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McPeake J, Shaw M, MacTavish P, et al. Long-term outcomes following severe COVID-19 infection: a propensity matched cohort study. BMJ Open Respir Res. 2021;8(1)doi: 10.1136/bmjresp-2021-001080.
McPeake, J., Shaw, M., MacTavish, P., Blyth, K. G., Devine, H., Fleming, G., Griffin, J., Gemmell, L., Grose, P., Henderson, M., Henderson, P., Hogg, L., King, K., McInnes, I., O'Brien, P., Puxty, K., Rainey, C., Sharma, V., Sim, M., Strachan, L., Siebert, S., & Quasim, T. (2021). Long-term outcomes following severe COVID-19 infection: a propensity matched cohort study. BMJ open respiratory research, 8(1), . https://doi.org/10.1136/bmjresp-2021-001080
McPeake, Joanne, et al. "Long-term outcomes following severe COVID-19 infection: a propensity matched cohort study." BMJ open respiratory research vol. 8,1 (2021). doi: https://doi.org/10.1136/bmjresp-2021-001080
McPeake J, Shaw M, MacTavish P, Blyth KG, Devine H, Fleming G, Griffin J, Gemmell L, Grose P, Henderson M, Henderson P, Hogg L, King K, McInnes I, O'Brien P, Puxty K, Rainey C, Sharma V, Sim M, Strachan L, Siebert S, Quasim T. Long-term outcomes following severe COVID-19 infection: a propensity matched cohort study. BMJ Open Respir Res. 2021 Dec;8(1). doi: 10.1136/bmjresp-2021-001080. PMID: 34887318.
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BMJ Open Respir Res. 2021 Dec;8(1). doi: 10.1136/bmjresp-2021-001080.

Long-term outcomes following severe COVID-19 infection: a propensity matched cohort study.

BMJ open respiratory research

Joanne McPeake, Martin Shaw, Pamela MacTavish, Kevin G Blyth, Helen Devine, Gillian Fleming, Justine Griffin, Lisa Gemmell, Pauline Grose, Mark Henderson, Philip Henderson, Lucy Hogg, Kirstin King, Iain McInnes, Peter O'Brien, Kathryn Puxty, Callum Rainey, Varun Sharma, Malcolm Sim, Laura Strachan, Stefan Siebert, Tara Quasim

Affiliations

  1. NHS Greater Glasgow and Clyde, Glasgow, UK [email protected].
  2. School of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, UK.
  3. NHS Greater Glasgow and Clyde, Glasgow, UK.
  4. Institute of Cancer Sciences, University of Glasgow, Glasgow, UK.
  5. NHS Fife, Kirkcaldy, UK.
  6. University of Glasgow, College of Medical, Veterinary and Life Science, Glasgow, UK.
  7. NHS Ayrshire and Arran, Ayr, UK.
  8. Institute of Infection, Immunity and Inflammation, University of Glasgow, Glasgow, UK.

PMID: 34887318 DOI: 10.1136/bmjresp-2021-001080

Abstract

BACKGROUND: There are limited data describing the long-term outcomes of severe COVID-19. We aimed to evaluate the long-term psychosocial and physical consequences of severe COVID-19 for patients.

METHODS: We conducted a multicentre observational cohort study; between 3 and 7 months posthospital discharge, patients who had been admitted to critical care due to severe COVID-19 were invited to an established recovery service. Standardised questionnaires concerning emotional, physical and social recovery, including information on employment, were completed by patients. Using propensity score matching, we explored outcomes between patients admitted to critical care with and without COVID-19, using data from the same recovery programme.

RESULTS: Between July 2020 and December 2020, 93 patients who had been admitted to critical with COVID-19 participated. Emotional dysfunction was common: 46.2% of patients had symptoms of anxiety and 34.4% symptoms of depression. At follow-up 53.7% of previously employed patients had returned to employment; there was a significant difference in return to employment across the socio-economic gradient, with lower numbers of patients from the most deprived areas returning to employment (p=0.03). 91 (97.8%) COVID-19 patients were matched with 91 non-COVID-19 patients. There were no significant differences in any measured outcomes between the two cohorts.

INTERPRETATION: Emotional and social problems are common in survivors of severe COVID-19 infection. Coordinated rehabilitation is required to ensure patients make an optimal recovery.

© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ.

Keywords: ARDS; COVID-19

Conflict of interest statement

Competing interests: None declared.

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