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COPD 2022

Mariana Conde

Mariana Conde, Speaker at COPD Congress 2022
Centro Hospital of TrĂ¡s-os-Montes and Alto Douro - Vila Real, Portugal
Title : Respiratory rehabilitation program in a cohort of post-COVID-19 patients


The COVID-19 pandemic registered its first case in Portugal in March 2020. Its repercussion on the functioning of respiratory rehabilitation services has been significant, bringing a new population of respiratory patients.

We aimed to evaluate the characteristics and evolution in training of a population of patients admitted to a respiratory rehabilitation program after COVID-19 disease. We designed a retrospective observational study including all patients admitted to the program post COVID 19 disease since March 2020 until January 2022.

47 patients met the study inclusion criteria; the majority were male (n=32; 68,1%), with a mean age of 63 years. Most patients required admission to an intensive care unit (ICU) due to COVID-19 disease (n=38; 80,9%), with invasive mechanical ventilation (IMV) in 59,6% (n=28) and ECMO in 10,9% (n=5). Only one patient did not require hospitalization in the acute phase. We observed a significant prevalence of overweight or obese patients (78.7%; n=37), as well as other cardiovascular risk factors (smoking history, arterial hypertension, diabetes, dyslipidemia). Overweight patients were more frequently admitted to the ICU (p=0.029), with a more frequent need for IMV (p=0.024).

The median duration of the program was 8 weeks (IQR=7). Comparing the metabolic equivalents (MET) at the third training session with the end of the program, we observed a significant evolution (p<0.001).

In conclusion, most patients admitted to the rehabilitation program had severe COVID-19 disease, with important symptomatic and functional repercussions. There was a significant progression in training.


Dr. Mariana Conde studied Medicine at the University of Minho Medical School, completing her Integrated Master's Degree in 2016. In 2017 she started her medical internship at the Hospital Center of Trás-os-Montes e Alto Douro, joining the specific Pneumology training internship at the same institution in January 2018. She is a member of the Portuguese Society of Pulmonology and the European Respiratory Society since 2018; she is a member of the European Society of Medical Oncology since 2019.