Русский
Gender differences in patients after COVID pneumonia at the third stage of rehabilitation
DOI: https://dx.doi.org/10.18565/therapy.2022.2suppl.41-54
Malysheva V.A., Guryanova E.A., Tyurnikova S.R., Simunov Yu.L., Dmitrieva A.N., Peskov D.A., Vorontsov D.S.
1) Chuvash State University named after I.N. Ulyanov, Cheboksary, Russian Federation; 2) Sanatorium «Chuvashiyakurort», Cheboksary, Russian Federation; 3) Republican Clinical Oncological Dispensary of the Ministry of Healthcare of the Chuvash Republic, Cheboksary, Russian Federation
Materials and methods. The data of the case histories of 357 patients who underwent the third stage of rehabilitation were analyzed for the gender distribution of patients, the degree of damage to the lung tissue, and the time of seeking medical help. The Patient Routing Scale (RRM) was assessed for the study of impaired functions, limitation of activity and participation, the 6-minute walk test for assessing physical performance, the hospital scale for assessing anxiety and depression for assessing mental disorders in patients.
Results and conclusion. Among all persons who underwent rehabilitation, the share of men was 28.8% (103 people), the share of women was 71.2% (254 people). According to computed tomography of the lungs, the proportion of severe bilateral pneumonia of the 3rd degree did not exceed 16.2%; extremely severe pneumonia of the 4th degree – 3.1%. Most often, patients had a history of 40.6% of minor changes on (CT 1) and disorders of moderate severity (CT 2) in 40.1%. Patients most often come to the third stage of rehabilitation in the period from 2 to 6 months after discharge from the hospital or the closure of a completed case – 43.7%; in the interval from 6 to 12 months, 44.2% applied, after 1 year the smallest number of patients was registered – 8.5%.
In patients admitted to rehabilitation, 78.9% had an assessment of 3 points on the SRM, 21.1% – 2 points. SCR and 6–minute walk test scores before treatment in both men and women in each age group were comparable. The overall average increase in the 6–minute walk test scores among women was 106.22 m. Among men – 102.25 m. The greatest increase in SRM was recorded in patients aged 60–69 years.
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