Evidence map›Paper›PMID 36594987›Full record

Trial reportIntensive care medicine2023

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

Regis Goulart Rosa, Alexandre Biasi Cavalcanti, Luciano César Pontes Azevedo, Viviane Cordeiro Veiga, Denise de Souza, Rosa da Rosa Minho Dos Santos, Raíne Fogliati de Carli Schardosim, Gabriela Soares Rech, Geraldine Trott, Daniel Schneider and 30 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Intensive care medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

39 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

Regis Goulart RosaHospital Moinhos de Vento, Rua Ramiro Barcelos, 630, 10º Andar, Sala 1007, Porto Alegre, RS, 90660-020, Brazil. regisgoulartrosa@gmail.com.ORCID 0000-0001-7881-9866
Alexandre Biasi CavalcantiBrazilian Research in Intensive Care Network (BRICNet), São Paulo, SP, Brazil.
Luciano César Pontes AzevedoBrazilian Research in Intensive Care Network (BRICNet), São Paulo, SP, Brazil.
Viviane Cordeiro VeigaBrazilian Research in Intensive Care Network (BRICNet), São Paulo, SP, Brazil.
Denise de SouzaHospital Moinhos de Vento, Rua Ramiro Barcelos, 630, 10º Andar, Sala 1007, Porto Alegre, RS, 90660-020, Brazil.
Rosa da Rosa Minho Dos SantosHospital Moinhos de Vento, Rua Ramiro Barcelos, 630, 10º Andar, Sala 1007, Porto Alegre, RS, 90660-020, Brazil.
Raíne Fogliati de Carli SchardosimHospital Moinhos de Vento, Rua Ramiro Barcelos, 630, 10º Andar, Sala 1007, Porto Alegre, RS, 90660-020, Brazil.
Gabriela Soares RechHospital Moinhos de Vento, Rua Ramiro Barcelos, 630, 10º Andar, Sala 1007, Porto Alegre, RS, 90660-020, Brazil.
Geraldine TrottHospital Moinhos de Vento, Rua Ramiro Barcelos, 630, 10º Andar, Sala 1007, Porto Alegre, RS, 90660-020, Brazil.
Daniel SchneiderHospital Moinhos de Vento, Rua Ramiro Barcelos, 630, 10º Andar, Sala 1007, Porto Alegre, RS, 90660-020, Brazil.
Caroline Cabral RobinsonHospital Moinhos de Vento, Rua Ramiro Barcelos, 630, 10º Andar, Sala 1007, Porto Alegre, RS, 90660-020, Brazil.
Tainá Aparecida HaubertHospital Moinhos de Vento, Rua Ramiro Barcelos, 630, 10º Andar, Sala 1007, Porto Alegre, RS, 90660-020, Brazil.
Victoria Emanuele Lobo PallaoroHospital Moinhos de Vento, Rua Ramiro Barcelos, 630, 10º Andar, Sala 1007, Porto Alegre, RS, 90660-020, Brazil.
Liége Gregoletto BrognoliHospital Moinhos de Vento, Rua Ramiro Barcelos, 630, 10º Andar, Sala 1007, Porto Alegre, RS, 90660-020, Brazil.
Ana Paula de SouzaHospital Moinhos de Vento, Rua Ramiro Barcelos, 630, 10º Andar, Sala 1007, Porto Alegre, RS, 90660-020, Brazil.
Lauren Sezerá CostaHospital Moinhos de Vento, Rua Ramiro Barcelos, 630, 10º Andar, Sala 1007, Porto Alegre, RS, 90660-020, Brazil.
Bruna Machado BarrosoHospital Moinhos de Vento, Rua Ramiro Barcelos, 630, 10º Andar, Sala 1007, Porto Alegre, RS, 90660-020, Brazil.
Melissa Pezzetti PelliccioliHospital Moinhos de Vento, Rua Ramiro Barcelos, 630, 10º Andar, Sala 1007, Porto Alegre, RS, 90660-020, Brazil.
Janine GonzagaHospital Moinhos de Vento, Rua Ramiro Barcelos, 630, 10º Andar, Sala 1007, Porto Alegre, RS, 90660-020, Brazil.
Nicole Dos Santos StudierHospital Moinhos de Vento, Rua Ramiro Barcelos, 630, 10º Andar, Sala 1007, Porto Alegre, RS, 90660-020, Brazil.
Ana Paula Aquistapase DagninoHospital Moinhos de Vento, Rua Ramiro Barcelos, 630, 10º Andar, Sala 1007, Porto Alegre, RS, 90660-020, Brazil.
Juliana de Mesquita NetoHospital Moinhos de Vento, Rua Ramiro Barcelos, 630, 10º Andar, Sala 1007, Porto Alegre, RS, 90660-020, Brazil.
Sabrina Souza da SilvaHospital Moinhos de Vento, Rua Ramiro Barcelos, 630, 10º Andar, Sala 1007, Porto Alegre, RS, 90660-020, Brazil.
Bruna Dos Passos GimenesHospital Moinhos de Vento, Rua Ramiro Barcelos, 630, 10º Andar, Sala 1007, Porto Alegre, RS, 90660-020, Brazil.
Vanessa Brzoskowski Dos SantosHospital Moinhos de Vento, Rua Ramiro Barcelos, 630, 10º Andar, Sala 1007, Porto Alegre, RS, 90660-020, Brazil.
Gabriel Pozza Muller EstivaleteHospital Moinhos de Vento, Rua Ramiro Barcelos, 630, 10º Andar, Sala 1007, Porto Alegre, RS, 90660-020, Brazil.
Carolina de Moraes PellegrinoHospital M'Boi Mirim, São Paulo, SP, Brazil.
Carisi Anne PolanczykHospital Moinhos de Vento, Rua Ramiro Barcelos, 630, 10º Andar, Sala 1007, Porto Alegre, RS, 90660-020, Brazil.
Letícia Kawano-DouradoHcor Research Institute, Hospital Do Coração, São Paulo, SP, Brazil.
Bruno Martins TomaziniBrazilian Research in Intensive Care Network (BRICNet), São Paulo, SP, Brazil.
Thiago Costa LisboaBrazilian Research in Intensive Care Network (BRICNet), São Paulo, SP, Brazil.
Cassiano TeixeiraBrazilian Research in Intensive Care Network (BRICNet), São Paulo, SP, Brazil.
Fernando Godinho ZampieriBrazilian Research in Intensive Care Network (BRICNet), São Paulo, SP, Brazil.
Alexandre Prehn ZavasckiHospital Moinhos de Vento, Rua Ramiro Barcelos, 630, 10º Andar, Sala 1007, Porto Alegre, RS, 90660-020, Brazil.
Bernard J GershDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Álvaro AvezumInternational Research Center, Hospital Alemão Oswaldo Cruz, São Paulo, SP, Brazil.
Flávia Ribeiro MachadoBrazilian Research in Intensive Care Network (BRICNet), São Paulo, SP, Brazil.
Otavio BerwangerAcademic Research Organization, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Renato Delascio LopesDuke Clinical Research Institute, Duke University Medical Center, Durham, NC, USA.
Maicon FalavignaHospital Moinhos de Vento, Rua Ramiro Barcelos, 630, 10º Andar, Sala 1007, Porto Alegre, RS, 90660-020, Brazil.

