Quality of Life 3 and 6 Months in SARS-CoV-2 Survivors Treated in an Advanced Respiratory Care Unit: Analysis from a Prospective Portuguese Cohort Study
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.24950/rspmi.1653 |
Resumo: | Introduction: Mid- and long-term health effects of SARS-CoV-2 infection have been increasingly recognised. Our goal was to evaluate health-related quality of life in critically ill patients,treated in a non-ICU setting, and associated factors with poor outcomes. Methods: Health-related quality of life in SARS-CoV-2 survivorswas evaluated 3 and 6 months after discharge, using St. George's Respiratory Questionnaire and EuroQoL 5-Dimension3-Level. Anxiety, depression, and post-traumatic stress disorder prevalence was accessed at both visits. Patients with normal or significant improvement on St. George's Respiratory Questionnaire (group 1) were compared to those who did not improve (group 2) at 6 months. Results: 117 patients were analysed. Median age was 64 years and 61.5% were male. Between T3 and T6 was observed a reduction in total and specific domain scores of St. George'sRespiratory Questionnaire (p <0.001). Longitudinal improvement was observed in mobility domain (p = 0.029) and Visual Analogic Scale (p = 0.006) of EuroQoL 5-Dimension 3-Level. Rates of anxiety, depression, and post-traumatic stress disorder decline over time (p <0.05). After 6 months, 4.3% of participants have not return to work and 23% were in group 2. Group 2 had worst results in St. George's Respiratory Questionnaire (p <0.001); and in mobility (p = 0.002), self-care (p <0.001), and usual activities (p = 0.014) of EuroQoL 5-Dimension 3-Level domains. Logistic regression comparing groups 1 and 2 did not find association between outcomes and age, gender, comorbidities, length of stay, do not intubate order, worst PaO2/FiO2 during hospitalization and respiratory support technique. Conclusion: Several domains of health-related quality of life seem to be impaired after SARS-CoV-2 severe infection but improvement seems to be the rule for most patients. |
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Quality of Life 3 and 6 Months in SARS-CoV-2 Survivors Treated in an Advanced Respiratory Care Unit: Analysis from a Prospective Portuguese Cohort StudyQualidade de Vida aos 3 e 6 Meses em Sobreviventes de Infeção SARS-CoV-2 Tratados em Enfermaria Respiratória Avançada: Análise de um Estudo de Coorte Prospetivo PortuguêsCOVID-19Cuidados CríticosPortugalQualidade de VidaSaúde MentalCOVID-19Critical CareMental HealthPortugalQuality of LifeIntroduction: Mid- and long-term health effects of SARS-CoV-2 infection have been increasingly recognised. Our goal was to evaluate health-related quality of life in critically ill patients,treated in a non-ICU setting, and associated factors with poor outcomes. Methods: Health-related quality of life in SARS-CoV-2 survivorswas evaluated 3 and 6 months after discharge, using St. George's Respiratory Questionnaire and EuroQoL 5-Dimension3-Level. Anxiety, depression, and post-traumatic stress disorder prevalence was accessed at both visits. Patients with normal or significant improvement on St. George's Respiratory Questionnaire (group 1) were compared to those who did not improve (group 2) at 6 months. Results: 117 patients were analysed. Median age was 64 years and 61.5% were male. Between T3 and T6 was observed a reduction in total and specific domain scores of St. George'sRespiratory Questionnaire (p <0.001). Longitudinal improvement was observed in mobility domain (p = 0.029) and Visual Analogic Scale (p = 0.006) of EuroQoL 5-Dimension 3-Level. Rates of anxiety, depression, and post-traumatic stress disorder decline over time (p <0.05). After 6 months, 4.3% of participants have not return to work and 23% were in group 2. Group 2 had worst results in St. George's Respiratory Questionnaire (p <0.001); and in mobility (p = 0.002), self-care (p <0.001), and usual activities (p = 0.014) of EuroQoL 5-Dimension 3-Level domains. Logistic regression comparing groups 1 and 2 did not find association between outcomes and age, gender, comorbidities, length of stay, do not intubate