In:
BMJ Open Respiratory Research, BMJ, Vol. 10, No. 1 ( 2023-07), p. e001647-
Abstract:
Identify prevalence of self-reported swallow, communication, voice and cognitive compromise following hospitalisation for COVID-19. Design Multicentre prospective observational cohort study using questionnaire data at visit 1 (2–7 months post discharge) and visit 2 (10–14 months post discharge) from hospitalised patients in the UK. Lasso logistic regression analysis was undertaken to identify associations. Setting 64 UK acute hospital Trusts. Participants Adults aged 〉 18 years, discharged from an admissions unit or ward at a UK hospital with COVID-19. Main outcome measures Self-reported swallow, communication, voice and cognitive compromise. Results Compromised swallowing post intensive care unit (post-ICU) admission was reported in 20% (188/955); 60% with swallow problems received invasive mechanical ventilation and were more likely to have undergone proning (p=0.039). Voice problems were reported in 34% (319/946) post-ICU admission who were more likely to have received invasive (p 〈 0.001) or non-invasive ventilation (p=0.001) and to have been proned (p 〈 0.001). Communication compromise was reported in 23% (527/2275) univariable analysis identified associations with younger age (p 〈 0.001), female sex (p 〈 0.001), social deprivation (p 〈 0.001) and being a healthcare worker (p=0.010). Cognitive issues were reported by 70% (1598/2275), consistent at both visits, at visit 1 respondents were more likely to have higher baseline comorbidities and at visit 2 were associated with greater social deprivation (p 〈 0.001). Conclusion Swallow, communication, voice and cognitive problems were prevalent post hospitalisation for COVID-19, alongside whole system compromise including reduced mobility and overall health scores. Research and testing of rehabilitation interventions are required at pace to explore these issues.
Type of Medium:
Online Resource
ISSN:
2052-4439
DOI:
10.1136/bmjresp-2023-001647
Language:
English
Publisher:
BMJ
Publication Date:
2023
detail.hit.zdb_id:
2736454-9
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