| Autor: |
Ayuso García B; Infectious Diseases Unit, University Hospital Lucus Augusti, Lugo, Spain., Besteiro Balado Y; Department of Internal Medicine, University Hospital Lucus Augusti, Lugo, Spain., Pérez López A; Department of Internal Medicine, University Hospital Lucus Augusti, Lugo, Spain., Romay Lema E; Infectious Diseases Unit, University Hospital Lucus Augusti, Lugo, Spain., Marchán-López Á; Department of Internal Medicine, Morforte de Lemos Hospital, Lugo, Spain., Rodríguez Álvarez A; Department of Internal Medicine, University Hospital Lucus Augusti, Lugo, Spain., García País MJ; Infectious Diseases Unit, University Hospital Lucus Augusti, Lugo, Spain., Corredoira Sánchez J; Infectious Diseases Unit, University Hospital Lucus Augusti, Lugo, Spain., Rabuñal Rey R; Infectious Diseases Unit, University Hospital Lucus Augusti, Lugo, Spain. |
| Abstrakt: |
Introduction: The emergence or persistence of symptoms after acute SARS-CoV-2 infection has made it necessary to develop tools to detect them and assess their impact on patients' quality of life. One of these tools is the COVID-19 Yorkshire Rehabilitation Screening (C19-YRS) scale. We present the results of this tool in a cohort of first pandemic wave patients. Methods: A cross-sectional study of patients with confirmed SARS-CoV-2 infection from March to May 2020 in Lugo (northwestern Spain). C19-YRS was administered via phone 10 months after the acute infection to both former inpatients and outpatients. Electronic medical records were reviewed and relevant data from the acute episode were collected. The main outcome was the presence of impairment in different areas measured by the C19-YRS scale. Results: The answer rate was 63.2%. The mean age was 54 ± 16 years, 38.4% were male and 190 (42.9%) had some comorbidity. Eighty-seven patients (19.6%) required hospitalization and 10 (2.3%) required intensive care unit admission. Ten (3.5%) patients lost their job due to the pandemic. Two hundred seventy-six patients (62.3%) related any symptoms; fatigue (37.2%) and exertional dyspnea (33.4%) were the most common with significant worsening in both cases compared with the situation before the infection. Subgroup analysis showed that more symptom domains were impaired in women than men. Older patients, those with comorbidity and those who needed hospital admission, demanded more health resources after the acute infection. Discussion: C19-YRS is useful for the detection and quantification of symptoms after COVID-19 and provides relevant social, health, and occupational information. |
