Remote Assessment of Quality of Life and Functional Exercise Capacity in a Cohort of COVID-19 Patients One Year after Hospitalization (TELECOVID)
Studies have reported persistent symptoms in patients hospitalized for COVID-19 up to 6 months post-discharge; however, sequalae beyond 6 months are unknown. This study aimed to investigate the clinical status of COVID-19 patients one year after hospital discharge and describe the factors related to...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-02-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/4/905 |
| _version_ | 1797479157394833408 |
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| author | Yann Combret Geoffrey Kerné Flore Pholoppe Benjamin Tonneville Laure Plate Marie-Hélène Marques Helena Brunel Guillaume Prieur Clément Medrinal |
| author_facet | Yann Combret Geoffrey Kerné Flore Pholoppe Benjamin Tonneville Laure Plate Marie-Hélène Marques Helena Brunel Guillaume Prieur Clément Medrinal |
| author_sort | Yann Combret |
| collection | DOAJ |
| description | Studies have reported persistent symptoms in patients hospitalized for COVID-19 up to 6 months post-discharge; however, sequalae beyond 6 months are unknown. This study aimed to investigate the clinical status of COVID-19 patients one year after hospital discharge and describe the factors related to poor outcomes. We conducted a single-center, prospective, cohort study of patients in Le Havre hospital (France) between 1 March 2020 and 11 May 2020. Baseline characteristics were collected from medical charts (including KATZ index and Clinical Frailty scale (CFS)), and a remote assessment was conducted 12 months after discharge. The main outcomes were the scores of the physical and mental components (PCS and MCS) of the Short-Form 36 (SF-36) and performance on the one-minute sit-to-stand test (STST1′). Scores <50% of the predicted values were considered as poor, and univariate and multivariate analyses were undertaken to investigate factors related to poor outcomes. Remote assessment was performed for 128 of the 157 (82%) eligible patients. Twenty-two patients were admitted to the intensive care unit (ICU), 45 to the intermediate care unit (IU), and 61 to the general ward (GW). Patients who spent time in ICU were more independent and younger. A large proportion of the sample had poor physical (30%) and mental health (27%) and a poor functional exercise capacity (33%) at the remote assessment. Higher levels of frailty at admission and hospital discharge were, respectively, associated with a higher risk of poor functional exercise capacity (StdOR 3.64 (95%CI 1.39–10.72); <i>p</i> = 0.01) and a higher risk of poor mental health (StdOR 2.81 (95%CI 1.17–7.45); <i>p</i> = 0.03). Long-term outcomes following hospitalization for COVID-19 infection may be negative for at least one year after discharge. Remote follow-up assessment could be highly beneficial for COVID-19 patients. |
| first_indexed | 2024-03-09T21:41:55Z |
| format | Article |
| id | doaj.art-2d14cedb90934387865654762de4fd9b |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T21:41:55Z |
| publishDate | 2022-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-2d14cedb90934387865654762de4fd9b2023-11-23T20:28:41ZengMDPI AGJournal of Clinical Medicine2077-03832022-02-0111490510.3390/jcm11040905Remote Assessment of Quality of Life and Functional Exercise Capacity in a Cohort of COVID-19 Patients One Year after Hospitalization (TELECOVID)Yann Combret0Geoffrey Kerné1Flore Pholoppe2Benjamin Tonneville3Laure Plate4Marie-Hélène Marques5Helena Brunel6Guillaume Prieur7Clément Medrinal8Physiotherapy Department, Le Havre Hospital, F-76600 Le Havre, FrancePhysiotherapy Department, Le Havre Hospital, F-76600 Le Havre, FrancePhysiotherapy Department, Le Havre Hospital, F-76600 Le Havre, FrancePhysiotherapy Department, Le Havre Hospital, F-76600 Le Havre, FrancePhysiotherapy Department, Le Havre Hospital, F-76600 Le Havre, FrancePulmonology Department, Le Havre Hospital, F-76600 Le Havre, FranceSaint Michel School of Physiotherapy, Paris-Saclay University, F-75015 Paris, FrancePhysiotherapy Department, Le Havre Hospital, F-76600 Le Havre, FrancePhysiotherapy Department, Le Havre Hospital, F-76600 Le Havre, FranceStudies have reported persistent symptoms in patients hospitalized for COVID-19 up to 6 months post-discharge; however, sequalae beyond 6 months are unknown. This study aimed to investigate the clinical status of COVID-19 patients one year after hospital discharge and describe the factors related to poor outcomes. We conducted a single-center, prospective, cohort study of patients in Le Havre hospital (France) between 1 March 2020 and 11 May 2020. Baseline characteristics were collected from medical charts (including KATZ index and Clinical Frailty scale (CFS)), and a remote assessment was conducted 12 months after discharge. The main outcomes were the scores of the physical and mental components (PCS and MCS) of the Short-Form 36 (SF-36) and performance on the one-minute sit-to-stand test (STST1′). Scores <50% of the predicted values were considered as poor, and univariate and multivariate analyses were undertaken to investigate factors related to poor outcomes. Remote assessment was performed for 128 of the 157 (82%) eligible patients. Twenty-two patients were admitted to the intensive care unit (ICU), 45 to the intermediate care unit (IU), and 61 to the general ward (GW). Patients who spent time in ICU were more independent and younger. A large proportion of the sample had poor physical (30%) and mental health (27%) and a poor functional exercise capacity (33%) at the remote assessment. Higher levels of frailty at admission and hospital discharge were, respectively, associated with a higher risk of poor functional exercise capacity (StdOR 3.64 (95%CI 1.39–10.72); <i>p</i> = 0.01) and a higher risk of poor mental health (StdOR 2.81 (95%CI 1.17–7.45); <i>p</i> = 0.03). Long-term outcomes following hospitalization for COVID-19 infection may be negative for at least one year after discharge. Remote follow-up assessment could be highly beneficial for COVID-19 patients.https://www.mdpi.com/2077-0383/11/4/905COVID-19functional exercise capacityhealth-related quality of liferemote assessment |
| spellingShingle | Yann Combret Geoffrey Kerné Flore Pholoppe Benjamin Tonneville Laure Plate Marie-Hélène Marques Helena Brunel Guillaume Prieur Clément Medrinal Remote Assessment of Quality of Life and Functional Exercise Capacity in a Cohort of COVID-19 Patients One Year after Hospitalization (TELECOVID) Journal of Clinical Medicine COVID-19 functional exercise capacity health-related quality of life remote assessment |
| title | Remote Assessment of Quality of Life and Functional Exercise Capacity in a Cohort of COVID-19 Patients One Year after Hospitalization (TELECOVID) |
| title_full | Remote Assessment of Quality of Life and Functional Exercise Capacity in a Cohort of COVID-19 Patients One Year after Hospitalization (TELECOVID) |
| title_fullStr | Remote Assessment of Quality of Life and Functional Exercise Capacity in a Cohort of COVID-19 Patients One Year after Hospitalization (TELECOVID) |
| title_full_unstemmed | Remote Assessment of Quality of Life and Functional Exercise Capacity in a Cohort of COVID-19 Patients One Year after Hospitalization (TELECOVID) |
| title_short | Remote Assessment of Quality of Life and Functional Exercise Capacity in a Cohort of COVID-19 Patients One Year after Hospitalization (TELECOVID) |
| title_sort | remote assessment of quality of life and functional exercise capacity in a cohort of covid 19 patients one year after hospitalization telecovid |
| topic | COVID-19 functional exercise capacity health-related quality of life remote assessment |
| url | https://www.mdpi.com/2077-0383/11/4/905 |
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