Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Risk Factors for the Impairment of Ambulation in Older People Hospitalized with Covid-19: A Retrospective Cohort Study

Erika Christina Gouveia e Silva
* ORCID logo ,
Ana Carolina Basso Schmitt
ORCID logo ,
Caroline Gil Godoy
,
Danielle Brancolini De Oliveira
,
Clarice Tanaka
* ,
Carlos Toufen Jr.
,
Carlos Roberto Ribeiro de Carvalho
,
Celso RF Carvalho
ORCID logo ,
Carolina Fu
,
Keith D. Hill
ORCID logo ,
José Eduardo Pompeu
Version 1 : Received: 12 October 2023 / Approved: 13 October 2023 / Online: 13 October 2023 (11:30:15 CEST)

A peer-reviewed article of this Preprint also exists.

Silva, E.C.G.; Schmitt, A.C.B.; de Godoy, C.G.; de Oliveira, D.B.; Tanaka, C.; Toufen, C., Jr.; de Carvalho, C.R.R.; Carvalho, C.R.F.; Fu, C.; Hill, K.D.; Pompeu, J.E. Risk Factors for the Impairment of Ambulation in Older People Hospitalized with COVID-19: A Retrospective Cohort Study. Int. J. Environ. Res. Public Health 2023, 20, 7057. Silva, E.C.G.; Schmitt, A.C.B.; de Godoy, C.G.; de Oliveira, D.B.; Tanaka, C.; Toufen, C., Jr.; de Carvalho, C.R.R.; Carvalho, C.R.F.; Fu, C.; Hill, K.D.; Pompeu, J.E. Risk Factors for the Impairment of Ambulation in Older People Hospitalized with COVID-19: A Retrospective Cohort Study. Int. J. Environ. Res. Public Health 2023, 20, 7057.

Abstract

(1) Background: Older people hospitalized with Covid-19 can reduced the capacity to walk. However, the prevalence of impairment of ambulation capacity still need to be established. Objective: To estimate the prevalence and identify the risk factors associated with the impairment of ambulation capacity at hospital discharge of older people with Covid-19. (2) Methods: A retrospective cohort study. Included age > 60 years, both sexes, hospitalized due to Covid-19. Clinical data was collected from the medical records. Ambulation capacity prior to Covid-19 infection was assessed through the patient report from his relatives. Multiple logistic regressions were performed to identify the risk factors associated with the impairment of ambulation at hospital discharge. (3) Results: Data from 429 older people were randomly. Among the 56.4% who were discharged, 57.9% had reduced ambulation capacity. Factors associated with reduced ambulation capacity at discharge were hospital stay higher than 20 days (OR: 3.5) and dependent ambulation capacity prior to Covid-19 (OR: 11.3). (4) Conclusion: More than half of the older people who survived hospitalized due to Covid-19 had reduced ambulation capacity at hospital discharge. Impaired ambulation prior to the infection, and a longer hospital stay were risks factors for reduced ambulation capacity.

Keywords

COVID-19; functional status; hospitalization; older people

Subject

Public Health and Healthcare, Public Health and Health Services

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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