Evidence map›Paper›PMID 37268779›Full record

ArticleJournal of general internal medicine2023

Patients' Perspectives on Life and Recovery 1 Year After COVID-19 Hospitalization.

Carolyn P Chow, Christopher F Chesley, Michaela Ward, Rebecca Neergaard, Taara V Prasad, Erich M Dress, Sara Reagan, Priyanka Kalyani, Nathan Smyk, Alexandra P Turner and 7 more

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

17 authors.

Carolyn P ChowPerelman School of Medicine, the University of Pennsylvania, Philadelphia, PA, USA.
Christopher F ChesleyPalliative and Advanced Illness Research (PAIR) Center, the University of Pennsylvania, Philadelphia, PA, USA.
Michaela WardMixed Methods Research Laboratory, the University of Pennsylvania, Philadelphia, PA, USA.
Rebecca NeergaardMixed Methods Research Laboratory, the University of Pennsylvania, Philadelphia, PA, USA.
Taara V PrasadPalliative and Advanced Illness Research (PAIR) Center, the University of Pennsylvania, Philadelphia, PA, USA.
Erich M DressPalliative and Advanced Illness Research (PAIR) Center, the University of Pennsylvania, Philadelphia, PA, USA.
Sara ReaganDepartment of Neurology, the University of Pennsylvania, Philadelphia, PA, USA.
Priyanka KalyaniDepartment of Neurology, the University of Pennsylvania, Philadelphia, PA, USA.
Nathan SmykDepartment of Neurology, the University of Pennsylvania, Philadelphia, PA, USA.
Alexandra P TurnerDivision of Pulmonary, Allergy and Critical Care, the University of Pennsylvania, Philadelphia, PA, USA.
Roseline S AgyekumDivision of Pulmonary, Allergy and Critical Care, the University of Pennsylvania, Philadelphia, PA, USA.
Caroline A G IttnerDivision of Pulmonary, Allergy and Critical Care, the University of Pennsylvania, Philadelphia, PA, USA.
Danielle K SandsmarkDepartment of Neurology, the University of Pennsylvania, Philadelphia, PA, USA.
Nuala J MeyerDivision of Pulmonary, Allergy and Critical Care, the University of Pennsylvania, Philadelphia, PA, USA.
Michael O HarhayPerelman School of Medicine, the University of Pennsylvania, Philadelphia, PA, USA.
Rachel KohnPerelman School of Medicine, the University of Pennsylvania, Philadelphia, PA, USA.
Catherine L AuriemmaPalliative and Advanced Illness Research (PAIR) Center, the University of Pennsylvania, Philadelphia, PA, USA. Catherine.auriemma@pennmedicine.upenn.edu.ORCID http://orcid.org/0000-0003-4803-0375

Funding

Investigating Individual Susceptibility and Host Response in Acute Respiratory Distress SyndromeR35HL161196 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI Nuala Jennings Meyer · 2022 to 2026
$4.8M
Clinical Validation of Serum Neurofilament Light as a Biomarker of Traumatic Axonal InjuryU01NS114140 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI DIAZ-ARRASTIA, RAMON · 2020 to 2025
$3.9M
Developing and Evaluating Quality-Weighted Hospital-Free Days as a Novel, Patient-Centered Outcome for Trials of Patients with Acute Respiratory FailureK23HL163402 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI Catherine Louise Auriemma · 2022 to 2026
$1.0M
The influence of ward capacity strain on outcomes among survivors of acute respiratory failureK23HL146894 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI KOHN, RACHEL · 2019 to 2023
$1.0M
Natural History of Traumatic Microvascular InjuryK23NS104239 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI SANDSMARK, DANIELLE KAYE · 2017 to 2021
$929k
Improving the measurement and analysis of long-term, patient-centered outcomes following acute respiratory failureR00HL141678 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI HARHAY, MICHAEL OSCAR · 2020 to 2022
$747k
NHLBI NIH HHS K23 HL146894NHLBI NIH HHS K23 HL163402NHLBI NIH HHS L30 HL154185NHLBI NIH HHS R00 HL141678NHLBI NIH HHS R35 HL161196NINDS NIH HHS K23 NS104239NINDS NIH HHS U01 NS114140
6 · The paper itself

Abstract

backgroundMany patients hospitalized for COVID-19 experience prolonged symptoms months after discharge. Little is known abou t patients' personal experiences recovering from COVID-19 in the United States (US), where medically underserved populations are at particular risk of adverse outcomes.

objectiveTo explore patients' perspectives on the impact of COVID-19 hospitalization and barriers to and facilitators of recovery 1 year after hospital discharge in a predominantly Black American study population with high neighborhood-level socioeconomic disadvantage.

designQualitative study utilizing individual, semi-structured interviews.

participantsAdult patients hospitalized for COVID-19 approximately 1 year after discharge home who were engaged in a COVID-19 longitudinal cohort study. APPROACH: The interview guide was developed and piloted by a multidisciplinary team. Interviews were audio-recorded and transcribed. Data were coded and organized into discrete themes using qualitative content analysis with constant comparison techniques. KEY

resultsOf 24 participants, 17 (71%) self-identified as Black, and 13 (54%) resided in neighborhoods with the most severe neighborhood-level socioeconomic disadvantage. One year after discharge, participants described persistent deficits in physical, cognitive, or psychological health that impacted their current lives. Repercussions included financial suffering and a loss of identity. Participants reported that clinicians often focused on physical health over cognitive and psychological health, an emphasis that posed a barrier to recovering holistically. Facilitators of recovery included robust financial or social support systems and personal agency in health maintenance. Spirituality and gratitude were common coping mechanisms.

conclusionsPersistent health deficits after COVID-19 resulted in downstream consequences in participants' lives. Though participants received adequate care to address physical needs, many described persistent unmet cognitive and psychological needs. A more comprehensive understanding of barriers and facilitators for COVID-19 recovery, contextualized by specific healthcare and socioeconomic needs related to socioeconomic disadvantage, is needed to better inform intervention delivery to patients that experience long-term sequelae of COVID-19 hospitalization.

Indexed as

COVID-19AdultDelivery of Health CareHospitalizationHumansLongitudinal StudiesPatient DischargeQualitative ResearchUnited StatesCOVID-19health disparitiesoutcomesqualitative researchrecovery

Identifiers

PMID37268779
PMCPMC10237521

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.