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Evaluation of muscle strength and renal function in survivors of severe COVID-19: A 12-month follow-up study Cover

Evaluation of muscle strength and renal function in survivors of severe COVID-19: A 12-month follow-up study

Open Access
|Apr 2026

Figures & Tables

Fig. 1.

Study design At T0 (ICU admission), 245 medical records were screened, resulting in 110 eligible participants, of which 28 no accepted to participate and 82 were included with complete data. At T12 (12 months after ICU discharge)

Fig.2.

Variation in serum creatinine (mg/dL) in patients with and without comorbidities (hypertension, diabetes, and AKI) between T0 and T12.

Fig. 3.

Correlation between sarcopenia risk score (SARC-F) and low Daily Functional capacity score (SF36) (T12) and correlation between score sarcopenia risk score (SARC-F) and pain score (SF36) (T12).

Laboratory parameters at T0 and T12 excluding patients with diabetes, systemic arterial hypertension, chronic kidney disease and acute renal failure (n = 49)

VariablesT0T12p
Creatinine (mg/dL)0.95 ± 0.21.10 ± 0.20.007
Urea (mg/dL)37 ± 1540 ± 130.343
Sodium (Na) (mmol/L)137 ± 3141 ± 3< 0.001
Potassium (k) (mmol/L)4.00 ± 0.64.36 ± 0.40.032
Glucose (mg/dL)113 ± 20103 ± 140.007
Albumin (g/dL)2.6 ± 0.64.6 ± 0.4< 0.001
eGFR (mL/min) (n/%)87 ± 2277 ± 180.001

Biochemical data of the survivors’ patients with severe COVID-19 at T0 (date of ICU admission) and 12 months (T12) after ICU discharge

VariablesT0T12p
Creatinine (mg/dL)1.10 ± 0.471.12 ± 0.240.67
Urea (mg/dL)39 ± 1841 ± 120.31
Sodium (Na) (mmol/L)137 ± 3141 ± 3< 0.001
Potassium (K) (mmol/L)3.9 ± 0.64.4 ± 0.4< 0.001
Glucose (mg/dL)124 ± 36117 ± 42< 0.001
Albumin (g/dL)2.5 ± 0.64.5 ± 0.3< 0.001
eGFR (mL/min) (n/%)83 ± 2378 ± 180.07
eGFR ≤ 59 (mL/min) (n/%)12/14%13/16%0.98

Epidemiological and clinical data of the severely ill individuals eligible for the study at the time of infection (T0) (n = 82)

Variablesn = 82
Age (years)52 ±12
Gender (male)75 (90%)
Race (white)72 (87%)
BMI (Kg/m2)31 (22–55)
  ≥18,5 ate 24,9 Kg/m29 (11%)
  ≥25 ate 29,9 kg/m27 (33%)
  ≥30 kg/m246 (56%)
Hospitalization in the ICU (days)9 ± 8
Hypertension (%)38 (46%)
Diabetes Mellitus (%)26 (31%)
Cardiovascular disease (%)5 (6%)
Ventilatory support (%)15 (18%)
Drug Vasoactive use (%)20 (24%)
Vacination (Doses) (%)6 (7%)
  0–1 doses76 (93%)
  ≥ 2 doses
Acute kidney disease (%)16 (20%)
Hemodialysis8 (10%)

SF36 quality of life assessment (SF36 - functional capacity and pain), pain scale (EVA), functional capacity (DASI), muscle strength - dominant handgrip strength (FPP D) and 30-second sit-to-stand test and risk of sarcopenia (SARC - F), 12 months after the date of recovery from COVID 19 (n = 82)

VariablesT12
Quality of live
SF36 – Funcional Capacity47 ± 21
SF36 – Pain47 ± 18
Pain Scale
Visual Analog Scale - 5 (n/%)47 / 57%
Muscle Strenght
Handgrip Strenght (kgf)18 ± 6
The 30-second sit-to-stand test8 ± 5
Functional Capacity
Duke Activity Status Index (score)44 ± 11
Risk of Sarcopenia
SARC – F (escore ≥ 4)(n/%)37 / 46%
DOI: https://doi.org/10.62838/jccm-2026-0004 | Journal eISSN: 2393-1817 | Journal ISSN: 2393-1809
Language: English
Page range: 167 - 175
Submitted on: Aug 17, 2025
Accepted on: Jan 28, 2026
Published on: Apr 30, 2026
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2026 Roberto Marco, Sayane Marlla Silva Leite Montenegro, Daniela Cassula, Tayline Gabriel, Alessandra Lima da Silva Martins, Rosani Teresa de Siqueira e Silva, Rosilene Motta Elias, Maria Aparecida Dalboni, published by University of Medicine, Pharmacy, Science and Technology of Targu Mures
This work is licensed under the Creative Commons Attribution 4.0 License.