Patient-related outcomes in patients referred to a respiratory clinic with persisting symptoms following non-hospitalised COVID-19

Survivors of COVID-19 can present with varied and persisting symptoms, regardless of hospitalisation. We describe the ongoing symptoms, quality of life and return to work status in a cohort of non-hospitalised COVID-19 survivors with persisting respiratory symptoms presenting to clinic, who consented and completed patient-reported outcome measures. We identified fatigue, reduced quality of life and dysregulated breathing alongside the breathlessness. Those with co-existent fatigue had worse mood and quality of life and were less likely to have returned to normal working arrangements compared to those without fatigue. For non-hospitalised people with persisting symptoms following COVID-19 referred to a respiratory assessment clinic, there was a need for a wider holistic assessment, including return to work strategies.

1. Evans, RA, McAuley, H, Harrison, EM, et al. Physical, cognitive and mental health impacts of COVID-19 following hospitalisation – a multi-centre prospective cohort study. Lancet Respir Med 2021; 9: 1275–1287.
Google Scholar | Crossref | Medline2. Office for National Statistics . Prevalence of ongoing symptoms following coronavirus (COVID-19) infection in the UK. 4 June 2021. https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/conditionsanddiseases/bulletins/prevalenceofongoingsymptomsfollowingcoronaviruscovid19infectionintheuk/4june2021
Google Scholar3. Heightman, M, Prashar, J, Hillman, TE, et al. Post-COVID assessment in a specialist clinical service: a 12-month, single-centre analysis of symptoms and healthcare needs in 1325 individuals. medRxiv 2021. DOI: 10.1101/2021.05.25.21257730.
Google Scholar | Crossref4. Fletcher, CM, Elmes, PC, Fairbairn, MB et al. The significance of respiratory symptoms and the diagnosis of chronic bronchitis in a working population. Br Med J 1959; 2: 257–266
Google Scholar | Crossref | Medline5. Van Dixhoorn, J, Duivenvoorden, HJ. Efficacy of Nijmegen Questionnaire in recognition of the hyperventilation syndrome. J Psychosom Res 1985; 29(2): 199–206
Google Scholar | Crossref | Medline6. Cella, M, Chalder, T. Measuring fatigue in clinical and community settings. J Psychosomatic Res 2010; 69: 17–22.
Google Scholar | Crossref | Medline7. Baig, AM . Chronic COVID syndrome: need for an appropriate medical terminology for long-COVID and COVID long-haulers. J Med Virol 2021; 93: 2555–2556.
Google Scholar | Crossref | Medline8. Mendal, S, Barnett, J, Brill, SE, et al. ‘Long-COVID’: a cross-sectional study of persisting symptoms, biomarker and imaging abnormalities following hospitalisation for COVID-19. Thorax 2020; 76: thoraxjnl-2020-215818.
Google Scholar9. Huang, C, Huang, L, Wang, Y, et al. 6-month consequences of COVID-19 in patients discharged from hospital: a cohort study. Lancet 2021; 397: 220–232.
Google Scholar | Crossref | Medline10. Petersen, MS, Kristiansen, MF, Hanusson, KD, et al. Long COVID in the Faroe Islands - a longitudinal study among non-hospitalized patients. Clin Infect Dis 2021; 73: e4058–e4063.
Google Scholar | Crossref | Medline11. Augustin, M, Schommers, P, Stecher, M, et al. Post-COVID syndrome in non-hospitalised patients with COVID-19: a longitudinal prospective cohort study. Lancet Regional Health 2021; 6: 100122.
Google Scholar | Crossref | Medline12. Naidu, SB, Shah, AJ, Saigal, A, et al. The high mental health burden of “Long COVID” and its association with on-going physical and respiratory symptoms in all adults discharged from hospital. ERJ 2021; 57: 2004364.
Google Scholar | Crossref13. NICE . COVID-19 rapid guideline: managing the long-term effects of COVID-19 (NG188). 11 June 2021. https://www.nice.org.uk/guidance/ng188
Google Scholar

留言 (0)

沒有登入
gif