Health, social, and economic characteristics of patients enrolled in a COVID-19 recovery program.

Health, social, and economic characteristics of patients enrolled in a COVID-19 recovery program.
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DOI:
10.1371/journal.pone.0278154
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发表时间:
2022
期刊:
影响因子:
3.7
通讯作者:
--
中科院分区:
综合性期刊3区
文献类型:
--
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至少五分之一从急性COVID-19中康复的人有持续的临床症状,但对生活质量(QOL),社会经济特征,疲劳,工作和生产力的影响知之甚少。我们对参加MedStar COVID康复计划(MSCRP)的一组患者的临床症状、生活质量、社会经济特征、疲劳、工作和生产力进行了横断面描述性表征。我们的参与者包括在急性COVID-19康复后出现精神和身体症状并参加MSCRP的人,MSCRP旨在提供全面的多学科护理和康复援助。参与者完成了医学问卷和PROMIS-29,疲劳严重程度量表,工作和生产力损害问卷,以及健康调查的社会决定因素。参与者(n = 267,平均年龄47.6岁,23.2%因COVID-19住院)在所有领域的QOL评估中均显示受损,其中身体功能(平均39.1 ± 7.4)和疲劳(平均60.6 ± 7.4)受损最大。9.7)。19%的人负担不起住房或“基本生活”,14%的人报告粮食不安全。参与者报告疲劳程度升高(平均4.7 ± 1.1),活动、工作效率和工作效率受损分别为63%、61%和56%。在初次患病后出现持续性精神和身体症状的患者报告生活质量受损、社会经济困难、疲劳增加以及工作和生产力下降。我们的队列研究强调,即使是那些没有住院治疗并从不太严重的COVID-19中康复的人也可能有长期的损伤,因此非常需要设计,实施和扩展计划,专注于减轻损伤和恢复功能。
At least one in five people who recovered from acute COVID-19 have persistent clinical symptoms, however little is known about the impact on quality-of-life (QOL), socio-economic characteristics, fatigue, work and productivity. We present a cross-sectional descriptive characterization of the clinical symptoms, QOL, socioeconomic characteristics, fatigue, work and productivity of a cohort of patients enrolled in the MedStar COVID Recovery Program (MSCRP). Our participants include people with mental and physical symptoms following recovery from acute COVID-19 and enrolled in MSCRP, which is designed to provide comprehensive multidisciplinary care and aid in recovery. Participants completed medical questionnaires and the PROMIS-29, Fatigue Severity Scale, Work and Productivity Impairment Questionnaire, and Social Determinants of Health surveys. Participants (n = 267, mean age 47.6 years, 23.2% hospitalized for COVID-19) showed impaired QOL across all domains assessed with greatest impairment in physical functioning (mean 39.1 ± 7.4) and fatigue (mean 60.6 ±. 9.7). Housing or “the basics” were not afforded by 19% and food insecurity was reported in 14% of the cohort. Participants reported elevated fatigue (mean 4.7 ± 1.1) and impairment with activity, work productivity, and on the job effectiveness was reported in 63%, 61%, and 56% of participants, respectively. Patients with persistent mental and physical symptoms following initial illness report impairment in QOL, socioeconomic hardships, increased fatigue and decreased work and productivity. Our cohort highlights that even those who are not hospitalized and recover from less severe COVID-19 can have long-term impairment, therefore designing, implementing, and scaling programs to focus on mitigating impairment and restoring function are greatly needed.
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影响因子: 4.4
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影响因子: --
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