Kintrilis Nikolaos, Kontaxakis Antonis, Papalampidou Athanasia, Manthos Prokopios, Simeonidou Zaira, Stavrianou Aggeliki, Moumtzi-Nakka Eleni, Galinos Iosif, Rapidi Christina A
Infectious Disease Unit, 401 General Military Hospital of Athens, Athens.
Physical and Rehabilitation Medicine Department, 414 Military Hospital of Special Diseases, Penteli.
J Rehabil Med Clin Commun. 2023 Jan 8;6:5327. doi: 10.2340/jrmcc.v6.5327. eCollection 2023.
During the current pandemic, there has been a paucity of Greek data in terms of recording the general long-term functional status of patients after coronavirus disease 2019 (COVID-19) hospitalizations, as well as very little information regarding rehabilitation services nationwide and their utilization.
OBJECTIVE-DESIGN: This is a prospective cohort study, including 92 adults discharged from the Infectious Disease Unit of a third-level hospital in Greece after hospitalization with COVID-19. Demographics and disease severity data was collected upon admission and symptoms at discharge, 4 months and 1 year. Following rating of 12 common symptoms on a Likert scale, quality-of-life data and accessibility to rehabilitation services were compared among the 3 time points.
At discharge, the most prevalent complaints were fatigue, exertional dyspnoea and difficulty walking. At 4 months, these 3 remained among the most prevalent symptoms, while pain and memory/loss concentration remained at high numbers as well. Finally, at the 1-year mark, the percentages of patients reporting fatigue, exertional dyspnoea and pain were the highest. At the 4-month follow-up, only 4.3% of the study participants had visited a rehabilitation facility of any kind, whereas at the 1-year mark the percentage rose to 10.9%.
A clinically relevant number of participants experienced at least one post-COVID-19 hospitalization symptom. Quality of life was markedly affected by the longer-term effects of the disease. The percentage of people finally attending any kind of rehabilitation service was poor. With thousands more being infected and needing hospitalization nationwide daily, the need for the inclusion of relevant rehabilitation programmes in the Greek healthcare system appears imminent.
在当前这场大流行期间，希腊在记录2019冠状病毒病（COVID-19）住院患者的总体长期功能状况方面数据匮乏，而且关于全国康复服务及其利用情况的信息也非常少。
目的-设计：这是一项前瞻性队列研究，纳入了92名在希腊一家三级医院传染病科因COVID-19住院后出院的成年人。在入院时、出院时、4个月和1年时收集人口统计学和疾病严重程度数据以及症状。在对12种常见症状进行李克特量表评分后，比较了这3个时间点的生活质量数据和获得康复服务的情况。
出院时，最常见的症状是疲劳、运动性呼吸困难和行走困难。在4个月时，这3种症状仍然是最常见的症状，同时疼痛以及记忆力/注意力不集中的症状数量也仍然较多。最后，在1年时，报告疲劳、运动性呼吸困难和疼痛的患者百分比最高。在4个月的随访中，只有4.3%的研究参与者去过任何类型的康复机构，而在1年时这一百分比上升到了10.9%。
相当数量的参与者经历了至少一种COVID-19住院后的症状。生活质量受到该疾病长期影响的显著影响。最终接受任何类型康复服务的人群比例较低。鉴于全国每天有数千人感染并需要住院治疗，在希腊医疗保健系统中纳入相关康复计划的需求似乎迫在眉睫。
