients signed the informed consent form. Sociodemographic and clinical variables, fatigue, dyspnea, functional independence and anxiety/depression were taken into account. Two groups were formed for the analysis, one group with ICU stay (stay longer than 72 hours) and another group without ICU stay. χ2 test and t-test for independent samples were used and a statistically significant p-value < 0.05 was obtained. Results: there were 112 patients with an average age of 51 years old, mostly female (61.6%). The 71.4% required stay in ICU presenting greater comorbidities, number of days hospitalized and use of invasive mechanical ventilation value-p-value ≤ 0.05. Functional independence presented a mean difference in the constant care domain 0.525 ± 0.208 p-value = 0.013 and daily activities mean difference 0.575 ± 0.212 p-value = 0.008 presenting greater limitation in the group with ICU stay. Conclusion: post COVID-19 patients with ICU stay present greater comorbidities, use of invasive mechanical ventilation and require more days in hospital; in turn, these patients presented greater limitations in functional independence with the PCFS scale.

KEYWORDS

COVID-19, post-COVID conditions, functional status, intensive care unit, symptoms.

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