Health-Related Quality of Life in Survivors of Severe COVID-19 of a University Hospital in Northern Portugal
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/16277 |
Resumo: | Introduction: Long-term health impairments are often experienced among survivors of critical illness, which may have a negative impact on their quality of life. The aim of this study was to characterize COVID-19 survivors of critical illness and to evaluate health-related quality of life and disability following hospital discharge.Material and Methods: This is a retrospective case-series study that included COVID-19 survivors admitted to the Intensive Care Medicine Department of a University Hospital. Follow-up evaluation was performed between the 30th and the 90th day after discharge. Quality of life was explored using the five-level version of the EQ-5D instrument (EQ-5D-5L) and functionality using the 12-question World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0).Results: Forty-five survivors were enrolled, 28 (62.2%) men, median age 63.0 years. The EQ-5D-5L questionnaire showed moderate to extreme problems in some dimension in 29 patients (64.4%): mobility in six (13.3%), self-care in seven (13.3%), usual activities in 23 (51.1%), pain/discomfort in 14 (31.1%) and anxiety/depression in 17 (37.8%). When using the 12-question WHODAS 2.0 questionnaire, moderate to extreme disability was reported in some question in 37 patients (82.2%): 19 (42.2%) in standing for long periods, 18 (40.0%) in long-distance walking; 14 (31.1%) on taking care of household responsibilities and 17 (37.8%) in their day-to-day work; 23 (51.1%) felt emotionally affected by their health problems.Discussion: Based on COVID-19 survivors-reported outcomes after critical illness, mobility, pain/discomfort, and anxiety/depression were the main problems that persisted one to three months after hospital discharge.Conclusion: An organized follow-up structure is crucial to improve health-related quality of life in critical COVID-19 survivors. |
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Health-Related Quality of Life in Survivors of Severe COVID-19 of a University Hospital in Northern PortugalQualidade de Vida dos Sobreviventes da COVID-19 Grave de um Hospital Universitário no Norte de PortugalCOVID-19Critical CareFollow-up StudiesPortugalQuality of LifeSurvivorsCOVID-19Medicina IntensivaPortugalQualidade de VidaSeguimentosSobreviventesIntroduction: Long-term health impairments are often experienced among survivors of critical illness, which may have a negative impact on their quality of life. The aim of this study was to characterize COVID-19 survivors of critical illness and to evaluate health-related quality of life and disability following hospital discharge.Material and Methods: This is a retrospective case-series study that included COVID-19 survivors admitted to the Intensive Care Medicine Department of a University Hospital. Follow-up evaluation was performed between the 30th and the 90th day after discharge. Quality of life was explored using the five-level version of the EQ-5D instrument (EQ-5D-5L) and functionality using the 12-question World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0).Results: Forty-five survivors were enrolled, 28 (62.2%) men, median age 63.0 years. The EQ-5D-5L questionnaire showed moderate to extreme problems in some dimension in 29 patients (64.4%): mobility in six (13.3%), self-care in seven (13.3%), usual activities in 23 (51.1%), pain/discomfort in 14 (31.1%) and anxiety/depression in 17 (37.8%). When using the 12-question WHODAS 2.0 questionnaire, moderate to extreme disability was reported in some question in 37 patients (82.2%): 19 (42.2%) in standing for long periods, 18 (40.0%) in long-distance walking; 14 (31.1%) on taking care of household responsibilities and 17 (37.8%) in their day-to-day work; 23 (51.1%) felt emotionally affected by their health problems.Discussion: Based on COVID-19 survivors-reported outcomes after critical illness, mobility, pain/discomfort, and anxiety/depression were the main problems that persisted one to three months after hospital discharge.Conclusion: An organized follow-up structure is crucial to improve health-related quality of life in critical COVID-19 survivors.Introdução: Os sobreviventes de doença crítica apresentam frequentemente sequelas a longo prazo. O objetivo deste estudo foi caracterizar os sobreviventes da COVID-19 grave e avaliar a qualidade de vida após a alta hospitalar.Material e Métodos: Série de casos que inclui sobreviventes COVID-19 admitidos no Serviço de Medicina Intensiva de um Hospital Universitário. A consulta de seguimento foi realizada entre o 30º e o 90º dia após alta hospitalar. A qualidade de vida foi avaliada através do questionário EQ-5D com cinco níveis (EQ-5D-5L) e a funcionalidade através do instrumento World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) de 12 questões.Resultados: Foram incluídos 45 sobreviventes, 28 homens (62,2%), idade mediana de 63,0 anos. No questionário EQ-5D-5L 29 sobreviventes (64,4%) mostraram problemas moderados a extremos em alguma dimensão: seis (13,3%) na mobilidade, sete (13,3%) nos cuidados pessoais, 23 (51,1%) nas atividades habituais, 14 (31,1%) na dor/desconforto e 17 (37,8%) na ansiedade/depressão. No WHODAS 2.0 37 sobreviventes (82,2%) revelaram alterações funcionais moderadas a extremas em alguma questão: 19 (42,2%) em permanecer de pé por longos períodos, 18 (40,0%) em percorrer longas distâncias, 14 (31,1%) em cuidar das responsabilidades domésticas e 17 (37,8%) no dia-a-dia no trabalho; 23 (51,1%) mostraram-se emocionalmente afetados pelos seus problemas de saúde.Discussão: A avaliação dos sobreviventes COVID-19 após a doença crítica demonstra que a mobilidade, a dor/desconforto e a ansiedade/depressão são os principais problemas que persistem um a três meses após a alta hospitalar.Conclusão: O acompanhamento estruturado após alta poderá ter impacto significativo na qualidade de vida destes doentes.Ordem dos Médicos2021-08-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/16277oai:ojs.www.actamedicaportuguesa.com:article/16277Acta Médica Portuguesa; Vol. 34 No. 9 (2021): September; 601-607Acta Médica Portuguesa; Vol. 34 N.