PTOTSLPCohortJournal of rehabilitation medicine2022

Seven Domains of Persisting Problems after Hospital-treated Covid-19 Indicate a Need For a Multiprofessional Rehabilitation Approach.

Lovisa Hellgren, Richard Levi, Anestis Divanoglou and 2 others

PMID 35678268

WHAT IT FOUND

After hospital-treated COVID-19, many survivors reported lasting problems in seven areas: vision, physical function, cognition, mood, swallowing, voice, and mental fatigue.

In the subgroup with rehabilitation needs, 66% had problems in at least three areas.

Key findings

01433 of 460 survivors completed a structured telephone interview 4 months after discharge, and 185 of those 433 were clinically evaluated as having concerning residual symptoms indicative of rehabilitation needs.

02Seven clusters of symptoms/limitations were identified from 426 patients and 35 symptoms/limitations, with an explained variance of 60%.

03In the rehabilitation-needs subgroup, 66% reported symptoms/limitations affecting everyday life in at least three domains, and mental fatigue was the most frequently reported problem at 69%.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs

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What it does not show

The study was conducted in one Swedish health care region during the first pandemic wave, so results may not apply to other countries, later pandemic periods, or patients who received different post-discharge rehabilitation. Symptoms and activity/participation limitations were self-reported by telephone interview, so they may be over- or under-estimated. Premorbid function and medical details were taken from medical records only, not from direct baseline assessment. Seven interviews were excluded from the statistical analysis because of inconsistent responses or missing data. The work/study item was not applicable for many patients, primarily those of retirement age, so return-to-work findings are limited. The factor analysis was exploratory, and three symptoms did not fit the seven domains. The paper reports symptoms and screening needs; it does not report outcomes of a rehabilitation intervention.

The easy way to misread this

Do not read the 66% figure as the proportion of all hospitalized survivors who were considered to have rehabilitation needs. It comes from the subgroup of 185 patients already clinically evaluated as having concerning residual symptoms.

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