tetano
Editor, Senior Moderator
Pulmonology
. 2022 Aug 1;S2531-0437(22)00195-7.
doi: 10.1016/j.pulmoe.2022.07.011. Online ahead of print.
Comparison of different field tests to assess the physical capacity of post-COVID-19 patients
R Peroy-Badal[SUP] 1 [/SUP], A Sevillano-Castaño[SUP] 1 [/SUP], R Torres-Castro[SUP] 2 [/SUP], P García-Fernández[SUP] 3 [/SUP], J L Maté-Muñoz[SUP] 3 [/SUP], C Dumitrana[SUP] 4 [/SUP], E Sánchez Rodriguez[SUP] 4 [/SUP], M J de Frutos Lobo[SUP] 4 [/SUP], J Vilaró[SUP] 5 [/SUP]
Affiliations
Abstract
Background: In coronavirus disease (COVID-19), physical capacity is one of the most impaired sequelae. Due to their simplicity and low cost, field tests such as the six-minute walk test (6MWT) are widely used However, in many places it is difficult to perform them and alternatives can be used such as the 1 min sit-to-stand test (1min-STST) or the Chester step test (CST). Therefore, our objective was to compare the 6MWT, 1min-STST and the CST in post-COVID-19 patients.
Methods: We conducted a cross-sectional analysis in post-COVID-19 patients, compared with matched controls (CG). Demographic characteristics and comorbidities were collected. We analysed oxygen saturation (SpO[SUB]2[/SUB]), heart rate (HR), and the modified Borg scale in the 6MWT, 1min-STST, and CST. Additionally, the correlations between tests were analysed.
Results: We recruited 27 post-COVID-19 patients and 27 matched controls. The median age was 48 (IQR 43-59) years old (44% female). The median distance walked in 6MWT was 461 (IQR 415-506) m in post-COVID-patients and 517 (IQR 461-560) m in CG (p = 0.001). In 1min-STST, the repetitions were 21.9 ± 6.7 and 28.3 ± 7.1 in the post-COVID-19 group and CG, respectively (p = 0.001). In the CST, the post-COVID-19 group performed 150 (86-204) steps vs the CG with 250 (250-250) steps (p < 0.001). We found correlations between the 6MWT with the 1min-STST in COVID-19 patients (r = 0.681, p < 0.001) and CG (r = 0.668, p < 0.001), and between the 6MWT and the CST in COVID-19 patients (r = 0.692, p < 0.001).
Conclusion: The 1min-STST and the CST correlated significantly with the 6MWT in patients post-COVID-19 being alternatives if the 6MWT cannot be performed.
Keywords: COVID-19; Dyspnoea; Fatigue; Six-minute walk test.
. 2022 Aug 1;S2531-0437(22)00195-7.
doi: 10.1016/j.pulmoe.2022.07.011. Online ahead of print.
Comparison of different field tests to assess the physical capacity of post-COVID-19 patients
R Peroy-Badal[SUP] 1 [/SUP], A Sevillano-Castaño[SUP] 1 [/SUP], R Torres-Castro[SUP] 2 [/SUP], P García-Fernández[SUP] 3 [/SUP], J L Maté-Muñoz[SUP] 3 [/SUP], C Dumitrana[SUP] 4 [/SUP], E Sánchez Rodriguez[SUP] 4 [/SUP], M J de Frutos Lobo[SUP] 4 [/SUP], J Vilaró[SUP] 5 [/SUP]
Affiliations
- PMID: 36117103
- DOI: 10.1016/j.pulmoe.2022.07.011
Abstract
Background: In coronavirus disease (COVID-19), physical capacity is one of the most impaired sequelae. Due to their simplicity and low cost, field tests such as the six-minute walk test (6MWT) are widely used However, in many places it is difficult to perform them and alternatives can be used such as the 1 min sit-to-stand test (1min-STST) or the Chester step test (CST). Therefore, our objective was to compare the 6MWT, 1min-STST and the CST in post-COVID-19 patients.
Methods: We conducted a cross-sectional analysis in post-COVID-19 patients, compared with matched controls (CG). Demographic characteristics and comorbidities were collected. We analysed oxygen saturation (SpO[SUB]2[/SUB]), heart rate (HR), and the modified Borg scale in the 6MWT, 1min-STST, and CST. Additionally, the correlations between tests were analysed.
Results: We recruited 27 post-COVID-19 patients and 27 matched controls. The median age was 48 (IQR 43-59) years old (44% female). The median distance walked in 6MWT was 461 (IQR 415-506) m in post-COVID-patients and 517 (IQR 461-560) m in CG (p = 0.001). In 1min-STST, the repetitions were 21.9 ± 6.7 and 28.3 ± 7.1 in the post-COVID-19 group and CG, respectively (p = 0.001). In the CST, the post-COVID-19 group performed 150 (86-204) steps vs the CG with 250 (250-250) steps (p < 0.001). We found correlations between the 6MWT with the 1min-STST in COVID-19 patients (r = 0.681, p < 0.001) and CG (r = 0.668, p < 0.001), and between the 6MWT and the CST in COVID-19 patients (r = 0.692, p < 0.001).
Conclusion: The 1min-STST and the CST correlated significantly with the 6MWT in patients post-COVID-19 being alternatives if the 6MWT cannot be performed.
Keywords: COVID-19; Dyspnoea; Fatigue; Six-minute walk test.