How are Lung Volume and Respiratory Muscles Affected in  Non-Severe Patients With Covid-19?

Nisari, Mehtap; uçar, ilyas; KURTOĞLU, ERDAL; COŞGUN, MUHARREM SAİD; KARARTI, CANER; undefined, Ahmet; ÇANKAL, FATİH; patat, dilara

doi:10.37990/medr.1078369

How are Lung Volume and Respiratory Muscles Affected in Non-Severe Patients With Covid-19?

İlyas UÇAR, (Erciyes Üniversitesi, Tıp Fakültesi, Anatomi Anabilim Dalı, Kayseri, Türkiye)

Muharrem Said COŞGUN, (Erzincan Binali Yıldırım Üniversitesi, Mengücek Gazi Eğitim ve Araştırma Hastanesi, Kardiyoloji Anabilim Dalı, Erzincan, Türkiye)

Fatih ÇANKAL, (Ankara Medipol Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Ankara, Türkiye)

Caner KARARTI, (Kırşehir Ahi Evran Üniversitesi, Fizyoterapi ve Rehabilitasyon Bölümü, Kırşehir, Türkiye)

Erdal KURTOĞLU, (Erciyes Üniversitesi, Tıp Fakültesi, Anatomi Anabilim Dalı, Kayseri, Türkiye)

Ahmet PAYAS, (Hitit Üniversitesi, Sungurlu Meslek Yüksekokulu, Terapi ve Rehabilitasyon Bölümü, Çorum, Türkiye)

Dilara PATAT, (Ankara Medipol Üniversitesi, Tıp Fakültesi, Anatomi Anabilim Dalı, Ankara, Türkiye)

Mehtap NİSARİ (Erciyes Üniversitesi, Tıp Fakültesi, Anatomi Anabilim Dalı, Kayseri, Türkiye)

Medical records-international medical journal (Online)

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Yıl: 2022 Cilt: 4 Sayı: 2 Sayfa Aralığı: 203 - 208 Metin Dili: İngilizce DOI: 10.37990/medr.1078369 İndeks Tarihi: 27-09-2022

How are Lung Volume and Respiratory Muscles Affected in Non-Severe Patients With Covid-19?

Öz:

Aim: Coronavirus-2019 (Covid-19) primarily affects the respiratory system, and how it affects respiratory muscles and lung volume is still not fully understood. Our study aimed to assess the time-dependent changes that may occur in lungs and respiratory muscle sizes on chest computed tomography (CT) in adult coronavirus disease 2019 (COVID-19) patients.Material and Methods: The clinical and radiological records of 101 adult patients who had at least two non-contrast chest CT images in stage 1 (0-4 days) and stage 6 (>28 days) were collected retrospectively. ImFusion Suite program were used to calculate lung volumes, and the cross-sectional areas of the pectoral and intercostal muscles were also calculated using with “ImageJ” program.Results: One-hundred one patients (51 females, 50.49%) were included in the study. ANCOVA revealed a significant stage*side interaction effect regarding cross-sectional area (CSA) of intercostal muscles [(p=.010; η²p=.064)]. There was no significant difference between the two stages in terms of CSA of pectoralis major and minor muscles [(p=.314; η2p=.010), (p=.644; η²p=.002)] respectively and lung volume [(p=.340; η²p=.009)].Conclusion: Covid-19 pneumonia causes an atrophy in respiratory muscles. However, it seems to have a nonsignificant effect on auxiliary respiratory muscles and lung volume. Further investigation of respiratory muscles and respiratory muscle training to reduce the risk of serious complications during viral infections are required.

Anahtar Kelime: Covid-19 computed tomography imaging lung volume respiratory muscles

Akciğer Hacmi ve Solunum Kasları Ağır Seyretmeyen Covid-19 Hastalarında Nasıl Etkilenir?

Öz:

