The utility of 1-Minute sit-to-stand test to detect exercise-induced oxygen desaturation in outpatient assessment of post COVID-19 patients / Muhammad Amin Ibrahim ... [et al.]
Introduction: 6-min-walk-test (6MWT) is the gold standard for assessing exercise-induced impairment of gas exchange, but it is technically challenging in a busy outpatient clinic. The aim of this study was to compare the 1-minute sit-to-stand test (1MSTST) with the 6MWT in assessment of exercise-ind...
Saved in:
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Faculty of Medicine
2024
|
Subjects: | |
Online Access: | https://ir.uitm.edu.my/id/eprint/91682/1/91682.pdf https://ir.uitm.edu.my/id/eprint/91682/ http://jchs-medicine.uitm.edu.my/ |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
id |
my.uitm.ir.91682 |
---|---|
record_format |
eprints |
spelling |
my.uitm.ir.916822024-03-05T01:54:34Z https://ir.uitm.edu.my/id/eprint/91682/ The utility of 1-Minute sit-to-stand test to detect exercise-induced oxygen desaturation in outpatient assessment of post COVID-19 patients / Muhammad Amin Ibrahim ... [et al.] jchs Ibrahim, Muhammad Amin Shee, Chai Chee Kamaridin, Mohd Nazeri Abdul Rani, Mohammed Fauzi Communicable diseases and public health Introduction: 6-min-walk-test (6MWT) is the gold standard for assessing exercise-induced impairment of gas exchange, but it is technically challenging in a busy outpatient clinic. The aim of this study was to compare the 1-minute sit-to-stand test (1MSTST) with the 6MWT in assessment of exercise-induced oxygen desaturation in post COVID-19 patients in an outpatient setting. Methods: A total of 447 outpatient post COVID-19 patients were recruited from post COVID-19 clinic. A set of 6MWT and 1MSTST were performed on the same day. Results: A total of 447 sets were performed at a mean of 160 days post discharge. Majority were in COVID-19 infection category 4 (n=251, 56%), 5 (n=118, 26%) and 3 (n=6, 15%). A total of 19% (n=89) of patients remained symptomatic (mMRC >1). There were no significant differences between nadir SpO2 of 6MWT and 1STST (p=0.075). Bland-Altman plots showed good agreement between nadir SpO2 for 6MWT and 1MSTST (Mean differences=0.028). 1MSTST could detect oxygen desaturation >4% with sensitivity of 76.8% and specificity of 42.4% compared to 6MWT. There was no clinically significant SpO2 difference during 6MWT and 1STS between symptomatic and asymptomatic patients at baseline, nadir, and recovery; the differences were <1%. However, there were lesser 6MWT distance and 1MSTST repetition between symptomatic and asymptomatic patients; 47m (p < 0.001) and 3 repetition (p < 0.001) respectively. Conclusion: There is a good agreement of nadir SpO2 and sensitivity to detect oxygen desaturation > 4% between 6MWT and 1MSTST. 1MSTST is a useful screening test to screen exercise-induced oxygen desaturation during outpatient assessment. Faculty of Medicine 2024-03 Article PeerReviewed text en https://ir.uitm.edu.my/id/eprint/91682/1/91682.pdf The utility of 1-Minute sit-to-stand test to detect exercise-induced oxygen desaturation in outpatient assessment of post COVID-19 patients / Muhammad Amin Ibrahim ... [et al.]. (2024) Journal of Clinical and Health Sciences (JCHS) <https://ir.uitm.edu.my/view/publication/Journal_of_Clinical_and_Health_Sciences_=28JCHS=29/>, 9 (1). pp. 15-23. ISSN 0127-984X http://jchs-medicine.uitm.edu.my/ |
institution |
Universiti Teknologi Mara |
building |
Tun Abdul Razak Library |
collection |
Institutional Repository |
continent |
Asia |
country |
Malaysia |
content_provider |
Universiti Teknologi Mara |
content_source |
UiTM Institutional Repository |
url_provider |
http://ir.uitm.edu.my/ |
language |
English |
