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  1. Article ; Online: Symptoms, care consumption, and healthcare costs in hospitalized patients during the first wave of the COVID-19 pandemic.

    Ashman Kröönström, Linda / Lundgren-Nilsson, Åsa / Kjellby-Wendt, Gunilla / Stibrant Sunnerhagen, Katharina

    PloS one

    2023  Volume 18, Issue 9, Page(s) e0291548

    Abstract: Background: We aimed to assess symptomatology post discharge from the hospital in patients with COVID-19 treated during the first wave of the COVID-19 pandemic, and to follow care consumption and healthcare costs six months post discharge.: Methods: ... ...

    Abstract Background: We aimed to assess symptomatology post discharge from the hospital in patients with COVID-19 treated during the first wave of the COVID-19 pandemic, and to follow care consumption and healthcare costs six months post discharge.
    Methods: This study was a descriptive observational study over time. Data were retrieved from the Sahlgrenska University (SU) hospital registry for patients admitted to an SU hospital during March 2020 to August 2020. Of these, 1014 received a questionnaire approximately six weeks post discharge regarding symptoms. Data regarding care consumption were retrieved from the registry in the Region Västra Götaland for 529 (52.2%) patients who completed the questionnaire. Of these, 466 patients were included in the analysis of care consumption.
    Results: There was a reported decrease in mobility from admission to discharge in both men (p = 0.02) and women (p = 0.01). The costs of inpatient care amounted to a total of 9 601 459.20 Euro (EUR). Symptoms were reported in 436 (93.6%) patients post discharge, of which weight loss during COVID-19 was most common in both men (n = 220, 77.5%) and women (n = 107, 58.8%). During six-month follow-up, 409 (87%) patients consumed care. Of the registered visits, 868 (27.1%) were related to a COVID-19 diagnosis. The total sum of outpatient care (i.e. visits with a registered COVID-19 diagnosis) was 77 311.30 EUR.
    Conclusions: At discharge from the hospital, there was a decrease in mobility. Most patients had remaining sequelae post discharge. At six months post discharge, nearly 90% of patients had consumed care, with approximately 20% related to COVID-19. This indicates a persisting need for rehabilitation post discharge from hospital in patients treated for COVID-19.
    MeSH term(s) Male ; Humans ; Female ; Aftercare ; COVID-19 Testing ; Pandemics ; COVID-19/epidemiology ; Patient Discharge ; Health Care Costs ; Hospitals, University
    Language English
    Publishing date 2023-09-14
    Publishing country United States
    Document type Observational Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0291548
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Exercise capacity, physical activity, and health-related quality of life in adults with CHD.

    Ashman Kröönström, Linda / Cider, Åsa / Zetterström, Anna-Klara / Johansson, Linda / Eriksson, Peter / Brudin, Lars / Dellborg, Mikael

    Cardiology in the young

    2020  Volume 30, Issue 5, Page(s) 668–673

    Abstract: Objectives: The aim of this study was to assess exercise capacity, physical activity, and health-related quality of life within a broad and unselected group of adults with CHD.: Design: From April 2009 to February 2014, 1310 patients were assessed ... ...

    Abstract Objectives: The aim of this study was to assess exercise capacity, physical activity, and health-related quality of life within a broad and unselected group of adults with CHD.
    Design: From April 2009 to February 2014, 1310 patients were assessed for suitability to participate in this single-centre cross-sectional study. Seven hundred and forty-seven (57%) patients were included, performed a submaximal bicycle test, and answered questionnaires regarding physical activity and health-related quality of life. Exercise capacity, physical activity, and health-related quality of life were compared with reference values and correlations were studied.
    Results: The exercise capacities of men and women with CHD were 58.7 and 66.3%, respectively, of reference values. Approximately, 20-25% of the patients did not achieve the recommended amount of physical activity. In addition, men scored significantly less points on 7 out of 10 scales of health-related quality of life and women in 6 out of 10 scales, compared with reference values. The strongest correlation was between exercise capacity and the Short Form-36 (physical function).
    Conclusions: Exercise capacity was impaired in all adults with CHD, including those with less complicated CHD. One-quarter of the patients did not achieve the recommended levels of physical activity. Exercise tests followed by individualised exercise prescriptions may be offered to all patients with CHD aiming to increase exercise capacity, levels of physical activity, improve health-related quality of life, and reduce the risk of acquired life-style diseases.
    MeSH term(s) Adult ; Cross-Sectional Studies ; Exercise Test ; Exercise Tolerance/physiology ; Female ; Heart Defects, Congenital/physiopathology ; Heart Defects, Congenital/psychology ; Humans ; Linear Models ; Male ; Middle Aged ; Quality of Life ; Surveys and Questionnaires ; Sweden
    Language English
    Publishing date 2020-04-15
    Publishing country England
    Document type Journal Article
    ZDB-ID 1078466-4
    ISSN 1467-1107 ; 1047-9511
    ISSN (online) 1467-1107
    ISSN 1047-9511
    DOI 10.1017/S104795112000075X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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