Goździewicz Łukasz, Tobis Sławomir, Chojnicki Michał, Wieczorowska-Tobis Katarzyna, Neumann-Podczaska Agnieszka
Geriatric Unit, Department of Palliative Medicine, Poznań University of Medical Sciences, 61-245 Poznań, Poland.
Department of Occupational Therapy, Poznań University of Medical Sciences, 60-781 Poznań, Poland.
Healthcare (Basel). 2024 Jan 28;12(3):333. doi: 10.3390/healthcare12030333.
The COVID-19 Yorkshire Rehabilitation Scale (C19-YRS) is a patient-reported outcome measure designed to assess the long-term effects of COVID-19. The scale was validated and is commonly used in the general population. In this study, we assess the utility of the C19-YRS in evaluating the post-COVID burden among residents of long-term care facilities with a mean age of 79. C19-YRS and Barthel index evaluations were performed among 144 residents of long-term care facilities reporting new or worsened symptoms or functioning three months after convalescence from COVID-19. The C19-YRS-based screening showed that 70.9% of COVID-19 convalescents had ≥1 complaint three months after recovery. The highest C19-YRS-scored symptoms (indicating a higher burden) were breathlessness, fatigue, and cognitive and continence problems; however, symptomatology was very heterogeneous, revealing a high complexity of the disease in older persons. The mean total C19-YRS score was higher in hospitalized patients (n = 78) than in the outpatient group (n = 66) ( = 0.02). The functioning subscale of the C19-YRS strongly correlated with the Barthel index, with r = -0.8001 ( < 0.0001). A moderately strong correlation existed between retrospectively reported C19-YRS-based functioning and the Barthel index score reported before illness (r = 0.7783, < 0.0001). The C19-YRS is instrumental in evaluating the consequences of COVID-19 among long-term-care residents. The assessment allows for a broad understanding of rehabilitation needs.
COVID-19约克郡康复量表(C19-YRS)是一种患者报告结局指标,旨在评估COVID-19的长期影响。该量表已经过验证,常用于普通人群。在本研究中,我们评估了C19-YRS在评估平均年龄为79岁的长期护理机构居民的COVID-19后负担方面的效用。对144名报告在从COVID-19康复三个月后出现新症状或症状加重或功能下降的长期护理机构居民进行了C19-YRS和巴氏指数评估。基于C19-YRS的筛查显示,70.9%的COVID-19康复者在康复三个月后有≥1项主诉。C19-YRS评分最高的症状(表明负担较重)是呼吸急促、疲劳以及认知和大小便失禁问题;然而,症状表现非常异质性,揭示了该疾病在老年人中的高度复杂性。住院患者(n = 78)的C19-YRS总平均分高于门诊组(n = 66)(P = 0.02)。C19-YRS的功能子量表与巴氏指数密切相关,r = -0.8001(P < 0.0001)。回顾性报告的基于C19-YRS的功能与病前报告的巴氏指数评分之间存在中度强相关性(r = 0.7783,P < 0.0001)。C19-YRS有助于评估长期护理机构居民中COVID-19的后果。该评估有助于广泛了解康复需求。