Amaç: Coronavirus-2019 (Covid-19) öncelikle solunum sistemini etkiler ve solunum kaslarını ve akciğer hacmini nasıl etkilediği hala tam olarak anlaşılamamıştır. Çalışmamız erişkin koronavirüs hastalığı 2019 (COVID-19) hastalarında akciğer bilgisayarlı tomografisinde (BT) akciğerlerde ve solunum kası boyutlarında zamana bağlı olarak oluşabilecek değişiklikleri değerlendirmeyi amaçladı.Materyal ve Metot: Evre 1 (0-4 gün) ve evre 6’da (>28 gün) en az iki kontrastsız göğüs BT görüntüsü olan 101 erişkin hastanın klinik ve radyolojik kayıtları geriye dönük olarak toplandı. Akciğer hacimlerini hesaplamak için ImFusion Suite programı kullanıldı ve pektoral ve interkostal kasların kesit alanları da “ImageJ” programı kullanılarak hesaplandı.Bulgular: Yüz bir hasta (51 kadın, %50,49) çalışmaya dahil edildi. ANCOVA, interkostal kasların kesit alanına (KA) ilişkin önemli bir evre*yan etkileşim etkisi ortaya çıkardı [(p=.010; η²p=.064)]. Sırasıyla pektoralis major ve minor kaslarının KA’sında [(p=.314; η²p=.010), (p=.644; η²p=.002)] ve akciğer hacminde [(p=.340; η²p=.009)] iki evre arasında anlamlı bir fark bulunmadı.Sonuç: Covid-19 pnömonisi solunum kaslarında atrofiye neden olur. Ancak yardımcı solunum kasları ve akciğer hacmi üzerinde önemsiz bir etkiye sahip olduğu görülmektedir. Viral enfeksiyonlar sırasında ciddi komplikasyon riskini azaltmak için solunum kaslarının daha fazla araştırılması ve solunum kas eğitimi gereklidir.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	uçar i, COŞGUN M, ÇANKAL F, KARARTI C, KURTOĞLU E, A, patat d, Nisari M (2022). How are Lung Volume and Respiratory Muscles Affected in Non-Severe Patients With Covid-19?. , 203 - 208. 10.37990/medr.1078369
Chicago	uçar ilyas,COŞGUN MUHARREM SAİD,ÇANKAL FATİH,KARARTI CANER,KURTOĞLU ERDAL, Ahmet,patat dilara,Nisari Mehtap How are Lung Volume and Respiratory Muscles Affected in Non-Severe Patients With Covid-19?. (2022): 203 - 208. 10.37990/medr.1078369
MLA	uçar ilyas,COŞGUN MUHARREM SAİD,ÇANKAL FATİH,KARARTI CANER,KURTOĞLU ERDAL, Ahmet,patat dilara,Nisari Mehtap How are Lung Volume and Respiratory Muscles Affected in Non-Severe Patients With Covid-19?. , 2022, ss.203 - 208. 10.37990/medr.1078369
AMA	uçar i,COŞGUN M,ÇANKAL F,KARARTI C,KURTOĞLU E, A,patat d,Nisari M How are Lung Volume and Respiratory Muscles Affected in Non-Severe Patients With Covid-19?. . 2022; 203 - 208. 10.37990/medr.1078369
Vancouver	uçar i,COŞGUN M,ÇANKAL F,KARARTI C,KURTOĞLU E, A,patat d,Nisari M How are Lung Volume and Respiratory Muscles Affected in Non-Severe Patients With Covid-19?. . 2022; 203 - 208. 10.37990/medr.1078369
IEEE	uçar i,COŞGUN M,ÇANKAL F,KARARTI C,KURTOĞLU E, A,patat d,Nisari M "How are Lung Volume and Respiratory Muscles Affected in Non-Severe Patients With Covid-19?." , ss.203 - 208, 2022. 10.37990/medr.1078369
ISNAD	uçar, ilyas vd. "How are Lung Volume and Respiratory Muscles Affected in Non-Severe Patients With Covid-19?". (2022), 203-208. https://doi.org/10.37990/medr.1078369

APA	uçar i, COŞGUN M, ÇANKAL F, KARARTI C, KURTOĞLU E, A, patat d, Nisari M (2022). How are Lung Volume and Respiratory Muscles Affected in Non-Severe Patients With Covid-19?. Medical records-international medical journal (Online), 4(2), 203 - 208. 10.37990/medr.1078369
Chicago	uçar ilyas,COŞGUN MUHARREM SAİD,ÇANKAL FATİH,KARARTI CANER,KURTOĞLU ERDAL, Ahmet,patat dilara,Nisari Mehtap How are Lung Volume and Respiratory Muscles Affected in Non-Severe Patients With Covid-19?. Medical records-international medical journal (Online) 4, no.2 (2022): 203 - 208. 10.37990/medr.1078369
MLA	uçar ilyas,COŞGUN MUHARREM SAİD,ÇANKAL FATİH,KARARTI CANER,KURTOĞLU ERDAL, Ahmet,patat dilara,Nisari Mehtap How are Lung Volume and Respiratory Muscles Affected in Non-Severe Patients With Covid-19?. Medical records-international medical journal (Online), vol.4, no.2, 2022, ss.203 - 208. 10.37990/medr.1078369
AMA	uçar i,COŞGUN M,ÇANKAL F,KARARTI C,KURTOĞLU E, A,patat d,Nisari M How are Lung Volume and Respiratory Muscles Affected in Non-Severe Patients With Covid-19?. Medical records-international medical journal (Online). 2022; 4(2): 203 - 208. 10.37990/medr.1078369
Vancouver	uçar i,COŞGUN M,ÇANKAL F,KARARTI C,KURTOĞLU E, A,patat d,Nisari M How are Lung Volume and Respiratory Muscles Affected in Non-Severe Patients With Covid-19?. Medical records-international medical journal (Online). 2022; 4(2): 203 - 208. 10.37990/medr.1078369
IEEE	uçar i,COŞGUN M,ÇANKAL F,KARARTI C,KURTOĞLU E, A,patat d,Nisari M "How are Lung Volume and Respiratory Muscles Affected in Non-Severe Patients With Covid-19?." Medical records-international medical journal (Online), 4, ss.203 - 208, 2022. 10.37990/medr.1078369
ISNAD	uçar, ilyas vd. "How are Lung Volume and Respiratory Muscles Affected in Non-Severe Patients With Covid-19?". Medical records-international medical journal (Online) 4/2 (2022), 203-208. https://doi.org/10.37990/medr.1078369