Dataset Information

Poor long-term recovery after critical COVID-19 during 12 months longitudinal follow-up.

ABSTRACT:

Objectives

This study aimed to describe the burden of illness and impact on health and working situation among former intensive care patients treated for COVID-19.

Methods

A prospective cohort study was performed at one intensive care unit of a university hospital in Sweden during the first wave of COVID-19 in spring 2020. The burden of illness in health status, cognitive, physical, and psychological outcomes, and working situation were assessed at four and 12 months after discharge from intensive care, using nine validated instruments.

Results

Forty-six participants treated for COVID-19 participated in both follow-ups and were included in this study. General fatigue was reported by 37 of 46 participants (82%) at both follow-ups (p = 1.000). For overall health status 28 (61%) participants at the first follow-up and 26 (57%) (p = 0.414) at the second reported lower values than the general population. Cognitive impairment was seen in 22 (52%) participants at four months and in 13 (31%) at 12 months (p = 0.029). The proportion of participants on sick-leave decreased between the first and second follow-up (24% vs 13%, p = 0.025), but the proportion of participants working full-time was almost the same at both follow-ups (35% vs 37%, p = 0.317).

Conclusions

The burden of illness of patients treated in intensive care due to COVID-19 included cognitive, physical, and psychological impacts. Cognitive functions were improved after 12 months, but no clear improvements could be distinguished in the physical or psychological outcome. Higher burden of illness was associated with inability to return to work.

SUBMITTER: Larsson IM

PROVIDER: S-EPMC9376301 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature

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Publications

Poor long-term recovery after critical COVID-19 during 12 months longitudinal follow-up.

Larsson Ing-Marie IM Hultström Michael M Lipcsey Miklos M Frithiof Robert R Rubertsson Sten S Wallin Ewa E

Intensive & critical care nursing 20220815

<h4>Objectives</h4>This study aimed to describe the burden of illness and impact on health and working situation among former intensive care patients treated for COVID-19.<h4>Methods</h4>A prospective cohort study was performed at one intensive care unit of a university hospital in Sweden during the first wave of COVID-19 in spring 2020. The burden of illness in health status, cognitive, physical, and psychological outcomes, and working situation were assessed at four and 12 months after dischar ...[more]

PMID: 36028412

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Project description:BackgroundIndividuals with persistent impairments due to Coronavirus disease 2019 (COVID-19) can receive pulmonary rehabilitation in Germany. To date, there is no evidence of the medium- or long-term effects of pulmonary rehabilitation on Long COVID.AimThis study examined changes in health and occupational outcomes over time and described the therapeutic content of pulmonary rehabilitation and aftercare. This analysis also compared two rehabilitation groups after COVID-19 who had different levels of access to rehabilitation.DesignLongitudinal observational study with multicenter and prospective data collection.SettingPulmonary rehabilitation in four different rehabilitation facilities in Germany.PopulationIndividuals with a mild course of disease and long-lasting impairments (inpatient rehabilitation, IR) and patients with a severe course after hospitalization (follow-up rehabilitation, FuR). Participants had to be between 18 and 65 years of age.MethodsWritten questionnaires were administered at the beginning and end of rehabilitation, as well as six and twelve months after rehabilitation. Health-related quality of life (HrQoL), fatigue, participation restrictions, COVID-19 symptoms, mental and physical health were assessed, as well as occupational outcomes and questions about rehabilitation and aftercare.ResultsIR patients were predominantly female (68.0%) and 52 years of age on average, while 66.1% of Long COVID rehabilitees in FuR were male and three years older. Over the course of rehabilitation, most COVID-19 symptoms decreased with statistical significance. The subjective health scales showed improvements with medium to large effect sizes (ES) over time in IR (P<0.01; ES between 0.55 (cognitive fatigue) and 1.40 (physical fatigue)) and small to large effects in FuR (P<0.01; ES between 0.45 (anxiety) and 1.32 (physical fatigue)). One year after rehabilitation, most effects remained at a moderate level. After twelve months, an increase in neurocognitive symptoms was observed in FuR patients. More than 80% of employed people returned to work one year after rehabilitation, although FuR patients returned to work a median of four weeks later (P<0.01).ConclusionsThe comparative analysis showed that rehabilitees in different forms of rehabilitation attended rehabilitation with different impairments and rehabilitation goals, which are partly considered in treatment and aftercare.Clinical rehabilitation impactTo provide needs-based rehabilitation to different rehabilitation groups with Long COVID, knowledge of their health histories and preferences is necessary.

Dataset Information

Poor long-term recovery after critical COVID-19 during 12 months longitudinal follow-up.

Objectives

Methods

Results

Conclusions

Publications

Poor long-term recovery after critical COVID-19 during 12 months longitudinal follow-up.

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