SESSION TITLE: Outcomes Across COVID-19
SESSION TYPE: Rapid Fire Original Inv
PRESENTED ON: 10/19/2022 11:15 am - 12:15 pm
PURPOSE: Pulmonary rehabilitation is an effective intervention in patients with chronic lung disease who have significant dyspnea, poor exercise tolerance and diminished quality of life.This study was undertaken to evaluate the effect of pulmonary rehabilitation in the patients of post-COVID-19 lung disease who had similar disabilities.
METHODS: This is a retrospective observational study where data of patients with post covid-19 lung disease , enrolled for Pulmonary rehabilitation was analysed.
The details of the patient like demographics, comorbidities, length of illness or hospital stay, oxygen requirements during illness were noted on the first visit.
The subjects then underwent an eight week supervised pulmonary rehabilitation protocol consisting of breathing strategies, strength training for upper and lower limb muscle groups, endurance training, balance and coordination training. A 30 second sit to stand test [STST], 30 second wall push up test, St. George's Respiratory Questionnaire (SGRQ), and Modified Borgs Scale were taken as outcome measures at commencement and after the completion of rehabilitation.
RESULTS: A total of 57 patients were included in the study and their data analysed. Difference in the Borg 's scale and SGRQ score pre and post pulmonary rehabilitation was calculated.
The median (IQR ) difference in Borg's scale pre and post pulmonary rehabilitation was 5 (3). The median ( IQR) difference in SGRQ pre and post pulmonary rehabilitation was 40.04 (22.92). The median( IQR) difference in 30 second STST pre & post pulmonary rehabilitation was 7 (4). The median( IQR) difference in 30 second wall push up test pre & post intervention was 8(5).
CONCLUSIONS: Pulmonary rehabilitation is a safe and effective intervention to improve exercise tolerance and quality of life in patients with significant disability following post covid 19 lung disease .
CLINICAL IMPLICATIONS: In absence of any proven pharmacotherapy to treat post covid lung disease , pulmonary rehabilitation when implemented appropriately, in a select group of patients with significant residual disability following moderate to severe covid 19 infection, is a safe and effective intervention to hasten return to normalcy.
DISCLOSURES: No relevant relationships by Pavanjitsingh Harjitsingh Dumra
No relevant relationships by Dr.Aviral Tripathi