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Delirium and health-related quality of life in severe COVID-19 survivors
INTRODUCTION: Severe COVID-19 survivors experience long-term neuropsychiatric morbidity, particularly those who developed delirium, with a negative impact on health-related quality of life (HRQoL). OBJECTIVES: To identify the cases of delirium in severe COVID-19 patients and to describe its associat...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cambridge University Press
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9562393/ http://dx.doi.org/10.1192/j.eurpsy.2022.794 |
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author | Chorão, L. Martins, S. Ferreira, A.R. Fernandes, J. Vieira, T. Fontes, L. Reis, N. Braga, A. Coimbra, I. Paiva, J.A. Fernandes, L. |
author_facet | Chorão, L. Martins, S. Ferreira, A.R. Fernandes, J. Vieira, T. Fontes, L. Reis, N. Braga, A. Coimbra, I. Paiva, J.A. Fernandes, L. |
author_sort | Chorão, L. |
collection | PubMed |
description | INTRODUCTION: Severe COVID-19 survivors experience long-term neuropsychiatric morbidity, particularly those who developed delirium, with a negative impact on health-related quality of life (HRQoL). OBJECTIVES: To identify the cases of delirium in severe COVID-19 patients and to describe its association with post-hospital discharge HRQoL. METHODS: In the context of the longitudinal MAPA project, we included adult patients (≥ 18 years old) admitted with COVID-19 to the Intensive Care Medicine Department (ICMD) of a Portuguese University Hospital (October 2020-April 2021). Exclusion criteria were: ICMD length of stay ≤24h, terminal illness, major auditory loss, or inability to communicate at the time of assessment. Delirium during ICMD stay was ascertained based on patients’ clinical records. HRQoL was evaluated using the 5-Level EQ-5D questionnaire (EQ-5D-5L), at a scheduled telephone follow-up appointment on average 1-2 months after hospital discharge. RESULTS: Overall, 124 patients were included with a median age of 62 (range: 24-86) years, being mostly male (65%). About 19% had delirium, 42% were deeply sedated and 43% required invasive mechanical ventilation. Most survivors reported problems on the EQ-5D-5L domains: usual activities (85%), mobility (73%) and anxiety/depression (65%). Patients with delirium reported more pain/discomfort (75%vs46%; p=0.011) and considerably anxiety/depression (83%vs60%; p=0.032). CONCLUSIONS: These findings pointed that COVID-19 patients who experienced delirium reported worse HRQoL, regarding pain/discomfort and anxiety/depression. This study highlights the importance of not only prevention but also early screening of delirium during hospital stay, as well as the crucial role of the timely interventions at discharge, in order to minimize delirium long-term impacts. DISCLOSURE: No significant relationships. |
format | Online Article Text |
id | pubmed-9562393 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cambridge University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-95623932022-10-17 Delirium and health-related quality of life in severe COVID-19 survivors Chorão, L. Martins, S. Ferreira, A.R. Fernandes, J. Vieira, T. Fontes, L. Reis, N. Braga, A. Coimbra, I. Paiva, J.A. Fernandes, L. Eur Psychiatry Abstract INTRODUCTION: Severe COVID-19 survivors experience long-term neuropsychiatric morbidity, particularly those who developed delirium, with a negative impact on health-related quality of life (HRQoL). OBJECTIVES: To identify the cases of delirium in severe COVID-19 patients and to describe its association with post-hospital discharge HRQoL. METHODS: In the context of the longitudinal MAPA project, we included adult patients (≥ 18 years old) admitted with COVID-19 to the Intensive Care Medicine Department (ICMD) of a Portuguese University Hospital (October 2020-April 2021). Exclusion criteria were: ICMD length of stay ≤24h, terminal illness, major auditory loss, or inability to communicate at the time of assessment. Delirium during ICMD stay was ascertained based on patients’ clinical records. HRQoL was evaluated using the 5-Level EQ-5D questionnaire (EQ-5D-5L), at a scheduled telephone follow-up appointment on average 1-2 months after hospital discharge. RESULTS: Overall, 124 patients were included with a median age of 62 (range: 24-86) years, being mostly male (65%). About 19% had delirium, 42% were deeply sedated and 43% required invasive mechanical ventilation. Most survivors reported problems on the EQ-5D-5L domains: usual activities (85%), mobility (73%) and anxiety/depression (65%). Patients with delirium reported more pain/discomfort (75%vs46%; p=0.011) and considerably anxiety/depression (83%vs60%; p=0.032). CONCLUSIONS: These findings pointed that COVID-19 patients who experienced delirium reported worse HRQoL, regarding pain/discomfort and anxiety/depression. This study highlights the importance of not only prevention but also early screening of delirium during hospital stay, as well as the crucial role of the timely interventions at discharge, in order to minimize delirium long-term impacts. DISCLOSURE: No significant relationships. Cambridge University Press 2022-09-01 /pmc/articles/PMC9562393/ http://dx.doi.org/10.1192/j.eurpsy.2022.794 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Abstract Chorão, L. Martins, S. Ferreira, A.R. Fernandes, J. Vieira, T. Fontes, L. Reis, N. Braga, A. Coimbra, I. Paiva, J.A. Fernandes, L. Delirium and health-related quality of life in severe COVID-19 survivors |
title | Delirium and health-related quality of life in severe COVID-19 survivors |
title_full | Delirium and health-related quality of life in severe COVID-19 survivors |
title_fullStr | Delirium and health-related quality of life in severe COVID-19 survivors |
title_full_unstemmed | Delirium and health-related quality of life in severe COVID-19 survivors |
title_short | Delirium and health-related quality of life in severe COVID-19 survivors |
title_sort | delirium and health-related quality of life in severe covid-19 survivors |
topic | Abstract |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9562393/ http://dx.doi.org/10.1192/j.eurpsy.2022.794 |
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