Postdischarge symptoms and rehabilitation needs in survivors of COVID‐19 infection: A cross‐sectional evaluation
Open accessAbstract
BACKGROUND: There is currently very limited information on the nature and prevalence of post-COVID-19 symptoms after hospital discharge. METHODS: A purposive sample of 100 survivors discharged from a large University hospital were assessed 4 to 8 weeks after discharge by a multidisciplinary team of rehabilitation professionals using a specialist telephone screening tool designed to capture symptoms and impact on daily life. EQ-5D-5L telephone version was also completed. RESULTS: Participants were between 29 and 71 days (mean 48 days) postdischarge from hospital. Thirty-two participants required treatment in intensive care unit (ICU group) and 68 were managed in hospital wards without needing ICU care (ward group). New illness-related fatigue was the most common reported symptom by 72% participants in ICU group and 60.3% in ward group. The next most common symptoms were breathlessness (65.6% in ICU group and 42.6% in ward group) and psychological distress (46.9% in ICU group and 23.5% in ward group). There was a clinically significant drop in EQ5D in 68.8% in ICU group and in 45.6% in ward group. CONCLUSIONS: This is the first study from the United Kingdom reporting on postdischarge symptoms. We recommend planning rehabilitation services to manage these symptoms appropriately and maximize the functional return of COVID-19 survivors.
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People surviving the acute phases of a severe COVID-19 condition requiring intensive care are at high risk of developing mental health symptoms.
“It has been reported that people surviving the acute phases of a severe COVID-19 condition requiring intensive care are at high risk of developing mental health symptoms.”
Post-traumatic stress symptoms have been reported to be twice as high in ICU-treated COVID-19 survivors compared to hospital-treated non-ICU patients with COVID-19.
“Likewise, post-traumatic stress symptoms have been reported to be twice as high in ICU-treated COVID-19 survivors compared to hospital-treated non-ICU patients with COVID-19 (16).”
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- Authors
- Halpin, S. J., McIvor, C., Whyatt, G., Adams, A., Harvey, O., McLean, L., Walshaw, C., Kemp, S., Corrado, J., Singh, R., Collins, T., O'Connor, R. J., & Sivan, M.
- Affiliations
- University of Leeds (GB)
- Leeds Teaching Hospitals NHS Trust (GB)
- Leeds Beckett University (GB)
- Leeds Community Healthcare NHS Trust (GB)
- Academic Department of Rehabilitation Medicine, Leeds Institute of Rheumatic and Musculoskeletal Medicine, School of Medicine University of Leeds Leeds UK
- ORCID
- Venue
- Journal of Medical Virology
- Publisher
- Wiley
- Published
- 2020-08-17
- Volume
- 93
- Issue
- 2
- Pages
- 1013-1022
- ISSN
- 0146-6615 (ISSN-L)
- 1096-9071
- OpenAlex
- W3045525233
- Cited by
- 1,402
- References
- 19
- Citations by year
- 2026: 30 · 2025: 81 · 2024: 163 · 2023: 306 · 2022: 408 · 2021: 377 · 2020: 36
- FWCI
- 122.00
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Medical Virology (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion, cc-by)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
- Funders
- National Institute for Health and Care Research (COVID-19)
- Topics
- Health Sciences › Medicine › Neurology › Long-Term Effects of COVID-19
- Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Keywords
- long COVID, COVID-19 survivors, rehabilitation needs, fatigue, dyspnea, psychological distress, EQ-5D-5L, intensive care unit survivors, functional recovery, multidisciplinary rehabilitation
- MeSH terms
- COVID-19, Adult, Aged, Aged, 80 and over, Critical Care, Cross-Sectional Studies, Female, United Kingdom, Hospitals, University, Humans, Male, Middle Aged, Patient Discharge, Prevalence, Survivors, Young Adult
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