ICU sedation, delirium & recovery

Association between acute disease severity and one-year quality of life among post-hospitalisation COVID-19 patients: Coalition VII prospective cohort study

Intensive Care MedPublished Prospective cohort study

Main finding · EQ-5D-3L utility scoreResult — go to the resultAdjusted difference - 0.1 95% CI - 0.15 to - 0.06

Authors' conclusion

COVID-19 patients who needed mechanical ventilation during hospitalisation have lower 1-year quality of life than COVID-19 patients who did not need mechanical ventilation during hospitalisation.

Study context

Population
Adult post-hospitalisation COVID-19 patients, 84 sites in Brazil, March 2020–March 20221,156 with primary outcome data
Participants
1,508 patients
Exposure
Acute disease severity score 5 vs score 2
Outcome
Utility score of EQ-5D-3L
Follow-up
1 year
Methodological detailsnested in 5 randomised clinical trials, multicentre
  • Nested in 5 randomised clinical trials
  • Multicentre

Main finding

EQ-5D-3L utility score

Adjusted difference

- 0.1

95% CI - 0.15 to - 0.06

By group

Severity score 5

0.7

Severity score 2

0.84

As reported in the abstract

Observational data: associations, not effects.

Secondary outcomes

OutcomeSeverity score 2Severity score 5Adjusted difference (95% CI)
All-cause mortality · 1 yearSeverity score 5 vs Severity score 21.2%7.9%7.1% (2.5%–11.8%)
Major cardiovascular events · 1 yearSeverity score 5 vs Severity score 22.3%5.6%2.6% (0.6%–4.6%)
New disabilities in instrumental activities of daily living · 1 yearSeverity score 5 vs Severity score 223.5%40.4%15.5% (8.5%–22.5)

Original publication

Association between acute disease severity and one-year quality of life among post-hospitalisation COVID-19 patients: Coalition VII prospective cohort study. Intensive Care Med. Published 3 January 2023. doi:10.1007/s00134-022-06953-1

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