Secuelas en pacientes con neumonía por COVID-19

Abstract

Millions have been infected by a new virus that appeared in 2019 and spread rapidly around the world, causing mild to fatal conditions. The current and future concern is “The consequences in patients with pneumonia by COVID-19” that, according to the evidence, there is a multi-organ involvement. Objective: To know the sequelae in patients with pneumonia caused by Covid 19. Material and method: a systematic review of studies, cases, and articles that met the selection criteria. Results: in hospitalized patients: pulmonary fibrosis in 37% (intubated), myocarditis 3.9%, tracheal stenosis with 50.8% of symptomatic patients and of wich 3.1% is associated with trachea-esophageal fistula and tracheomalacia; and in outpatients: pulmonary fibrosis in 12% (not intubated), pericarditis in 21.7%, myocarditis 13.7%, PE 17%, ischemic stroke in 1.6%, predisposition to kidney injury in 100% of older adults, depression, and anxiety in 30%, sleep disorders in 85%, and initial symptoms of intection such as dyspnea, anosmia, myalgia, headache, etc., that persist for more than a month or more than 12 months, in about half or all of the patients. Conclusions: the evidence shows a real compromise in vital organs such as the lung, heart, and kidney in a large percentage of patients, for which the opening of health centers for pulmonary rehabilitation and psychological care should be considered; in addition, it established follow-up guidelines for early detection of sequelae and treatment. Keywords: sequelae, SARS CoV 2, Covid 19, Post Covid Syndrome, prolonged Covid