Avaliação da associação das medidas de isolamento social na pandemia por Covid19 nas exacerbações em pneumopatas crônicos
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2022-07-08
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Universidade Federal de Goiás
Resumo
Objective: To assess the association between social isolation and the frequency of
exacerbations in patients with chronic lung disease at the pulmonology outpatient
clinics of the HC/UFG
Methods: Observational, descriptive, cross-sectional study, in which patients from the
hospital of the UFG clinics who were scheduled in the pulmonology outpatient clinics
(COPD, asthma, pulmonary circulation, cystic fibrosis and bronchiectasis) from March
to July 2020 were evaluated. Elective outpatient consultations were suspended in
compliance with the social isolation measures defined by the Ministry of Health during
the COVID-19 pandemic. The data collection questionnaires were filled out over the
phone by the researcher with the call recorded. The data contained epidemiological
assessment, characteristics of isolation, access to medication, exacerbations in the
period evaluated and perception of symptoms.
Results: In the evaluated period, 516 patients were scheduled, and 344 patients were
excluded due to inability to access the telephone or inability to answer the research
questionnaires, or refusal to participate, leaving 172 patients included in the study. The
most prevalent diseases were asthma and COPD, 40.1% and 25.6% respectively,
followed by pulmonary hypertension (16.9%), non-cystic fibrosis bronchiectasis (5.2%)
and cystic fibrosis (4.7%). It was observed that the majority did not work outside the
home (77%), and after social isolation there was a reduction in patients who worked
outside the home (15%) compared to before isolation (23%). It is noticed that most
people left the house less after the beginning of isolation (93%). Regarding the
treatment, 80.2% had no difficulties in getting medications for continuous use. In
physical activities, about half of the participants stopped exercising. It was observed
that 117 patients (68%) had no exacerbation in the period. There was an association
of exacerbation in patients who clarified doubts with a doctor (27.3%, p 0.01), who
considered they were not well (69.1%, p < 0.01) and who rated more severe levels of
dyspnea 2 -3 and 4-5; 61.8% and 18.2% (p<0.01) respectively. The absence of
exacerbations was associated with the lowest rating of shortness of breath 0-1 (52.1%,
p<0.01). Regarding the socio-demographic profile, life habits and risk factors,
exacerbation was associated with black patients (21.8%, p=0.04) with no associations
with other variables.
Conclusions: Most of the participants avoided leaving the house during isolation, and
2/3 of the patients did not experience an exacerbation during the analyzed period.
There was an association with exacerbation in patients who sought medical care and
participants who reported worse symptoms and did not consider themselves to be well.
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VELASCO, F. C. Avaliação da associação das medidas de isolamento social na pandemia por Covid19 nas exacerbações em pneumopatas crônicos. 2022. 40 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2022.