Pulmonary Function and Frequency of Post-COVID-19 Syndrome in Patients Recovered from SARS-CoV-2 Pneumonia Using Comprehensive Telemedicine Approach

Abstract

Introduction: Concerns about COVID-19 are increasing as it is necessary to provide diagnosis, treatment, monitoring and follow-up to all the sick. Due to the constant increase in cases, the current one has radically altered the way in which the doctors provide care and telemedicine has proven to be a useful tool to respond to the demand. Objective. Describe the lung function and frequency of post-COVID-19 syndrome in patients recovered from SARS-CoV-2 pneumonia under a telemedicine approach. Material and Methods. Descriptive, retrospective, cross-sectional and observational study of COVID-19 patients with pneumonia under telemedicine in the period october 2020 - march 2021. Clinical, tomographic, pulmonary function characteristics and post-COVID-19 syndrome were evaluated. Data distribution was evaluated with the Shapiro-Wilks normality test. Parametric data were reported with mean ± standard deviation (SD) and non-parametric data were reported with median and interquartile range (IQR 25-75). Results: A sample of 26 patients was included. The median age was 51 + 10 years. The female gender represented 73.1% (n = 19). 88.4% (n = 23) had comorbidity. Pneumonia was mild in 38.4% (n = 10), moderate and severe in 30.7% (n = 8). 73% (n = 19) required oxygen therapy. 16% (n = 4) of patients presented with pulmonary hyperinflation and 24% (n = 6) with air trapping. 40% diffusion disorders. Post-COVID-19 syndrome was reported in 57.6% (n = 15). Conclusion. Telemedicine programs for COVID-19 patients with pneumonia are effective for monitoring patients with COVID-19 and pneumonia.