Tempo de internação em Unidade de Terapia Intensiva por COVID-19 e fatores fonoaudiológicos associados
DOI:
https://doi.org/10.34119/bjhrv6n4-191Keywords:
COVID-19, Síndrome Pós-COVID, fonoaudiologia, transtornos da deglutição, disfoniaAbstract
OBJETIVO: investigar o quadro fonoaudiológico de indivíduos recuperados de COVID-19, submetidos à internação em Unidade de Terapia Intensiva - UTI, durante e após a fase aguda da doença. MÉTODO: estudo transversal, descritivo e exploratório, desenvolvido em um hospital universitário referência na assistência em COVID-19. A amostra foi constituída por 42 adultos, de ambos os sexos, com diagnóstico comprovado de COVID-19 que, após alta hospitalar, foram encaminhados para reavaliação multiprofissional, incluindo a avaliação fonoaudiológica. RESULTADOS: entre os participantes, havia 22 homens e 20 mulheres com idade média de 52 anos. O período de internação em UTI foi em média de 19,14 dias. No entanto, o tempo médio entre a alta hospitalar e a coleta de dados foi de 84,47 dias. Eventos como intubação orotraqueal e utilização de via alternativa de alimentação foram frequentes durante a internação hospitalar. A partir dos critérios avaliados por ocasião da coleta de dados, registra-se alterações fonoaudiológicas em mais da metade dos participantes (59,12%). A despeito disso, menos de 20% referiram sinais ou sintomas disfágicos. Por outro lado, cerca de 45,23% da amostra apresentou disfonia e para 80,95% o Tempo Máximo de Fonação estava abaixo de 10 segundos. CONCLUSÃO: alterações diretamente relacionadas ao campo de atuação do fonoaudiólogo frequentemente estão presentes durante e ou após o adoecimento por COVID-19, o que revela a necessidade do fonoaudiólogo nas equipes de assistência, desde a internação em UTI até a pronta reabilitação
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