Describe and compare the Quality of Life (QoL) and disability of critical care survivors with COVID-19 and NON-COVID-19 critical illness, admitted during and after the pandemic period. We hypothesize that both COVID-19 disease and the pandemic context have a significant impact on long-term outcomes of Intensive Care Unit (ICU) survivors.
DesignPost-hoc analysis of prospectively collected data.
SettingIntensive Care Department of Unidade Local de Saúde São João between 1st October 2020 and 31st December 2021.
ParticipantsThree groups of adult critical care survivors; Group 1: critical COVID-19 patients; Group 2: critical patients with other diagnosis, admitted in the pandemic period; Group 3: critical patients admitted in the post-pandemic period due to non-COVID-19 causes.
InterventionTelephone consultation 16 months after discharge home, assessing QoL and disability.
Main variables of interestQoL five dimensions, EuroQol Visual Analog Scale (EQ-VAS) and Health and disability 6 domains.
ResultsOf the 185 survivors, Group 1 reported less problems in“Self-care” (OR = 0.15, 95%CI: 0.04−0.55), “Usual activities” (OR = 0.20, 95%CI: 0.08−0.0.52), and “Anxiety/Depression” (OR = 0.36, 95%CI: 0.14−0.97) dimensions. Health and disability domains assessment showed Group 1 had less difficulties in “Cognition” (OR = 0.37, 95%CI: 0.15−0.91), “Mobility” (OR = 0.25, 95%CI: 0.09−0.68), “Self-care” (OR = 0.15, 95%CI: 0.05−0.40) and “Life activities” (OR = 0.32, 95%CI: 0.13−0.76).
ConclusionsSixteen months after discharge home, survivors of non-COVID-19 admitted during the pandemic period present worse QoL and functional status than COVID-19 survivors admitted during the same period and greater post-hospital discharge healthcare needs.
Describir y comparar la Calidad de Vida (CdV) y la discapacidad de los supervivientes de enfermedades críticas COVID-19 y no-COVID-19 ingresados en periodo de pandemia y en periodo post pandemia. Nuestra hipótesis es que tanto la COVID-19 como el contexto pandémico tienen un impacto significativo en los resultados a largo plazo de los sobrevivientes de la Unidad de Cuidados Intensivos (UCI).
DiseñoAnálisis post-hoc de datos recogidos prospectivamente.
ÁmbitoServicio de Medicina Intensiva de la ULSSJ entre el 1 de octubre de 2020 y el 31 de diciembre de 2021.
ParticipantesTres grupos de adultos supervivientes de UCI: Grupo 1 - pacientes críticos COVID-19; Grupo 2 - pacientes críticos no-COVID-19, ingresados en periodo de pandemia; Grupo 3 - pacientes críticos no-COVID-19 ingresados en periodo post pandemia.
IntervenciónConsulta telefónica 16 meses después del alta a casa, evaluando CdV y discapacidad.
Variables de interés principalesDimensiones de la CdV; EuroQol escala analógica visual (EQ-VAS) y los dominios de la discapacidad.
ResultadosDe los 185 supervivientes, Grupo 1 presenta menores problemas en la CdV: “Cuidados Personales” (OR = 0.15, 95%CI: 0.04−0.55), “Actividades habituales” (OR = 0.20, 95%CI: 0.08−0.0.52) y “Ansiedad/Depresión” (OR = 0.36, 95%CI: 0.14−0.97). La evaluación de la discapacidad mostró que Grupo 1 muestra menos dificultad em la “Cognición” (OR = 0.37, 95%CI: 0.15−0.91), “Movilidad” (OR = 0.25, 95%CI: 0.09−0.68), “Cuidados personales” (OR = 0.15, 95%CI: 0.05−0.40) y “Actividades de la vida” (OR = 0.32, 95%CI: 0.13−0.76.
ConclusionesDieciséis meses después del alta a casa, los supervivientes no-COVID-19 ingresados durante el periodo pandémico presentan peor CdV, estado funcional y mayores necesidades de atención sanitaria.
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