학술논문
Impact of COVID-19 on Quality of Life After Hospital Discharge in Patients Treated With Noninvasive Ventilation/Continuous Positive Airway Pressure: An Observational, Prospective Multicenter Study.
Document Type
Article
Author
Source
Subject
*VIRAL pneumonia
*PATIENT aftercare
*HOSPITALS
*RESEARCH
*INTENSIVE care units
*COVID-19
*SCIENTIFIC observation
*PAIN
*CONTINUOUS positive airway pressure
*FUNCTIONAL status
*SELF-management (Psychology)
*CONVALESCENCE
*DISABILITY evaluation
*ARTIFICIAL respiration
*SEVERITY of illness index
*RISK assessment
*COMPARATIVE studies
*T-test (Statistics)
*CRONBACH'S alpha
*PEARSON correlation (Statistics)
*QUALITY of life
*EPIDEMICS
*HOSPITAL care
*DESCRIPTIVE statistics
*SCALE analysis (Psychology)
*ANXIETY
*INSOMNIA
*VENTILATOR weaning
*DISCHARGE planning
*LONGITUDINAL method
*COMORBIDITY
*EARLY diagnosis
*DISEASE complications
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Language
ISSN
0730-4625
Abstract
Background: COVID-19 has caused a worldwide pandemic that has significantly affected people's health and daily lives. Patients hospitalized with COVID-19 have impaired physical and psychological conditions. Despite this, few studies have examined the physical and psychological health of COVID-19 patients after discharge from the hospital. Aims: To assess the impact of COVID-19 pneumonia on quality of life and residual disability, anxiety, and insomnia at 4 and 8 months after hospital discharge in patients treated with continuous positive airway pressure and noninvasive ventilation. Methods: This is a prospective, multicenter, longitudinal observational study. The STROBE checklist was observed. We administered the Post–COVID-19 Functional Status scale to identify and objectively quantify the degree of residual disability and the impact on the patient's functional status. Simultaneously, we used the EuroQOL-5D scale to measure the quality of life, the 7-item Generalized Anxiety Disorder Scale to monitor anxiety, and the Insomnia Severity Index to monitor insomnia. Results: The study enrolled 199 patients 4 months after discharge; 145 completed the 8-month follow-up. The quality of life, insomnia, pain, and movement ability seem to worsen over time in our cohort of patients. The quality of life deteriorated significantly between 4 and 8 months after discharge especially in terms of mobility (27.6% of the patients interviewed) and pain (31% of the patients interviewed). There was a significant correlation between COVID-19 symptoms and comorbidities present at admission and inadequate quality-of-life perception. Discussion: The recognition of early signs and symptoms in patients who have already experienced COVID-19 disease is essential for early detection and prevention of chronicity. Health care professionals need to pay more attention to the physical and psychological rehabilitation of COVID-19 patients after hospital discharge. To determine the long-term impacts of COVID-19, a long-term follow-up of COVID-19 patients after discharge is required. [ABSTRACT FROM AUTHOR]