Postdischarge symptoms and rehabilitation needs in survivors of COVID‐19 infection: A cross‐sectional evaluation

Симптомы после выписки и потребности в реабилитации у пациентов, перенесших инфекцию COVID-19: одномоментное исследование
Manoj Sivan, Steven A. Kemp, Stephen Halpin, Claire McIvor, Gemma Whyatt, Anastasia Adams, O. J. Harvey, Lyndsay McLean, Christopher Walshaw, Joanna Corrado, Rajinder Singh, Tamsin Collins, Rory J O’Connor
2020-07-31

COVID-19 survivorsEQ-5D-5Lintensive care unitpost-COVID-19 symptomsrehabilitation needs
BACKGROUND: There is currently very limited information on the nature and prevalence of post-COVID-19 symptoms after hospital discharge. METHODS: A purposive sample of 100 survivors discharged from a large University hospital were assessed 4 to 8 weeks after discharge by a multidisciplinary team of rehabilitation professionals using a specialist telephone screening tool designed to capture symptoms and impact on daily life. EQ-5D-5L telephone version was also completed. RESULTS: Participants were between 29 and 71 days (mean 48 days) postdischarge from hospital. Thirty-two participants required treatment in intensive care unit (ICU group) and 68 were managed in hospital wards without needing ICU care (ward group). New illness-related fatigue was the most common reported symptom by 72% participants in ICU group and 60.3% in ward group. The next most common symptoms were breathlessness (65.6% in ICU group and 42.6% in ward group) and psychological distress (46.9% in ICU group and 23.5% in ward group). There was a clinically significant drop in EQ5D in 68.8% in ICU group and in 45.6% in ward group. CONCLUSIONS: This is the first study from the United Kingdom reporting on postdischarge symptoms. We recommend planning rehabilitation services to manage these symptoms appropriately and maximize the functional return of COVID-19 survivors.
1
Among 100 COVID-19 survivors assessed 4–8 weeks after hospital discharge, new illness-related fatigue was the most common symptom.
2
Breathlessness occurred in 65.6% of the ICU group and 42.6% of the ward group, while psychological distress affected 46.9% and 23.5%, respectively.
3
Clinically significant EQ-5D health-status deterioration was observed in 68.8% of ICU survivors and 45.6% of ward-managed survivors.
4
Fatigue affected 72% of ICU-treated participants and 60.3% of ward-managed participants after discharge.
5
The findings support planning rehabilitation services to address persistent symptoms and promote functional recovery after COVID-19 hospitalization.

COVID-19 survivors 4–8 weeks after hospital discharge, including former intensive care and ward patients

Postdischarge symptoms, health-related quality of life, and rehabilitation needs

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2020-07-31
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Manoj Sivan
Steven A. Kemp
Stephen Halpin
Claire McIvor
Gemma Whyatt
Anastasia Adams
O. J. Harvey
Lyndsay McLean
Christopher Walshaw
Joanna Corrado
Rajinder Singh
Tamsin Collins
Rory J O’Connor
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