Avaliação da medida de independência funcional, sequelas e comorbidades em indivíduos acometidos pela COVID-19: estudo transversal

Abstract

Introduction: After the extreme peak of COVID-19, Post-COVID Syndrome is the current challenge due to the sequelae that remained after the acute phase of the disease. Objectives: whether there is a loss of functional capacity, whether there is an association between sequelae and comorbidities, whether there is an association between the Functional Independence Measure (FIM) and sociodemographic data and clinical aspects in individuals affected by COVID-19. Method: This is a cross-sectional study, with a descriptive, exploratory approach and quantitative methodology. The participants were contacted, through a telephone call, and answered a questionnaire that addressed sociodemographic and clinical aspects; post-COVID-19 sequelae, presence of comorbidities and the Functional Independence Measure Scale (FIM). Results: The mean age of the 172 research participants was 41.42 ± 14.21 years, 54.7% female and 50.6% African-descendant, 34.9% had comorbidities, 80.2% had post-operative sequelae -COVID, 90.1% did not require hospitalization and 93.6% had been immunized. The total FIM score was 120.73 ± 11.3, corresponding to complete independence. There was an association between the cognitive domain with male gender (p=0.022) and afro-descendants (p=0.025), while individuals aged 18 to 59 years (p= 0.014) and who were not vaccinated against COVID-19 (p =0.046) showed associations with the motor domain. Conclusion: Contamination by COVID-19, in individuals who did not require hospitalization, does not compromise functional capacity, as measured by the FIM Scale. The presence of comorbidities is associated with post-COVID-19 sequelae. contaminated by COVID-19, may present impairment of the motor domain of the FIM Scale. Being male and of African descent are associated with impairment of the cognitive domain, however these findings should be analyzed with caution, requiring further investigation.