@article{Dawson:2023:10.1136/bmjresp-2023-001647,
author = {Dawson, C and Clunie, G and Evison, F and Duncan, S and Whitney, J and Houchen-Wolloff, L and Bolton, CE and Leavy, OC and Richardson, M and Omer, E and McAuley, H and Shikotra, A and Singapuri, A and Sereno, M and Saunders, RM and Harris, VC and Greening, NJ and Nolan, CM and Wootton, DG and Daynes, E and Donaldson, G and Sargent, J and Scott, J and Pimm, J and Bishop, L and McNarry, M and Hart, N and Evans, RA and Singh, S and Yates, T and Chalder, T and Man, W and Harrison, E and Docherty, A and Lone, NI and Quint, JK and Chalmers, J and Ho, L-P and Horsley, AR and Marks, M and Poinasamy, K and Raman, B and Wain, LV and Brightling, C and PHOSP-COVID, collaborative Group and Sharma, N and Coffey, M and Kulkarni, A and Wallace, S},
doi = {10.1136/bmjresp-2023-001647},
journal = {BMJ Open Respiratory Research},
title = {Prevalence of swallow, communication, voice and cognitive compromise following hospitalisation for COVID-19: the PHOSP-COVID analysis},
url = {http://dx.doi.org/10.1136/bmjresp-2023-001647},
volume = {10},
year = {2023}
}

Download

TY  - JOUR
AB  - Objective: Identify prevalence of self-reported swallow, communication, voice and cognitive compromise following hospitalisation for COVID-19.Design: Multicentre prospective observational cohort study using questionnaire data at visit 1 (2–7 months post discharge) and visit 2 (10–14 months post discharge) from hospitalised patients in the UK. Lasso logistic regression analysis was undertaken to identify associations.Setting: 64 UK acute hospital Trusts.Participants: Adults aged >18 years, discharged from an admissions unit or ward at a UK hospital with COVID-19.Main outcome measures: Self-reported swallow, communication, voice and cognitive compromise.Results: Compromised swallowing post intensive care unit (post-ICU) admission was reported in 20% (188/955); 60% with swallow problems received invasive mechanical ventilation and were more likely to have undergone proning (p=0.039). Voice problems were reported in 34% (319/946) post-ICU admission who were more likely to have received invasive (p<0.001) or non-invasive ventilation (p=0.001) and to have been proned (p<0.001). Communication compromise was reported in 23% (527/2275) univariable analysis identified associations with younger age (p<0.001), female sex (p<0.001), social deprivation (p<0.001) and being a healthcare worker (p=0.010). Cognitive issues were reported by 70% (1598/2275), consistent at both visits, at visit 1 respondents were more likely to have higher baseline comorbidities and at visit 2 were associated with greater social deprivation (p<0.001).Conclusion: Swallow, communication, voice and cognitive problems were prevalent post hospitalisation for COVID-19, alongside whole system compromise including reduced mobility and overall health scores. Research and testing of rehabilitation interventions are required at pace to explore these issues.
AU  - Dawson,C
AU  - Clunie,G
AU  - Evison,F
AU  - Duncan,S
AU  - Whitney,J
AU  - Houchen-Wolloff,L
AU  - Bolton,CE
AU  - Leavy,OC
AU  - Richardson,M
AU  - Omer,E
AU  - McAuley,H
AU  - Shikotra,A
AU  - Singapuri,A
AU  - Sereno,M
AU  - Saunders,RM
AU  - Harris,VC
AU  - Greening,NJ
AU  - Nolan,CM
AU  - Wootton,DG
AU  - Daynes,E
AU  - Donaldson,G
AU  - Sargent,J
AU  - Scott,J
AU  - Pimm,J
AU  - Bishop,L
AU  - McNarry,M
AU  - Hart,N
AU  - Evans,RA
AU  - Singh,S
AU  - Yates,T
AU  - Chalder,T
AU  - Man,W
AU  - Harrison,E
AU  - Docherty,A
AU  - Lone,NI
AU  - Quint,JK
AU  - Chalmers,J
AU  - Ho,L-P
AU  - Horsley,AR
AU  - Marks,M
AU  - Poinasamy,K
AU  - Raman,B
AU  - Wain,LV
AU  - Brightling,C
AU  - PHOSP-COVID,collaborative Group
AU  - Sharma,N
AU  - Coffey,M
AU  - Kulkarni,A
AU  - Wallace,S
DO  - 10.1136/bmjresp-2023-001647
PY  - 2023///
SN  - 2052-4439
TI  - Prevalence of swallow, communication, voice and cognitive compromise following hospitalisation for COVID-19: the PHOSP-COVID analysis
T2  - BMJ Open Respiratory Research
UR  - http://dx.doi.org/10.1136/bmjresp-2023-001647
VL  - 10
ER  - 

Download