Evidence map›Paper›PMID 34749756›Full record

ArticleCritical care (London, England)2021

The impact of COVID-19 critical illness on new disability, functional outcomes and return to work at 6 months: a prospective cohort study.

Carol L Hodgson, Alisa M Higgins, Michael J Bailey, Anne M Mather, Lisa Beach, Rinaldo Bellomo, Bernie Bissett, Ianthe J Boden, Scott Bradley, Aidan Burrell and 30 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in Critical care (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04401254 (The Coronavirus Disease 2019 - Recovery Study), which is not on this map. Cited by 57 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 5 pooled it
17.0field-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.

NCT04401254 completednot on this map

The Coronavirus Disease 2019 - Recovery Study

TypeobservationalSponsorAustralian and New Zealand Intensive Care Research CentreRan2020 to 2022Enrolled536ConditionsCOVID-19, Critical Illness
3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 5 syntheses or guidelines pooled it, 135 citations in OpenAlex.

  1. Pooled it
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  6. Observational
  7. Physiological barriers to oral intake in survivors of critical illness: A scoping review.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2026
    Article
  8. Rinaldo Bellomo and the evolution of critical care survivorship.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2025
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  12. Consumer Experience of an Australian Multidisciplinary Long COVID Clinic That Incorporates Personalised Exercise Prescription: A Qualitative Analysis.Health expectations : an international journal of public participation in health care and health policy · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

40 authors at 19 institutions in 2 countries.

Carol L HodgsonAustralian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia. carol.hodgson@monash.edu.ORCID 0000-0001-9002-2075
Alisa M HigginsAustralian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Michael J BaileyAustralian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Anne M MatherAustralian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Lisa BeachDepartment of Physiotherapy (Allied Health), The Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Rinaldo BellomoAustralian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0002-1650-8939
Bernie BissettDiscipline of Physiotherapy, University of Canberra, Canberra, Australia.
Ianthe J BodenPhysiotherapy Department, Launceston General Hospital, Launceston, Tasmania, Australia.
Scott BradleyDepartment of Physiotherapy, The Alfred, Melbourne, Victoria, Australia.
Aidan BurrellAustralian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
D James CooperAustralian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0002-5872-9051
Bentley J FulcherAustralian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Kimberley J HainesPhysiotherapy Department, Western Health, Melbourne, Victoria, Australia.
Jack HopkinsAustralian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Alice Y M JonesSchool of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Queensland, Australia.
Stuart LaneAustralian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Drew LawrenceDepartment of Physiotherapy, The Alfred, Melbourne, Victoria, Australia.
Lisa van der LeeFiona Stanley Hospital, Perth, Western Australia, Australia.
Jennifer LiacosDepartment of Physiotherapy, The Alfred, Melbourne, Victoria, Australia.
Natalie J LinkeAustralian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Lonni Marques GomesAustralian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Marc NickelsPhysiotherapy Department, Princess Alexandra Hospital, Metro South Health, Queensland, Australia.
George NtoumenopoulosPhysiotherapy, St Vincent's Hospital, Sydney, New South Wales, Australia.
Paul S MylesDepartment of Anaesthesiology and Perioperative Medicine, Central Clinical School, Monash University, Melbourne, Victoria, Australia.
Shane PatmanFaculty of Medicine, Nursing and Midwifery, Health Sciences and Physiotherapy, The University of Notre Dame Australia, Perth, Western Australia, Australia.
Michelle PatonAustralian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Gemma PoundAustralian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Sumeet RaiCanberra Health Services, Canberra, Australia.
Alana RixDepartment of Physiotherapy, The Alfred, Melbourne, Victoria, Australia.
Thomas C RollinsonDepartment of Physiotherapy, Division of Allied Health, Austin Health, Melbourne, Australia.
Janani SivasuthanAustralian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Claire J TippingDepartment of Physiotherapy, The Alfred, Melbourne, Victoria, Australia.
Peter ThomasDepartment of Physiotherapy, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
Tony TrapaniAustralian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Andrew A UdyAustralian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Christina WhiteheadAustralian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Isabelle T HodgsonAustralian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Shannah AndersonAustralian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Ary Serpa NetoAustralian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
COVID-Recovery Study Investigators and the ANZICS Clinical Trials Group
Monash University · AUThe Alfred Hospital · AUThe University of Melbourne · AUNepean Hospital · AUThe Royal Melbourne Hospital · AUAustin Health · AUAustralian National University · AUFiona Stanley Hospital · AUMonash Alfred Psychiatry Research centre · AUMonash Health · AUPrincess Alexandra Hospital · AURoyal Brisbane and Women's Hospital · AUSt Vincent's Hospital Melbourne · AUSt Vincent's Hospital Sydney · AUThe University of Notre Dame Australia · AUThe University of Queensland · AUUniversity of Canberra · AUUniversity of Tasmania · AUWestern Health · AU

Funding

National Health and Medical Research Council GNT1173271
6 · The paper itself

Abstract

backgroundThere are few reports of new functional impairment following critical illness from COVID-19. We aimed to describe the incidence of death or new disability, functional impairment and changes in health-related quality of life of patients after COVID-19 critical illness at 6 months.

methodsIn a nationally representative, multicenter, prospective cohort study of COVID-19 critical illness, we determined the prevalence of death or new disability at 6 months, the primary outcome. We measured mortality, new disability and return to work with changes in the World Health Organization Disability Assessment Schedule 2.0 12L (WHODAS) and health status with the EQ5D-5L

resultsOf 274 eligible patients, 212 were enrolled from 30 hospitals. The median age was 61 (51-70) years, and 124 (58.5%) patients were male. At 6 months, 43/160 (26.9%) patients died and 42/108 (38.9%) responding survivors reported new disability. Compared to pre-illness, the WHODAS percentage score worsened (mean difference (MD), 10.40% [95% CI 7.06-13.77]; p < 0.001). Thirteen (11.4%) survivors had not returned to work due to poor health. There was a decrease in the EQ-5D-5L

conclusionsAt six months after COVID-19 critical illness, death and new disability was substantial. Over a third of survivors had new disability, which was widespread across all areas of functioning. Clinical trial registration NCT04401254 May 26, 2020.

Indexed as

Persons with DisabilitiesAgedAged, 80 and overAustraliaCohort StudiesCOVID-19Critical IllnessFemaleFollow-Up StudiesHealth StatusHumansMaleMiddle AgedMortalityProspective StudiesRecovery of FunctionCOVID-19DisabilityIntensive careLong-term outcomeMechanical ventilation

Identifiers

PMID34749756
PMCPMC8575157
OpenAlexW3212565925

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Registered trials

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.