Evidence map›Paper›PMID 33443703›Full record

Observational studyJournal of general internal medicine2021

Post-Discharge Health Status and Symptoms in Patients with Severe COVID-19.

Himali Weerahandi, Katherine A Hochman, Emma Simon, Caroline Blaum, Joshua Chodosh, Emily Duan, Kira Garry, Tamara Kahan, Savannah L Karmen-Tuohy, Hannah C Karpel and 10 more

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Journal of general internal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 108 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
108citing papers in PubMed, 13 pooled it
17.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

108 citing papers in PubMed, 13 syntheses or guidelines pooled it, 169 citations in OpenAlex.

  1. Pooled it
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  3. Prevalence, risk factors and treatments for post-COVID-19 breathlessness: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2022
    Pooled it
  4. Health-related quality of life issues, including symptoms, in patients with active COVID-19 or post COVID-19; a systematic literature review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
    Pooled it
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  8. A Review of Prolonged Post-COVID-19 Symptoms and Their Implications on Dental Management.International journal of environmental research and public health · 2021
    Pooled it
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  11. The occurrence of long COVID: a rapid review.The Pan African medical journal · 2021
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48 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 2 institutions in 1 country.

Himali WeerahandiDivision of General Internal Medicine and Clinical Innovation, Department of Medicine, NYU Grossman School of Medicine, New York, NY, USA.
Katherine A HochmanDivision of General Internal Medicine and Clinical Innovation, Department of Medicine, NYU Grossman School of Medicine, New York, NY, USA.
Emma SimonDivision of Healthcare Delivery Science, Department of Population Health, NYU Grossman School of Medicine, New York, NY, USA.
Caroline BlaumDivision of Geriatric Medicine and Palliative Care, Department of Medicine, NYU Grossman School of Medicine, New York, NY, USA.
Joshua ChodoshDivision of Geriatric Medicine and Palliative Care, Department of Medicine, NYU Grossman School of Medicine, New York, NY, USA.
Emily DuanNYU Grossman School of Medicine, New York, NY, USA.
Kira GarryDivision of Healthcare Delivery Science, Department of Population Health, NYU Grossman School of Medicine, New York, NY, USA.
Tamara KahanNYU Grossman School of Medicine, New York, NY, USA.
Savannah L Karmen-TuohyNYU Grossman School of Medicine, New York, NY, USA.
Hannah C KarpelNYU Grossman School of Medicine, New York, NY, USA.
Felicia MendozaDivision of Healthcare Delivery Science, Department of Population Health, NYU Grossman School of Medicine, New York, NY, USA.
Alexander M PreteNYU Grossman School of Medicine, New York, NY, USA.
Lindsey QuintanaNYU Grossman School of Medicine, New York, NY, USA.
Jennifer RutishauserNYU Grossman School of Medicine, New York, NY, USA.
Leticia Santos MartinezDivision of Healthcare Delivery Science, Department of Population Health, NYU Grossman School of Medicine, New York, NY, USA.
Kanan ShahNYU Grossman School of Medicine, New York, NY, USA.
Sneha SharmaNYU Grossman School of Medicine, New York, NY, USA.
Elias SimonNYU Grossman School of Medicine, New York, NY, USA.
Ana Z StirnimanNYU Grossman School of Medicine, New York, NY, USA.
Leora I HorwitzDivision of General Internal Medicine and Clinical Innovation, Department of Medicine, NYU Grossman School of Medicine, New York, NY, USA. Leora.Horwitz@nyulangone.org.ORCID 0000-0003-1800-6040
New York University · USNYU Langone Health · US

Funding

Research Education ComponentP30AG066512 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Arline Faustin · 2020 to 2026
$28.4M
Characteristics of Transitions from Skilled Nursing Facility to Home Following Heart Failure HospitalizationK23HL145110 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WEERAHANDI, HIMALI · 2019 to 2023
$958k
Summer Research Training in Aging for Medical StudentsT35AG050998 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI JOSHUA CHODOSH · 2015 to 2026
$820k
NHLBI NIH HHS K23 HL145110NIA NIH HHS P30 AG066512NIA NIH HHS T35 AG050998
6 · The paper itself

Abstract

backgroundLittle is known about long-term recovery from severe COVID-19 disease. Here, we characterize overall health, physical health, and mental health of patients 1 month after discharge for severe COVID-19.

methodsThis was a prospective single health system observational cohort study of patients ≥ 18 years hospitalized with laboratory-confirmed COVID-19 disease who required at least 6 l of oxygen during admission, had intact baseline cognitive and functional status, and were discharged alive. Participants were enrolled between 30 and 40 days after discharge. Outcomes were elicited through validated survey instruments: the PROMIS® Dyspnea Characteristics and PROMIS® Global Health-10.

resultsA total of 161 patients (40.6% of eligible) were enrolled; 152 (38.3%) completed the survey. Median age was 62 years (interquartile range [IQR], 50-67); 57 (37%) were female. Overall, 113/152 (74%) participants reported shortness of breath within the prior week (median score 3 out of 10 [IQR 0-5]), vs 47/152 (31%) pre-COVID-19 infection (0, IQR 0-1), p < 0.001. Participants also rated their physical health and mental health as worse in their post-COVID state (43.8, standard deviation 9.3; mental health 47.3, SD 9.3) compared to their pre-COVID state, (54.3, SD 9.3; 54.3, SD 7.8, respectively), both p < 0.001. Physical and mental health means in the general US population are 50 (SD 10). A total of 52/148 (35.1%) patients without pre-COVID oxygen requirements needed home oxygen after hospital discharge; 20/148 (13.5%) reported still using oxygen at time of survey.

conclusionsPatients with severe COVID-19 disease typically experience sequelae affecting their respiratory status, physical health, and mental health for at least several weeks after hospital discharge.

Indexed as

AftercareAgedCohort StudiesCOVID-19COVID-19 TestingDisease ProgressionFemaleHumansMaleMental HealthMiddle AgedPatient DischargeProspective StudiesRespiration, Artificial

Identifiers

PMID33443703
PMCPMC7808113
OpenAlexW3120375544

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.