Institute of Neuroscience and Physiology, Section of Clinical Neuroscience, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Occupational and Physical Therapy Department, Sahlgrenska University Hospital, Gothenburg, Sweden.
PLoS One. 2023 Sep 14;18(9):e0291548. doi: 10.1371/journal.pone.0291548. eCollection 2023.
We aimed to assess symptomatology post discharge from the hospital in patients with COVID-19 treated during the first wave of the COVID-19 pandemic, and to follow care consumption and healthcare costs six months post discharge.
This study was a descriptive observational study over time. Data were retrieved from the Sahlgrenska University (SU) hospital registry for patients admitted to an SU hospital during March 2020 to August 2020. Of these, 1014 received a questionnaire approximately six weeks post discharge regarding symptoms. Data regarding care consumption were retrieved from the registry in the Region Västra Götaland for 529 (52.2%) patients who completed the questionnaire. Of these, 466 patients were included in the analysis of care consumption.
There was a reported decrease in mobility from admission to discharge in both men (p = 0.02) and women (p = 0.01). The costs of inpatient care amounted to a total of 9 601 459.20 Euro (EUR). Symptoms were reported in 436 (93.6%) patients post discharge, of which weight loss during COVID-19 was most common in both men (n = 220, 77.5%) and women (n = 107, 58.8%). During six-month follow-up, 409 (87%) patients consumed care. Of the registered visits, 868 (27.1%) were related to a COVID-19 diagnosis. The total sum of outpatient care (i.e. visits with a registered COVID-19 diagnosis) was 77 311.30 EUR.
At discharge from the hospital, there was a decrease in mobility. Most patients had remaining sequelae post discharge. At six months post discharge, nearly 90% of patients had consumed care, with approximately 20% related to COVID-19. This indicates a persisting need for rehabilitation post discharge from hospital in patients treated for COVID-19.
我们旨在评估在 COVID-19 大流行第一波期间接受治疗的 COVID-19 患者出院后的症状，并在出院后六个月跟踪护理消耗和医疗保健费用。
这是一项时间描述性观察研究。数据来自 2020 年 3 月至 2020 年 8 月期间入住萨赫尔格伦斯卡大学（SU）医院的患者的 SU 医院登记处。其中，1014 名患者在出院后大约六周接受了关于症状的问卷调查。529 名（52.2%）完成问卷的患者的护理消耗数据从韦斯特拉哥兰地区登记处检索。其中，466 名患者纳入护理消耗分析。
男性（p = 0.02）和女性（p = 0.01）在入院和出院时的活动能力均有下降。住院护理费用总计 9601459.20 欧元（EUR）。出院后有 436 名（93.6%）患者报告有症状，其中 COVID-19 期间体重减轻在男性（n = 220，77.5%）和女性（n = 107，58.8%）中最为常见。在六个月的随访期间，有 409 名（87%）患者接受了护理。登记的就诊中，868 次（27.1%）与 COVID-19 诊断有关。门诊护理（即有登记 COVID-19 诊断的就诊）的总金额为 77311.30 欧元。
出院时活动能力下降。大多数患者出院后仍有后遗症。出院后六个月，近 90%的患者接受了护理，约 20%与 COVID-19 有关。这表明 COVID-19 患者出院后仍需要持续康复治疗。