º 9 (2021): Setembro; 601-6071646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/16277https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/16277/6423https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/16277/13650https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/16277/13764Direitos de Autor (c) 2021 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessFernandes, JoanaFontes, LilianaCoimbra, IsabelPaiva, José Artur2022-12-20T11:07:47Zoai:ojs.www.actamedicaportuguesa.com:article/16277Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:20:45.930675Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Health-Related Quality of Life in Survivors of Severe COVID-19 of a University Hospital in Northern Portugal Qualidade de Vida dos Sobreviventes da COVID-19 Grave de um Hospital Universitário no Norte de Portugal |
title |
Health-Related Quality of Life in Survivors of Severe COVID-19 of a University Hospital in Northern Portugal |
spellingShingle |
Health-Related Quality of Life in Survivors of Severe COVID-19 of a University Hospital in Northern Portugal Fernandes, Joana COVID-19 Critical Care Follow-up Studies Portugal Quality of Life Survivors COVID-19 Medicina Intensiva Portugal Qualidade de Vida Seguimentos Sobreviventes |
title_short |
Health-Related Quality of Life in Survivors of Severe COVID-19 of a University Hospital in Northern Portugal |
title_full |
Health-Related Quality of Life in Survivors of Severe COVID-19 of a University Hospital in Northern Portugal |
title_fullStr |
Health-Related Quality of Life in Survivors of Severe COVID-19 of a University Hospital in Northern Portugal |
title_full_unstemmed |
Health-Related Quality of Life in Survivors of Severe COVID-19 of a University Hospital in Northern Portugal |
title_sort |
Health-Related Quality of Life in Survivors of Severe COVID-19 of a University Hospital in Northern Portugal |
author |
Fernandes, Joana |
author_facet |
Fernandes, Joana Fontes, Liliana Coimbra, Isabel Paiva, José Artur |
author_role |
author |
author2 |
Fontes, Liliana Coimbra, Isabel Paiva, José Artur |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Fernandes, Joana Fontes, Liliana Coimbra, Isabel Paiva, José Artur |
dc.subject.por.fl_str_mv |
COVID-19 Critical Care Follow-up Studies Portugal Quality of Life Survivors COVID-19 Medicina Intensiva Portugal Qualidade de Vida Seguimentos Sobreviventes |
topic |
COVID-19 Critical Care Follow-up Studies Portugal Quality of Life Survivors COVID-19 Medicina Intensiva Portugal Qualidade de Vida Seguimentos Sobreviventes |
description |
Introduction: Long-term health impairments are often experienced among survivors of critical illness, which may have a negative impact on their quality of life. The aim of this study was to characterize COVID-19 survivors of critical illness and to evaluate health-related quality of life and disability following hospital discharge.Material and Methods: This is a retrospective case-series study that included COVID-19 survivors admitted to the Intensive Care Medicine Department of a University Hospital. Follow-up evaluation was performed between the 30th and the 90th day after discharge. Quality of life was explored using the five-level version of the EQ-5D instrument (EQ-5D-5L) and functionality using the 12-question World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0).Results: Forty-five survivors were enrolled, 28 (62.2%) men, median age 63.0 years. The EQ-5D-5L questionnaire showed moderate to extreme problems in some dimension in 29 patients (64.4%): mobility in six (13.3%), self-care in seven (13.3%), usual activities in 23 (51.1%), pain/discomfort in 14 (31.1%) and anxiety/depression in 17 (37.8%). When using the 12-question WHODAS 2.0 questionnaire, moderate to extreme disability was reported in some question in 37 patients (82.2%): 19 (42.2%) in standing for long periods, 18 (40.0%) in long-distance walking; 14 (31.1%) on taking care of household responsibilities and 17 (37.8%) in their day-to-day work; 23 (51.1%) felt emotionally affected by their health problems.Discussion: Based on COVID-19 survivors-reported outcomes after critical illness, mobility, pain/discomfort, and anxiety/depression were the main problems that persisted one to three months after hospital discharge.Conclusion: An organized follow-up structure is crucial to improve health-related quality of life in critical COVID-19 survivors. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-08-31 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
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publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/16277 oai:ojs.www.actamedicaportuguesa.com:article/16277 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/16277 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/16277 |
dc.language.iso.fl_str_mv |
eng |
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eng |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/16277 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/16277/6423 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/16277/13650 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/16277/13764 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2021 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2021 Acta Médica Portuguesa |
eu_rights_str_mv |
openAccess |
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application/pdf application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 34 No. 9 (2021): September; 601-607 Acta Médica Portuguesa; Vol. 34 N.º 9 (2021): Setembro; 601-607 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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