General practice attendances among patients attending a post-COVID-19 hospital clinic: A pilot study

ABSTRACT

Background: About 10-35% of people with COVID-19 merit medical care within 3 weeks of infection. However, the prevalence of ongoing care needs among individuals experiencing severe COVID-19 illness is unclear. Research question What is the prevalence of ongoing care needs among severe COVID-19 patients? Methods: This pilot study applied a cross-sectional design whereby data was collected from adult patients attending a post-COVID-19 follow-up clinic at the Mater Misericordiae University Hospital, Dublin, Ireland, 3-6 months after their initial presentation at the clinic. Participants completed questionnaires documenting their demographics, medical histories, hospital admissions/re-admissions where applicable, and where relevant, primary care service use following hospital discharge. Analyses were conducted using descriptive/inferential statistics. Results: Participants' (n=153) median age =43.5 (IQR =30.9-52.1). There were 105 females (68.6%) and 48 males (31.4%). Various medical histories were reported among participants. 67 (43.2%) reported being admitted to the hospital for COVID-19. Older individuals, males, ICU admissions, and re-admissions were common among hospital attendees. Of the hospital attendees, 16 (24%, 95% CI =13.7-34.2%) and 26 (39%, 95% CI =27.3-50.7%) attended general practices within seven and 30 days of hospital discharge. Older adults (median age =49.8 years), people with pre-existing medical conditions, and individuals admitted to ICU/readmitted to hospital were common among general practice attendees. Conclusion: Persistent health issues appear to be common among patients who experienced severe COVID-19 illness. Older adults, people with pre-existing health problems, and individuals who received ICU and/or re-admission care may have greater long-term care needs requiring attention.