Article ; Online: Prevalence of swallow, communication, voice and cognitive compromise following hospitalisation for COVID-19
BMJ Open Respiratory Research, Vol 10, Iss
the PHOSP-COVID analysis
2023 Volume 1
Abstract: Objective Identify prevalence of self-reported swallow, communication, voice and cognitive compromise following hospitalisation for COVID-19.Design Multicentre prospective observational cohort study using questionnaire data at visit 1 (2–7 months post ... ...
| Abstract | Objective Identify prevalence of self-reported swallow, communication, voice and cognitive compromise following hospitalisation for COVID-19.Design Multicentre prospective observational cohort study using questionnaire data at visit 1 (2–7 months post discharge) and visit 2 (10–14 months post discharge) from hospitalised patients in the UK. Lasso logistic regression analysis was undertaken to identify associations.Setting 64 UK acute hospital Trusts.Participants Adults aged >18 years, discharged from an admissions unit or ward at a UK hospital with COVID-19.Main outcome measures Self-reported swallow, communication, voice and cognitive compromise.Results Compromised swallowing post intensive care unit (post-ICU) admission was reported in 20% (188/955); 60% with swallow problems received invasive mechanical ventilation and were more likely to have undergone proning (p=0.039). Voice problems were reported in 34% (319/946) post-ICU admission who were more likely to have received invasive (p<0.001) or non-invasive ventilation (p=0.001) and to have been proned (p<0.001). Communication compromise was reported in 23% (527/2275) univariable analysis identified associations with younger age (p<0.001), female sex (p<0.001), social deprivation (p<0.001) and being a healthcare worker (p=0.010). Cognitive issues were reported by 70% (1598/2275), consistent at both visits, at visit 1 respondents were more likely to have higher baseline comorbidities and at visit 2 were associated with greater social deprivation (p<0.001).Conclusion Swallow, communication, voice and cognitive problems were prevalent post hospitalisation for COVID-19, alongside whole system compromise including reduced mobility and overall health scores. Research and testing of rehabilitation interventions are required at pace to explore these issues. |
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| Keywords | Medicine ; R ; Diseases of the respiratory system ; RC705-779 |
| Subject code | 360 |
| Language | English |
| Publishing date | 2023-12-01T00:00:00Z |
| Publisher | BMJ Publishing Group |
| Document type | Article ; Online |
| Database | BASE - Bielefeld Academic Search Engine (life sciences selection) |
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