Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 6 Issue 12

Follow-up of Critically Ill COVID-19 Patients After ICU Discharge

Laura Costa*, Elisabete Coelho, José Martins, Marina Costa, Anabela Mesquita and Luís Lencastre

Serviço de Medicina Intensiva, Hospital de Braga, Braga, Portugal

*Corresponding Author: Laura Costa, Serviço de Medicina Intensiva, Hospital de Braga, Braga, Portugal.

Received: November 03, 2022; Published: November 21, 2022

Abstract

Introduction: Severe COVID-19 survivors may experience decreased health-related quality of life, as well as physical and psychological disability after discharge. This study aimed to characterize the impact on the quality of life of severe COVID-19 patients admitted to a single Portuguese Intensive Care Unit (ICU).

Methods: Retrospective case series of 119 consecutive patients with laboratory-confirmed COVID-19 admitted to ICU from January to December 2020, in whom a EuroQol five-dimension five level (EQ-5D-5L) was used to access self-perceived quality of life. Demographic and clinical data were collected.

Results: Average ICU mortality was 40%. 51 patients undertook a EQ-5D-5L telephone survey, approximately 12 months after ICU discharge. A moderate impairment was identified in 43% of the patients and extreme impairment in 25% of the patients. Problems related to anxiety/depression were more frequently reported.

Discussion: Assessment of health-related quality of life has increasingly been recognised as crucial in severe COVID-19 survivors. Our study results are in line with available evidence in these patients, showing impairment in different aspects of quality of life, particularly those concerning pain/discomfort and anxiety disorders. The later were the most frequently reported in our analysis.

Conclusion: Health-related quality of life is negatively affected in severe COVID-19 survivors. An organized approach to manage the post-acute phase is needed to improve long-term outcomes.

Keywords: COVID-19; Intensive Care Units; Morbidity; Follow-Up Studies

References

  1. Organization WH. “WHO Coronavirus (COVID-19) Dashboard”.
  2. Carenzo L., et al. “Hospital surge capacity in a tertiary emergency referral centre during the COVID-19 outbreak in Italy”. Anaesthesia7 (2020): 928-934.
  3. Grasselli G., et al. “Critical Care Utilization for the COVID-19 Outbreak in Lombardy, Italy: Early Experience and Forecast During an Emergency Response”. JAMA16 (2020): 1545-1546.
  4. Herridge MS., et al. “Functional disability 5 years after acute respiratory distress syndrome”. The New England Journal of Medicine 14 (2011): 1293-1304.
  5. Nalbandian A., et al. “Post-acute COVID-19 syndrome”. Nature Medicine 4 (2021): 601-615.
  6. Halpin SJ., et al. “Postdischarge symptoms and rehabilitation needs in survivors of COVID-19 infection: A cross-sectional evaluation”. Journal of Medical Virology 2 (2021): 1013-1022.
  7. Betschart M., et al. “One year follow-up of physical performance and quality of life in patients surviving COVID-19: a prospective cohort study”. Swiss Medical Weekly 151 (2021): w30072.
  8. Strumiliene E., et al. “Follow-Up Analysis of Pulmonary Function, Exercise Capacity, Radiological Changes, and Quality of Life Two Months after Recovery from SARS-CoV-2 Pneumonia”. Medicina (Kaunas)6 (2021).
  9. Huang L., et al. “1-year outcomes in hospital survivors with COVID-19: a longitudinal cohort study”. Lancet10302 (2021): 747-758.
  10. Fernandes J., et al. “Health-Related Quality of Life in Survivors of Severe COVID-19 of a University Hospital in Northern Portugal”. Acta Médica Portuguesa 9 (2021): 601-607.
  11. Ferreira PL., et al. “A hybrid modelling approach for eliciting health state preferences: the Portuguese EQ-5D-5L value set”. Quality of Life Research 12 (2019): 3163-3175.
  12. Ferreira PL., et al. “[Contribution for the validation of the Portuguese version of EQ-5D]”. Acta Médica Portuguesa 6 (2013): 664-675.
  13. Mazza MG., et al. “Anxiety and depression in COVID-19 survivors: Role of inflammatory and clinical predictors”. Brain, Behavior, and Immunity 89 (2020): 594-600.
  14. Rogers JP., et al. “Psychiatric and neuropsychiatric presentations associated with severe coronavirus infections: a systematic review and meta-analysis with comparison to the COVID-19 pandemic”. Lancet Psychiatry7 (2020): 611-627.
  15. Dijkstra-Kersten SMA., et al. “Neuropsychiatric outcome in subgroups of Intensive Care Unit survivors: Implications for after-care”. Journal of Critical Care 55 (2020): 171-176.
  16. Jaffri A and Jaffri UA. “Post-Intensive care syndrome and COVID-19: crisis after a crisis?” Heart and Lung 6 (2020): 883-884.

Citation

Citation: Laura Costa., et al. “Follow-up of Critically Ill COVID-19 Patients After ICU Discharge”.Acta Scientific Medical Sciences 6.12 (2022): 57-60.

Copyright

Copyright: © 2022 Laura Costa., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.403

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