Pizarro-Pennarolli Catalina, Sánchez-Rojas Carlos, Torres-Castro Rodrigo, Vera-Uribe Roberto, Sanchez-Ramirez Diana C, Vasconcello-Castillo Luis, Solís-Navarro Lilian, Rivera-Lillo Gonzalo
Department of Physical Therapy, Faculty of Medicine, Universidad de Chile, Santiago, Chile.
International Physiotherapy Research Network (PhysioEvidence), Barcelona, España.
PeerJ. 2021 Apr 6;9:e11026. doi: 10.7717/peerj.11026. eCollection 2021.
Coronavirus disease has provoked much discussion since its first appearance. Despite it being widely studied all over the world, little is known about the impact of the disease on functional ability related to performing activities of daily living (ADL) in patients post COVID-19 infection.
To understand the impact of COVID-19 on ADL performance of adult patients and to describe the common scales used to assess performance of ADL on patients post-COVID-19.
A systematic review was conducted. We included studies that applied a physical capacity test in COVID-19 patients, post-infection. Two independent reviewers analyzed the studies, extracted the data, and assessed the quality of the evidence.
A total of 1,228 studies were included, after removing duplicates, 1,005 abstracts were screened and of those 983 were excluded. A final number of nine studies which met the eligibility criteria were included. The findings revealed worsening of physical function and ADL performance in all patients post COVID-19 infection.
All included studies found a reduction of ADL beyond the test or scale used, revealing a vital worsening of functional ability in ADL performance and consequently loss of independence in COVID-19 patients after the acute phase of infection. Functional ability status previous to COVID-19 is crucial for predicting the severity of the disease and mortality. Barthel Index and ADL score were the most used assessment tools across subjects with different intrinsic capacity and context levels.
自冠状病毒病首次出现以来，引发了诸多讨论。尽管全球对其进行了广泛研究，但对于该疾病对新冠病毒感染后患者日常生活活动（ADL）相关功能能力的影响却知之甚少。
了解新冠病毒病对成年患者ADL表现的影响，并描述用于评估新冠病毒感染后患者ADL表现的常用量表。
进行了一项系统评价。我们纳入了对新冠病毒感染后患者进行身体能力测试的研究。两名独立的评审员分析了这些研究，提取了数据，并评估了证据的质量。
共纳入1228项研究，去除重复项后，筛选了1005篇摘要，其中983篇被排除。最终纳入了9项符合纳入标准的研究。研究结果显示，所有新冠病毒感染后患者的身体功能和ADL表现均有所恶化。
所有纳入的研究均发现，除所使用的测试或量表外，ADL有所下降，这表明ADL表现中的功能能力显著恶化，因此新冠病毒感染患者在急性期过后会失去独立性。新冠病毒病之前的功能能力状态对于预测疾病的严重程度和死亡率至关重要。巴氏指数和ADL评分是针对具有不同内在能力和背景水平的受试者最常用的评估工具。
