Evidence-based Physiotherapy and Functionality in Adult and Pediatric patients with COVID-19  <span class="so-article-trans-title" dir="auto"> Translated title: Evidências científicas sobre Fisioterapia e funcionalidade em pacientes com COVID-19 Adulto e Pediátrico </span>

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Abstract

INTRODUCTION: The corona virus (2019-nCoV OR HCOV-19 or CoV2), has emerged in China as the main cause of viral pneumonia (COVID-19, Coronavirus Disease-19). : To provide evidence-based Physiotherapy and functionality in patients with adult and pediatric COVID-19METHODS: This is an integrative literature review using the MedLine / PubMed databases, library of Latin American and Caribbean Literature in Health Sciences (LILACS) and Physiotherapy Evidence Database (PEDRoRESULTS: Part of the patients with covid 19 show signs of respiratory deficiency with hypoxemia, with low severity in children. Impaired functionality is also expectedCONCLUSION: COVID-19 causes low pulmonary compliance and important changes in lung function with hypoxemia and cardiovascular repercussions. These changes lead to the need for Physiotherapy and the management of oxygen therapy and ventilatory support (invasive and non-invasive) for these patients

Translated abstract

INTRODUÇÃO: O corona vírus (2019-nCoV OU HCOV-19 ou CoV2), emergiu na China como a principal causa de pneumonia viral (COVID-19, Doença do Coronavírus 19). : Avaliar evidências científicas sobre Fisioterapia e Funcionalidade em pacientes com COVID-19 adulto e pediátricoMÉTODOS: Trata-se de uma revisão de literatura do tipo integrativa utilizando a bases de dados do MedLine/PubMed, bioblioteca da Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) e Physiotherapy Evidence Database (PEDRoRESULTADOS: Os pacientes com COVID-19 apresentam sinais de deficiência respiratória com hipoxemia, com baixo impacto em crianças estas evoluem sem sintomas ou com quadro de baixa gravidade. além de observar impacto na restrição da participação. a fisioterapia atua na oxigenioterapia e ventilação dos pacientesCONCLUSÃO: A COVID-19 causa alterações na função pulmonar com formação de deficiência respiratória hipoxêmica e de complacência, com repercussões cardiovasculares que leva a necessidade da fisioterapia no desfecho desta pandemia, seja por meio da oxigenioterapia e/ou do suporte ventilatório (invasivo e não-invasivo

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Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China

Chaolin Huang, Yeming Wang, Xingwang Li … (2020)

Summary Background A recent cluster of pneumonia cases in Wuhan, China, was caused by a novel betacoronavirus, the 2019 novel coronavirus (2019-nCoV). We report the epidemiological, clinical, laboratory, and radiological characteristics and treatment and clinical outcomes of these patients. Methods All patients with suspected 2019-nCoV were admitted to a designated hospital in Wuhan. We prospectively collected and analysed data on patients with laboratory-confirmed 2019-nCoV infection by real-time RT-PCR and next-generation sequencing. Data were obtained with standardised data collection forms shared by WHO and the International Severe Acute Respiratory and Emerging Infection Consortium from electronic medical records. Researchers also directly communicated with patients or their families to ascertain epidemiological and symptom data. Outcomes were also compared between patients who had been admitted to the intensive care unit (ICU) and those who had not. Findings By Jan 2, 2020, 41 admitted hospital patients had been identified as having laboratory-confirmed 2019-nCoV infection. Most of the infected patients were men (30 [73%] of 41); less than half had underlying diseases (13 [32%]), including diabetes (eight [20%]), hypertension (six [15%]), and cardiovascular disease (six [15%]). Median age was 49·0 years (IQR 41·0–58·0). 27 (66%) of 41 patients had been exposed to Huanan seafood market. One family cluster was found. Common symptoms at onset of illness were fever (40 [98%] of 41 patients), cough (31 [76%]), and myalgia or fatigue (18 [44%]); less common symptoms were sputum production (11 [28%] of 39), headache (three [8%] of 38), haemoptysis (two [5%] of 39), and diarrhoea (one [3%] of 38). Dyspnoea developed in 22 (55%) of 40 patients (median time from illness onset to dyspnoea 8·0 days [IQR 5·0–13·0]). 26 (63%) of 41 patients had lymphopenia. All 41 patients had pneumonia with abnormal findings on chest CT. Complications included acute respiratory distress syndrome (12 [29%]), RNAaemia (six [15%]), acute cardiac injury (five [12%]) and secondary infection (four [10%]). 13 (32%) patients were admitted to an ICU and six (15%) died. Compared with non-ICU patients, ICU patients had higher plasma levels of IL2, IL7, IL10, GSCF, IP10, MCP1, MIP1A, and TNFα. Interpretation The 2019-nCoV infection caused clusters of severe respiratory illness similar to severe acute respiratory syndrome coronavirus and was associated with ICU admission and high mortality. Major gaps in our knowledge of the origin, epidemiology, duration of human transmission, and clinical spectrum of disease need fulfilment by future studies. Funding Ministry of Science and Technology, Chinese Academy of Medical Sciences, National Natural Science Foundation of China, and Beijing Municipal Science and Technology Commission.