Funding

Pfizer 68065723
6 · The paper itself

Abstract

purposeTo assess the association between acute disease severity and 1-year quality of life in patients discharged after hospitalisation due to coronavirus disease 2019 (COVID-19).

methodsWe conducted a prospective cohort study nested in 5 randomised clinical trials between March 2020 and March 2022 at 84 sites in Brazil. Adult post-hospitalisation COVID-19 patients were followed for 1 year. The primary outcome was the utility score of EuroQol five-dimension three-level (EQ-5D-3L). Secondary outcomes included all-cause mortality, major cardiovascular events, and new disabilities in instrumental activities of daily living. Adjusted generalised estimating equations were used to assess the association between outcomes and acute disease severity according to the highest level on a modified ordinal scale during hospital stay (2: no oxygen therapy; 3: oxygen by mask or nasal prongs; 4: high-flow nasal cannula oxygen therapy or non-invasive ventilation; 5: mechanical ventilation).

results1508 COVID-19 survivors were enrolled. Primary outcome data were available for 1156 participants. At 1 year, compared with severity score 2, severity score 5 was associated with lower EQ-5D-3L utility scores (0.7 vs 0.84; adjusted difference, - 0.1 [95% CI - 0.15 to - 0.06]); and worse results for all-cause mortality (7.9% vs 1.2%; adjusted difference, 7.1% [95% CI 2.5%-11.8%]), major cardiovascular events (5.6% vs 2.3%; adjusted difference, 2.6% [95% CI 0.6%-4.6%]), and new disabilities (40.4% vs 23.5%; adjusted difference, 15.5% [95% CI 8.5%-22.5]). Severity scores 3 and 4 did not differ consistently from score 2.

conclusionsCOVID-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.

Indexed as

Cardiovascular DiseasesCOVID-19Activities of Daily LivingAdultHospitalizationHumansPatient AcuityProspective StudiesQuality of LifeRespiration, ArtificialSARS-CoV-2ArtificialCOVID-19Critical care outcomesPost-acute COVID-19 syndromeRespiration

Identifiers

PMID36594987
PMCPMC9808680

What OpenQuestion holds

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Registered trials

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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.