Evidence map›Paper›PMID 38418616›Full record

ArticleCommunications medicine2024

Socioeconomic deprivation and illness trajectory in the Scottish population after COVID-19 hospitalization.

Andrew J Morrow, Robert Sykes, Merna Saleh, Baryab Zahra, Alasdair MacIntosh, Anna Kamdar, Catherine Bagot, Hannah K Bayes, Kevin G Blyth, Heerajnarain Bulluck and 34 more

Abstract read
In one paragraph

Article in Communications medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

44 authors.

Andrew J MorrowSchool of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK.
Robert SykesSchool of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK.
Merna SalehDepartment of Cardiology, Queen Elizabeth University Hospital, Glasgow, UK.
Baryab ZahraDepartment of Cardiology, Queen Elizabeth University Hospital, Glasgow, UK.
Alasdair MacIntoshRobertson Centre for Biostatistics, University of Glasgow, Glasgow, UK.
Anna KamdarSchool of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK.ORCID http://orcid.org/0000-0001-9194-547X
Catherine BagotDepartment of Haemostasis and Thrombosis, Glasgow Royal Infirmary, Glasgow, UK.
Hannah K BayesDepartment of Respiratory Medicine, Glasgow Royal Infirmary, Glasgow, UK.
Kevin G BlythDepartment of Respiratory Medicine, Queen Elizabeth University Hospital, Glasgow, UK.
Heerajnarain BulluckLeeds General Infirmary, St James's University Hospital, Leeds, UK.
David CarrickDepartment of Cardiology, University Hospital Hairmyres, East Kilbride, UK.
Colin ChurchDepartment of Respiratory Medicine, Queen Elizabeth University Hospital, Glasgow, UK.
David CorcoranSchool of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK.
Iain FindlayDepartment of Cardiology, Royal Alexandra Hospital, Paisley, UK.
Vivienne B GibsonDepartment of Haemostasis and Thrombosis, Glasgow Royal Infirmary, Glasgow, UK.
Lynsey GillespieProject Management Unit, Glasgow Clinical Research Facility, Greater Glasgow and Clyde Health Board, Glasgow, UK.
Douglas GrieveDepartment of Respiratory Medicine, Royal Alexandra Hospital, Glasgow, UK.
Pauline Hall BarrientosDepartment of Medical Physics, NHS Greater Glasgow and Clyde Health Board, Glasgow, UK.ORCID http://orcid.org/0000-0002-1563-233X
Antonia HoMRC-University of Glasgow Centre for Virus Research, Glasgow, UK.
Ninian N LangSchool of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK.
David J LoweDepartment of Emergency Medicine, Queen Elizabeth University Hospital, NHS Greater Glasgow and Clyde Health Board, Glasgow, UK.ORCID http://orcid.org/0000-0003-4866-2049
Vera LennieDepartment of Cardiology, Aberdeen Royal Infirmary, Aberdeen, UK.
Peter W MacfarlaneElectrocardiology Core Laboratory, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID http://orcid.org/0000-0002-5390-1596
Kaitlin J MayneSchool of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK.ORCID http://orcid.org/0000-0002-5695-0270
Patrick B MarkSchool of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK.ORCID http://orcid.org/0000-0003-3387-2123
Alex McConnachieRobertson Centre for Biostatistics, University of Glasgow, Glasgow, UK.ORCID http://orcid.org/0000-0002-7262-7000
Ross McGeochRegional Heart and Lung Centre, NHS Golden Jubilee, Clydebank, UK.
Sabrina NordinDepartment of Cardiology, Queen Elizabeth University Hospital, Glasgow, UK.
Alexander PayneDepartment of Cardiology, University Hospital Crosshouse, Kilmarnock, UK.
Alastair J RankinSchool of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK.
Keith RobertsonDepartment of Cardiology, Royal Alexandra Hospital, Paisley, UK.ORCID http://orcid.org/0000-0002-6557-8298
Nicola RyanDepartment of Cardiology, Aberdeen Royal Infirmary, Aberdeen, UK.ORCID http://orcid.org/0000-0002-2451-8790
Giles RoditiDepartment of Radiology, NHS Greater Glasgow and Clyde Health Board, Glasgow, UK.ORCID http://orcid.org/0000-0001-9393-7764
Naveed SattarSchool of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK.
David StoboDepartment of Radiology, NHS Greater Glasgow and Clyde Health Board, Glasgow, UK.
Sarah Allwood-SpiersDepartment of Respiratory Medicine, Glasgow Royal Infirmary, Glasgow, UK.
Rhian M TouyzSchool of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK.
Gruschen VeldtmanScottish Adult Congenital Cardiac Service, NHS Golden Jubilee, Clydebank, UK.
Sarah WeedenRobertson Centre for Biostatistics, University of Glasgow, Glasgow, UK.
Robin WeirRegional Heart and Lung Centre, NHS Golden Jubilee, Clydebank, UK.
Stuart WatkinsDepartment of Cardiology, Royal Alexandra Hospital, Paisley, UK.ORCID http://orcid.org/0000-0003-1579-6294
Paul WelshSchool of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK.ORCID http://orcid.org/0000-0002-7970-3643
Kenneth MangionSchool of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK.ORCID http://orcid.org/0000-0002-3505-7440
Colin BerrySchool of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK. colin.berry@glasgow.ac.uk.ORCID http://orcid.org/0000-0002-4547-8636

Funding

British Heart Foundation FS/MBPHD/22/28011
6 · The paper itself

Abstract

backgroundThe associations between deprivation and illness trajectory after hospitalisation for coronavirus disease-19 (COVID-19) are uncertain.

methodsA prospective, multicentre cohort study was conducted on post-COVID-19 patients, enrolled either in-hospital or shortly post-discharge. Two evaluations were carried out: an initial assessment and a follow-up at 28-60 days post-discharge. The study encompassed research blood tests, patient-reported outcome measures, and multisystem imaging (including chest computed tomography (CT) with pulmonary and coronary angiography, cardiovascular and renal magnetic resonance imaging). Primary and secondary outcomes were analysed in relation to socioeconomic status, using the Scottish Index of Multiple Deprivation (SIMD). The EQ-5D-5L, Brief Illness Perception Questionnaire (BIPQ), Patient Health Questionnaire-4 (PHQ-4) for Anxiety and Depression, and the Duke Activity Status Index (DASI) were used to assess health status.

resultsOf the 252 enrolled patients (mean age 55.0 ± 12.0 years; 40% female; 23% with diabetes), deprivation status was linked with increased BMI and diabetes prevalence. 186 (74%) returned for the follow-up. Within this group, findings indicated associations between deprivation and lung abnormalities (p = 0.0085), coronary artery disease (p = 0.0128), and renal inflammation (p = 0.0421). Furthermore, patients with higher deprivation exhibited worse scores in health-related quality of life (EQ-5D-5L, p = 0.0084), illness perception (BIPQ, p = 0.0004), anxiety and depression levels (PHQ-4, p = 0.0038), and diminished physical activity (DASI, p = 0.002). At the 3-month mark, those with greater deprivation showed a higher frequency of referrals to secondary care due to ongoing COVID-19 symptoms (p = 0.0438). However, clinical outcomes were not influenced by deprivation.

conclusionsIn a post-hospital COVID-19 population, socioeconomic deprivation was associated with impaired health status and secondary care episodes. Deprivation influences illness trajectory after COVID-19.

Identifiers

PMID38418616
PMCPMC10901805

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