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J Med Virol ; 93(2): 1013-1022, 2021 02.
Article in English | MEDLINE | ID: covidwho-1196432

ABSTRACT

BACKGROUND: There is currently very limited information on the nature and prevalence of post-COVID-19 symptoms after hospital discharge. METHODS: A purposive sample of 100 survivors discharged from a large University hospital were assessed 4 to 8 weeks after discharge by a multidisciplinary team of rehabilitation professionals using a specialist telephone screening tool designed to capture symptoms and impact on daily life. EQ-5D-5L telephone version was also completed. RESULTS: Participants were between 29 and 71 days (mean 48 days) postdischarge from hospital. Thirty-two participants required treatment in intensive care unit (ICU group) and 68 were managed in hospital wards without needing ICU care (ward group). New illness-related fatigue was the most common reported symptom by 72% participants in ICU group and 60.3% in ward group. The next most common symptoms were breathlessness (65.6% in ICU group and 42.6% in ward group) and psychological distress (46.9% in ICU group and 23.5% in ward group). There was a clinically significant drop in EQ5D in 68.8% in ICU group and in 45.6% in ward group. CONCLUSIONS: This is the first study from the United Kingdom reporting on postdischarge symptoms. We recommend planning rehabilitation services to manage these symptoms appropriately and maximize the functional return of COVID-19 survivors.


Subject(s)
COVID-19/complications , COVID-19/rehabilitation , Patient Discharge/statistics & numerical data , Survivors/statistics & numerical data , Adult , Aged , Aged, 80 and over , COVID-19/epidemiology , Critical Care , Cross-Sectional Studies , Female , Hospitals, University/statistics & numerical data , Humans , Male , Middle Aged , Prevalence , United Kingdom/epidemiology , Young Adult
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