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INTERNATIONAL JOURNAL OF SCIENTIFIC DEVELOPMENT AND RESEARCH International Peer Reviewed & Refereed Journals, Open Access Journal ISSN Approved Journal No: 2455-2631 | Impact factor: 8.15 | ESTD Year: 2016 open access , Peer-reviewed, and Refereed Journals, Impact factor 8.15 |
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| Paper Title: | Evaluation of chest expansion and inspiratory capacity on non-intubated COVID-19 patients in hospital settings: an observational study. |
| Authors Name: | AS Moorthy , Ashish Tyagi , K. Ankit Raj , S Ravi, Mamta Dahiya , Sapna Panwar, Nishat Shamim |
| Unique Id: | IJSDR2404007 |
| Published In: | Volume 9 Issue 4, April-2024 |
| Abstract: | Background: COVID-19 was first detected in December 2019 at Wuhan city of central Hubei province of China. The transmission of infection is mainly person to person through respiratory droplets. Fecal–oral route is possible. The presence of the virus has been confirmed in sputum, pharyngeal swabs and faces. Vertical transmission of SARS-CoV-2 has been reported and confirmed by positive nasopharyngeal swab for COVID-19. The major characteristics of COVID-19 pneumonia is that lesions in the different time phases are found simultaneously in close proximity to each other within the lung lobe, and an autopsy on the lung tissue often shows various DAD lesions, from exudative to fibrotic stage, in a pulmonary lobe. So, our objective was to evaluate the chest expansion and inspiratory capacity on non-intubated covid patients. Methodology: An observational study was performed in 50 participants including both females and males in the age group of 18- 80 years. All the subjects were observed in COVID Intensive care units and wards of trauma center. Their informed consent was signed by themselves, assessment form and scales were filled by the therapist. The observation of participants duration was only 15 days. All participants satisfying the inclusion and exclusion criteria will be evaluated initially by the physiotherapist. Physiotherapist, those treating COVID-19 patients for respiratory care and ICU acquired weakness (ICUAW) with PPE kit as per hospital guidelines will assess the following parameters for the study. The Ethical approval was done with Ref. No.: IEC-979/03.10.2020 in AIIMS, New Delhi. Statistical analysis was performed using IBM SPSS version 25.0. The chest expansion was analyzed using Wilcoxon signed ranks test. The spirometry, demographic data correlation was analyzed by spearman’s correlation test. P was set at 0.05 for all statistical analysis. The findings indicated a noticeable tendency among subjects to exhibit chest expansion during deep breaths, with a standard deviation of 0.9348142 from the normal chest expansion of 4cm. The difference in chest expansion between males and females was negligible (z = 0.194). The probability of spirometry and weight being independent variables was calculated as 0.3656. A correlation was observed between demographic factors, Spo2, and oxygen requirement level (p = -0.1456). Additionally, a significant difference in spirometry values between males and females was found through the Wilcoxon rank-sum (Mann-Whitney) test (z = 1.198). Conclusion: The study's findings suggest that there was minimal difference in chest expansion between males and females, potentially due to reduced chest wall mobility associated with COVID-19. Additionally, there appears to be a significant difference in inspiratory capacity between male and female non-intubated COVID-19 patients in hospital settings. This implies that gender may play a role in the respiratory effects and outcomes of COVID-19 patients, particularly regarding lung function and capacity. |
| Keywords: | Inspiratory capacity, chest expansion, Covid 19, Pulmonary rehabilitation |
| Cite Article: | "Evaluation of chest expansion and inspiratory capacity on non-intubated COVID-19 patients in hospital settings: an observational study.", International Journal of Science & Engineering Development Research (www.ijsdr.org), ISSN:2455-2631, Vol.9, Issue 4, page no.56 - 62, April-2024, Available :http://www.ijsdr.org/papers/IJSDR2404007.pdf |
| Downloads: | 000338173 |
| Publication Details: | Published Paper ID: IJSDR2404007 Registration ID:210612 Published In: Volume 9 Issue 4, April-2024 DOI (Digital Object Identifier): Page No: 56 - 62 Publisher: IJSDR | www.ijsdr.org ISSN Number: 2455-2631 |
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