order, worst PaO2/FiO2 during hospitalization and respiratory support technique. Conclusion: Several domains of health-related quality of life seem to be impaired after SARS-CoV-2 severe infection but improvement seems to be the rule for most patients.Introdução: Os efeitos na saúde a médio e longo prazo da infeção por SARS-CoV-2 têm sido cada vez mais reconhecidos. O nosso objetivo foi avaliar a qualidade de vida associada à saúde em doentes críticos tratados em enfermaria avançada e determinar fatores associados a maus resultados. Métodos: A qualidade de vida associada à saúde em doentes SARS-CoV-2 foi avaliada 3 e 6 meses após a alta, através do Questionário Respiratório de Saint George e o EuroQoL 5-dimensões 3-níveis. A prevalência de ansiedade, depressão e stress pós-traumático foi avaliado nas duas visitas. Doentes com questionário Respiratório de Saint George normal ou com melhoria significativa (grupo 1) foram comparados com os que não melhoraram (grupo 2) aos 6 meses. Resultados: Cento e dezassete doentes foram avaliados. A mediana de idades foi 64 anos e 61,5% eram homens. Entre T3 e T6 foi observada redução no score total e domínios específicos do Questionário Respiratório de Saint George (p <0,001). Melhoria longitudinal foi observada no domínio da mobilidade (p = 0,029) e na Escala Visual Analógica (p = 0,006) do EuroQoL 5-dimensões 3-níveis. A prevalência de ansiedade, depressão e stress pós-traumático reduziram ao longo do tempo (p <0,05). Após 6 meses, 4,3% dos doentes não tinham retomado ao trabalho e 23% estavam no grupo 2. O grupo 2 teve piores resultados no Questionário Respiratório de Saint George (<0,001); e nos domínios da mobilidade (p = 0,002), autocuidado (p <0,001) e atividades habituais (p = 0,014) do EuroQoL 5-dimensões 3-níveis. A regressão logística efetuada para comparar os grupos 1 e 2 não identificou associação entre os resultados e a idade, género, comorbilidades, demora média, ordem de não intubação, pior PaO2/FiO2 durante a hospitalização e técnica de suporte respiratório. Conclusão: Vários domínios na qualidade de vida associada à saúde parecem ser afetados após uma infeção grave por SARS-CoV-2 mas a melhoria parece ser a norma para a maioria dos doentes.Sociedade Portuguesa de Medicina Interna2023-09-27info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.24950/rspmi.1653https://doi.org/10.24950/rspmi.1653Internal Medicine; Vol. 30 No. 3 (2023): Julho/Setembro; 163-172Medicina Interna; Vol. 30 N.º 3 (2023): Julho/Setembro; 163-1722183-99800872-671Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revista.spmi.pt/index.php/rpmi/article/view/1653https://revista.spmi.pt/index.php/rpmi/article/view/1653/1778Direitos de Autor (c) 2023 Medicina Internainfo:eu-repo/semantics/openAccessMeireles, MarianaSilva, BárbaraCosta, FátimaSeabra, CarolinaRolo, AndréGuimarães, Teresa C.HelenaCastro, Alice2023-10-28T06:24:54Zoai:oai.revista.spmi.pt:article/1653Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:31:49.179091Repositório 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 |
Quality of Life 3 and 6 Months in SARS-CoV-2 Survivors Treated in an Advanced Respiratory Care Unit: Analysis from a Prospective Portuguese Cohort Study Qualidade de Vida aos 3 e 6 Meses em Sobreviventes de Infeção SARS-CoV-2 Tratados em Enfermaria Respiratória Avançada: Análise de um Estudo de Coorte Prospetivo Português |
title |
Quality of Life 3 and 6 Months in SARS-CoV-2 Survivors Treated in an Advanced Respiratory Care Unit: Analysis from a Prospective Portuguese Cohort Study |
spellingShingle |
Quality of Life 3 and 6 Months in SARS-CoV-2 Survivors Treated in an Advanced Respiratory Care Unit: Analysis from a Prospective Portuguese Cohort Study Meireles, Mariana COVID-19 Cuidados Críticos Portugal Qualidade de Vida Saúde Mental COVID-19 Critical Care Mental Health Portugal Quality of Life |
title_short |
Quality of Life 3 and 6 Months in SARS-CoV-2 Survivors Treated in an Advanced Respiratory Care Unit: Analysis from a Prospective Portuguese Cohort Study |
title_full |
Quality of Life 3 and 6 Months in SARS-CoV-2 Survivors Treated in an Advanced Respiratory Care Unit: Analysis from a Prospective Portuguese Cohort Study |