topic |
Communicable diseases and public health |
spellingShingle |
Communicable diseases and public health Ibrahim, Muhammad Amin Shee, Chai Chee Kamaridin, Mohd Nazeri Abdul Rani, Mohammed Fauzi The utility of 1-Minute sit-to-stand test to detect exercise-induced oxygen desaturation in outpatient assessment of post COVID-19 patients / Muhammad Amin Ibrahim ... [et al.] |
description |
Introduction: 6-min-walk-test (6MWT) is the gold standard for assessing exercise-induced impairment of gas exchange, but it is technically challenging in a busy outpatient clinic. The aim of this study was to compare the 1-minute sit-to-stand test (1MSTST) with the 6MWT in assessment of exercise-induced oxygen desaturation in post COVID-19 patients in an outpatient setting. Methods: A total of 447 outpatient post COVID-19 patients were recruited from post COVID-19 clinic. A set of 6MWT and 1MSTST were performed on the same day. Results: A total of 447 sets were performed at a mean of 160 days post discharge. Majority were in COVID-19 infection category 4 (n=251, 56%), 5 (n=118, 26%) and 3 (n=6, 15%). A total of 19% (n=89) of patients remained symptomatic (mMRC >1). There were no significant differences between nadir SpO2 of 6MWT and 1STST (p=0.075). Bland-Altman plots showed good agreement between nadir SpO2 for 6MWT and 1MSTST (Mean differences=0.028). 1MSTST could detect oxygen desaturation >4% with sensitivity of 76.8% and specificity of 42.4% compared to 6MWT. There was no clinically significant SpO2 difference during 6MWT and 1STS between symptomatic and asymptomatic patients at baseline, nadir, and recovery; the differences were <1%. However, there were lesser 6MWT distance and 1MSTST repetition between symptomatic and asymptomatic patients; 47m (p < 0.001) and 3 repetition (p < 0.001) respectively. Conclusion: There is a good agreement of nadir SpO2 and sensitivity to detect oxygen desaturation > 4% between 6MWT and 1MSTST. 1MSTST is a useful screening test to screen exercise-induced oxygen desaturation during outpatient assessment. |
format |
Article |
author |
Ibrahim, Muhammad Amin Shee, Chai Chee Kamaridin, Mohd Nazeri Abdul Rani, Mohammed Fauzi |
author_facet |
Ibrahim, Muhammad Amin Shee, Chai Chee Kamaridin, Mohd Nazeri Abdul Rani, Mohammed Fauzi |
author_sort |
Ibrahim, Muhammad Amin |
title |
The utility of 1-Minute sit-to-stand test to detect exercise-induced oxygen desaturation in outpatient assessment of post COVID-19 patients / Muhammad Amin Ibrahim ... [et al.] |
title_short |
The utility of 1-Minute sit-to-stand test to detect exercise-induced oxygen desaturation in outpatient assessment of post COVID-19 patients / Muhammad Amin Ibrahim ... [et al.] |
title_full |
The utility of 1-Minute sit-to-stand test to detect exercise-induced oxygen desaturation in outpatient assessment of post COVID-19 patients / Muhammad Amin Ibrahim ... [et al.] |
title_fullStr |
The utility of 1-Minute sit-to-stand test to detect exercise-induced oxygen desaturation in outpatient assessment of post COVID-19 patients / Muhammad Amin Ibrahim ... [et al.] |
title_full_unstemmed |
The utility of 1-Minute sit-to-stand test to detect exercise-induced oxygen desaturation in outpatient assessment of post COVID-19 patients / Muhammad Amin Ibrahim ... [et al.] |
title_sort |
utility of 1-minute sit-to-stand test to detect exercise-induced oxygen desaturation in outpatient assessment of post covid-19 patients / muhammad amin ibrahim ... [et al.] |
publisher |
Faculty of Medicine |
publishDate |
2024 |
url |
https://ir.uitm.edu.my/id/eprint/91682/1/91682.pdf https://ir.uitm.edu.my/id/eprint/91682/ http://jchs-medicine.uitm.edu.my/ |
_version_ |
1793161904324083712 |
score |
13.160551 |