Enhancing quality of life in severe post-COVID-19 survivors through multidisciplinary care.

Publication date: Jul 01, 2024

COVID-19 survivors who were hospitalised continue to experience long-term multisystemic sequelae and symptoms, impacting their health-related quality of life (HRQoL). The complexity of post-COVID-19 conditions underscores the importance of adopting a multidisciplinary, patient-centric approach to ensure ongoing care. This study aims to assess HRQoL and post-COVID symptoms in a cohort of severe COVID-19 survivors depending on their participation in a multidisciplinary programme. This prospective study was conducted in a post-COVID clinic staffed by a multidisciplinary team (physical rehabilitator, nutritionist, psychologist, including experts in pulmonary rehabilitation, nutrition, psychology and others). Subjects over 18 years old who were hospitalised due to severe COVID-19 during the acute phase and had attended the post-COVID clinic within the first 3 months following discharge were included. Subjects who were unable or unwilling to provide informed consent to participate in the protocol were excluded. Linear mixed-effect models were employed to examine changes in 12-Item Short-Form Health Survey (SF-12) component scores. The resolution of post-COVID symptom clusters was compared using the Cox model. A total of 730 patients were included, with a mean+/-sd age of 55. 78+/-15. 43 years; 60. 55% were male and 90. 62% required mechanical ventilation during hospitalisation. Programme attendants demonstrated improved SF-12 physical and mental component scores at 3 and 12 months. A reduction in the prevalence of post-COVID symptoms was observed in both groups, with greater reductions in those attending the programme. Our study showed that patients enrolled on the multidisciplinary programme experienced improvements in fatigue, musculoskeletal, gastrointestinal, neuropsychiatric and respiratory symptoms, along with enhanced SF-12 mental and physical component scores.

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Concepts Keywords
12months Care
43years Clinic
Hospitalisation Covid
Nutrition Hospitalised
Psychology Hrqol
Included
Multidisciplinary
Physical
Post
Programme
Scores
Severe
Subjects
Survivors
Symptoms

Semantics

Type Source Name
disease IDO quality
disease MESH COVID-19
disease MESH sequelae
disease VO protocol
disease MESH symptom clusters
disease IDO production
disease MESH Heart Failure
disease MESH Pulmonary Fibrosis
drug DRUGBANK Coenzyme M
disease MESH Long COVID
disease IDO symptom
disease MESH death
disease MESH infection
drug DRUGBANK Factor IX Complex (Human)
disease MESH morbidity
disease VO effectiveness
disease IDO blood
disease VO time
disease VO organization
disease IDO history
disease VO vaccination
disease MESH insomnia
disease IDO algorithm
disease MESH ischemic heart disease
disease VO immunization
disease MESH hypertension
disease MESH COPD

Original Article

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