FUNCTIONAL AND PSYCHOSOCIAL OUTCOMES ON PATIENTS WITH MODERATE-TO-SEVERE COVID-19 DISEASES: A POST-HOSPITALIZATION FOLLOW-UP STUDY
Intro: COVID-19 survivors suffer from variable limitations affecting their quality of life. We examined the functional and psychosocial outcomes among COVID-19 patients with moderate-to-severe diseases by three months post-hospitalization. Methods: This retrospective cohort study included 510 COVID-...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-05-01
|
| Series: | International Journal of Infectious Diseases |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1201971223005003 |
| _version_ | 1797824535677894656 |
|---|---|
| author | C.P. Hor L.K. Teo H.X. Wang Y.J. Teoh T.L. Chong C.H. Yen N. Abdul Mutalib J.T. Cheng |
| author_facet | C.P. Hor L.K. Teo H.X. Wang Y.J. Teoh T.L. Chong C.H. Yen N. Abdul Mutalib J.T. Cheng |
| author_sort | C.P. Hor |
| collection | DOAJ |
| description | Intro: COVID-19 survivors suffer from variable limitations affecting their quality of life. We examined the functional and psychosocial outcomes among COVID-19 patients with moderate-to-severe diseases by three months post-hospitalization. Methods: This retrospective cohort study included 510 COVID-19 patients admitted to Kepala Batas Hospital with moderate-to-severe diseases, requiring oxygen therapy during hospitalization (Malaysia COVID-19 severity category ≥5; WHO scale ≥5), between January and August 2021. We followed up with telephone surveillances by 90 days post-discharge from the hospital, assessing their performance in activities of daily living and psychosocial implications. Relevant clinical data were extracted from medical records. We compared patients with low (<10L/ min) versus higher (≥10L/min) oxygen requirements on the patient-reported outcome variables. Findings: Among 441 survivors (86.5%), half (n=223, 50.6%) were male, with a relatively young population with a mean age of 50.2 (13.73) years. Only 17.9% were partially vaccinated and 5.7% had complete vaccination before hospitalization. Nearly 70% were supplemented with nasal prong or face mask oxygenation (<10L/ min), 26.1% received high flow oxygenation and 4.1% were mechanically ventilated. By 90-day follow-up, >90% had their functionality returned to baseline before hospitalization. Only 1.6% required home oxygen supplementation. Compared with their baseline functionality, 4.8% were unable to perform basic household chores, 4.1% required assistance in mobilization and 2.5% became fully dependent on caretakers. Among 254 patients returning to work, 98% worked in the same institution but 18.9% required job scope adjustments. About 7.7% experienced post-covid stigma at home and/or work, 3,9% suffered from depression 5.7% became self-isolated and 0.9% had suicidal ideation or attempts. Functional and psychosocial outcomes were similar between patients with low and higher oxygen requirements (all p>0.05). Conclusion: Despite fair recovery outcomes reported by survivors with moderate-to-severe disease, a small proportion suffered from significant functional limitations and psychosocial adversity. Post-hospitalization care is essential to screen-detect post-COVID complications and provide timely interventions. |
| first_indexed | 2024-03-13T10:40:25Z |
| format | Article |
| id | doaj.art-ce0b501f4b2d41f98a27d377bbe12123 |
| institution | Directory Open Access Journal |
| issn | 1201-9712 |
| language | English |
| last_indexed | 2024-03-13T10:40:25Z |
| publishDate | 2023-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Infectious Diseases |
| spelling | doaj.art-ce0b501f4b2d41f98a27d377bbe121232023-05-18T04:39:11ZengElsevierInternational Journal of Infectious Diseases1201-97122023-05-01130S150S151FUNCTIONAL AND PSYCHOSOCIAL OUTCOMES ON PATIENTS WITH MODERATE-TO-SEVERE COVID-19 DISEASES: A POST-HOSPITALIZATION FOLLOW-UP STUDYC.P. Hor0L.K. Teo1H.X. Wang2Y.J. Teoh3T.L. Chong4C.H. Yen5N. Abdul Mutalib6J.T. Cheng7Kepala Batas Hospital, Department of Medicine, Kepala Batas, MalaysiaPulau Pinang Hospital, Clinical Research Centre, George Town, MalaysiaKepala Batas Hospital, Department of Medicine, Kepala Batas, MalaysiaKepala Batas Hospital, Department of Pharmacy, Kepala Batas, MalaysiaKepala Batas Hospital, Department of Medicine, Kepala Batas, MalaysiaQueen Elizabeth II Hospital, Clinical Research Centre, Kota Kinabalu, MalaysiaKepala Batas Hospital, Health Management Unit, Kepala Batas, MalaysiaKepala Batas Hospital, Department of Medicine, Kepala Batas, MalaysiaIntro: COVID-19 survivors suffer from variable limitations