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A Novel Coronavirus from Patients with Pneumonia in China, 2019

Na Zhu, Dingyu Zhang, Wenling Wang … (2020)

Summary In December 2019, a cluster of patients with pneumonia of unknown cause was linked to a seafood wholesale market in Wuhan, China. A previously unknown betacoronavirus was discovered through the use of unbiased sequencing in samples from patients with pneumonia. Human airway epithelial cells were used to isolate a novel coronavirus, named 2019-nCoV, which formed a clade within the subgenus sarbecovirus, Orthocoronavirinae subfamily. Different from both MERS-CoV and SARS-CoV, 2019-nCoV is the seventh member of the family of coronaviruses that infect humans. Enhanced surveillance and further investigation are ongoing. (Funded by the National Key Research and Development Program of China and the National Major Project for Control and Prevention of Infectious Disease in China.)

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Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus–Infected Pneumonia in Wuhan, China

Dawei Wang, Bo Hu, Fangfang Zhu … (2020)

In December 2019, novel coronavirus (2019-nCoV)-infected pneumonia (NCIP) occurred in Wuhan, China. The number of cases has increased rapidly but information on the clinical characteristics of affected patients is limited.

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Author and article information

Journal

Journal ID (publisher-id): rbcdh

Title: Journal of Human Growth and Development

Abbreviated Title: J. Hum. Growth Dev.

Publisher: Centro de Estudos de Crescimento e Desenvolvimento do Ser Humano (Santo André, SP, Brazil )

ISSN (Print): 0104-1282

ISSN (Electronic): 2175-3598

Publication date (Print and electronic): April 2020

Volume: 30

Issue: 1

Pages: 148-155

Affiliations

[04] AM orgnameMunicipal Health Secretariat

[03] orgnameAliança Hospital

[07] orgnameRespiratory and Cardiovascular Physiotherapy Nucleus

[05] orgnameTereza de Lisieux Hospital

[11] orgnameRuy Barbosa-Wyde College

[13] orgnameBrazilian Physiotherapy Society

[09] orgnameUniversity of Pernambuco

[10] orgnameMadre Thaís College

[12] orgnameFederal University of Sergipe

[01] orgnameFederal University of Bahia orgdiv1Department of Physiotherapy

[08] orgnameJorge Amado University Center

[02] orgnameAna Nery Hospital

[06] orgnameBahiana School of Medicine and Public Health

Article

Publisher ID: S0104-12822020000100019 Publisher ID: S0104-1282(20)03000100019

DOI: 10.7322/jhgd.v30.10086

SO-VID: 3a4a8e2a-ea0f-4001-bc54-a5b9f6f93d4e

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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Date accepted : March 2020

Date received : March 2020

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Figures: 0, Tables: 0, Equations: 0, References: 137, Pages: 8

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Evidence-based Physiotherapy and Functionality in Adult and Pediatric patients with COVID-19 Translated title: Evidências científicas sobre Fisioterapia e funcionalidade em pacientes com COVID-19 Adulto e Pediátrico

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Novel Coronavirus Disease COVID-19

Most cited references 126

Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China

A Novel Coronavirus from Patients with Pneumonia in China, 2019

Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus–Infected Pneumonia in Wuhan, China

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