title_fullStr |
Quality of Life 3 and 6 Months in SARS-CoV-2 Survivors Treated in an Advanced Respiratory Care Unit: Analysis from a Prospective Portuguese Cohort Study |
title_full_unstemmed |
Quality of Life 3 and 6 Months in SARS-CoV-2 Survivors Treated in an Advanced Respiratory Care Unit: Analysis from a Prospective Portuguese Cohort Study |
title_sort |
Quality of Life 3 and 6 Months in SARS-CoV-2 Survivors Treated in an Advanced Respiratory Care Unit: Analysis from a Prospective Portuguese Cohort Study |
author |
Meireles, Mariana |
author_facet |
Meireles, Mariana Silva, Bárbara Costa, Fátima Seabra, Carolina Rolo, André Guimarães, Teresa C. Helena Castro, Alice |
author_role |
author |
author2 |
Silva, Bárbara Costa, Fátima Seabra, Carolina Rolo, André Guimarães, Teresa C. Helena Castro, Alice |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Meireles, Mariana Silva, Bárbara Costa, Fátima Seabra, Carolina Rolo, André Guimarães, Teresa C. Helena Castro, Alice |
dc.subject.por.fl_str_mv |
COVID-19 Cuidados Críticos Portugal Qualidade de Vida Saúde Mental COVID-19 Critical Care Mental Health Portugal Quality of Life |
topic |
COVID-19 Cuidados Críticos Portugal Qualidade de Vida Saúde Mental COVID-19 Critical Care Mental Health Portugal Quality of Life |
description |
Introduction: Mid- and long-term health effects of SARS-CoV-2 infection have been increasingly recognised. Our goal was to evaluate health-related quality of life in critically ill patients,treated in a non-ICU setting, and associated factors with poor outcomes. Methods: Health-related quality of life in SARS-CoV-2 survivorswas evaluated 3 and 6 months after discharge, using St. George's Respiratory Questionnaire and EuroQoL 5-Dimension3-Level. Anxiety, depression, and post-traumatic stress disorder prevalence was accessed at both visits. Patients with normal or significant improvement on St. George's Respiratory Questionnaire (group 1) were compared to those who did not improve (group 2) at 6 months. Results: 117 patients were analysed. Median age was 64 years and 61.5% were male. Between T3 and T6 was observed a reduction in total and specific domain scores of St. George'sRespiratory Questionnaire (p <0.001). Longitudinal improvement was observed in mobility domain (p = 0.029) and Visual Analogic Scale (p = 0.006) of EuroQoL 5-Dimension 3-Level. Rates of anxiety, depression, and post-traumatic stress disorder decline over time (p <0.05). After 6 months, 4.3% of participants have not return to work and 23% were in group 2. Group 2 had worst results in St. George's Respiratory Questionnaire (p <0.001); and in mobility (p = 0.002), self-care (p <0.001), and usual activities (p = 0.014) of EuroQoL 5-Dimension 3-Level domains. Logistic regression comparing groups 1 and 2 did not find association between outcomes and age, gender, comorbidities, length of stay, do not intubate order, worst PaO2/FiO2 during hospitalization and respiratory support technique. Conclusion: Several domains of health-related quality of life seem to be impaired after SARS-CoV-2 severe infection but improvement seems to be the rule for most patients. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-09-27 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.24950/rspmi.1653 https://doi.org/10.24950/rspmi.1653 |
url |
https://doi.org/10.24950/rspmi.1653 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revista.spmi.pt/index.php/rpmi/article/view/1653 https://revista.spmi.pt/index.php/rpmi/article/view/1653/1778 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2023 Medicina Interna info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos de Autor (c) 2023 Medicina Interna |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Medicina Interna |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Medicina Interna |
dc.source.none.fl_str_mv |
Internal Medicine; Vol. 30 No. 3 (2023): Julho/Setembro; 163-172 Medicina Interna; Vol. 30 N.º 3 (2023): Julho/Setembro; 163-172 2183-9980 0872-671X 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 |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799133586569297920 |