affecting their quality of life. We examined the functional and psychosocial outcomes among COVID-19 patients with moderate-to-severe diseases by three months post-hospitalization. Methods: This retrospective cohort study included 510 COVID-19 patients admitted to Kepala Batas Hospital with moderate-to-severe diseases, requiring oxygen therapy during hospitalization (Malaysia COVID-19 severity category ≥5; WHO scale ≥5), between January and August 2021. We followed up with telephone surveillances by 90 days post-discharge from the hospital, assessing their performance in activities of daily living and psychosocial implications. Relevant clinical data were extracted from medical records. We compared patients with low (<10L/ min) versus higher (≥10L/min) oxygen requirements on the patient-reported outcome variables. Findings: Among 441 survivors (86.5%), half (n=223, 50.6%) were male, with a relatively young population with a mean age of 50.2 (13.73) years. Only 17.9% were partially vaccinated and 5.7% had complete vaccination before hospitalization. Nearly 70% were supplemented with nasal prong or face mask oxygenation (<10L/ min), 26.1% received high flow oxygenation and 4.1% were mechanically ventilated. By 90-day follow-up, >90% had their functionality returned to baseline before hospitalization. Only 1.6% required home oxygen supplementation. Compared with their baseline functionality, 4.8% were unable to perform basic household chores, 4.1% required assistance in mobilization and 2.5% became fully dependent on caretakers. Among 254 patients returning to work, 98% worked in the same institution but 18.9% required job scope adjustments. About 7.7% experienced post-covid stigma at home and/or work, 3,9% suffered from depression 5.7% became self-isolated and 0.9% had suicidal ideation or attempts. Functional and psychosocial outcomes were similar between patients with low and higher oxygen requirements (all p>0.05). Conclusion: Despite fair recovery outcomes reported by survivors with moderate-to-severe disease, a small proportion suffered from significant functional limitations and psychosocial adversity. Post-hospitalization care is essential to screen-detect post-COVID complications and provide timely interventions.http://www.sciencedirect.com/science/article/pii/S1201971223005003 |
| spellingShingle | C.P. Hor L.K. Teo H.X. Wang Y.J. Teoh T.L. Chong C.H. Yen N. Abdul Mutalib J.T. Cheng FUNCTIONAL AND PSYCHOSOCIAL OUTCOMES ON PATIENTS WITH MODERATE-TO-SEVERE COVID-19 DISEASES: A POST-HOSPITALIZATION FOLLOW-UP STUDY International Journal of Infectious Diseases |
| title | FUNCTIONAL AND PSYCHOSOCIAL OUTCOMES ON PATIENTS WITH MODERATE-TO-SEVERE COVID-19 DISEASES: A POST-HOSPITALIZATION FOLLOW-UP STUDY |
| title_full | FUNCTIONAL AND PSYCHOSOCIAL OUTCOMES ON PATIENTS WITH MODERATE-TO-SEVERE COVID-19 DISEASES: A POST-HOSPITALIZATION FOLLOW-UP STUDY |
| title_fullStr | FUNCTIONAL AND PSYCHOSOCIAL OUTCOMES ON PATIENTS WITH MODERATE-TO-SEVERE COVID-19 DISEASES: A POST-HOSPITALIZATION FOLLOW-UP STUDY |
| title_full_unstemmed | FUNCTIONAL AND PSYCHOSOCIAL OUTCOMES ON PATIENTS WITH MODERATE-TO-SEVERE COVID-19 DISEASES: A POST-HOSPITALIZATION FOLLOW-UP STUDY |
| title_short | FUNCTIONAL AND PSYCHOSOCIAL OUTCOMES ON PATIENTS WITH MODERATE-TO-SEVERE COVID-19 DISEASES: A POST-HOSPITALIZATION FOLLOW-UP STUDY |
| title_sort | functional and psychosocial outcomes on patients with moderate to severe covid 19 diseases a post hospitalization follow up study |
| url | http://www.sciencedirect.com/science/article/pii/S1201971223005003 |
| work_keys_str_mv | AT cphor functionalandpsychosocialoutcomesonpatientswithmoderatetoseverecovid19diseasesaposthospitalizationfollowupstudy AT lkteo functionalandpsychosocialoutcomesonpatientswithmoderatetoseverecovid19diseasesaposthospitalizationfollowupstudy AT hxwang functionalandpsychosocialoutcomesonpatientswithmoderatetoseverecovid19diseasesaposthospitalizationfollowupstudy AT yjteoh functionalandpsychosocialoutcomesonpatientswithmoderatetoseverecovid19diseasesaposthospitalizationfollowupstudy AT tlchong functionalandpsychosocialoutcomesonpatientswithmoderatetoseverecovid19diseasesaposthospitalizationfollowupstudy AT chyen functionalandpsychosocialoutcomesonpatientswithmoderatetoseverecovid19diseasesaposthospitalizationfollowupstudy AT nabdulmutalib functionalandpsychosocialoutcomesonpatientswithmoderatetoseverecovid19diseasesaposthospitalizationfollowupstudy AT jtcheng functionalandpsychosocialoutcomesonpatientswithmoderatetoseverecovid19diseasesaposthospitalizationfollowupstudy |