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Quality of life and long-term outcomes after hospitalization for COVID-19: Protocol for a prospective cohort study
Regis Goulart Rosa1,2, Caroline Cabral Robinson1, Viviane Cordeiro Veiga2,3
1Hospital Moinhos de Vento - Porto Alegre (RS), Brasil.
Insights
Long COVID survivors face unknown long-term health effects. This study in Brazil tracks survivors for a year to identify factors impacting their quality of life and health outcomes post-COVID-19 hospitalization.
Area of Science:
- Infectious Diseases
- Public Health
- Epidemiology
Background:
- The long-term health consequences of COVID-19 remain largely unknown.
- Hospitalized COVID-19 survivors are a vulnerable population requiring extended monitoring.
- Understanding post-COVID-19 sequelae is crucial for public health strategies and patient care.
Purpose of the Study:
- To assess health-related quality of life (HRQoL) and long-term outcomes in COVID-19 survivors hospitalized in Brazil.
- To identify demographic, clinical, and treatment-related factors associated with HRQoL and outcomes.
- To provide insights into the post-hospitalization recovery trajectory of COVID-19 patients.
Main Methods:
- A multicenter prospective cohort study nested within five randomized clinical trials in Brazil.
- Follow-up of adult COVID-19 survivors for 1 year via structured telephone interviews.
- Primary outcome: 1-year HRQoL (EuroQol-5D-3L). Secondary outcomes: mortality, cardiovascular events, rehospitalization, functional status, dyspnea, mental health, and self-rated health.
Main Results:
- Data collection and analysis are ongoing; specific results are pending.
- The study is designed to identify significant associations between patient characteristics/illness factors and long-term outcomes.
- Findings will elucidate the multifaceted recovery process following severe COVID-19.
Conclusions:
- The study will provide critical data on the long-term impact of COVID-19 hospitalization.
- Identifying risk and protective factors will inform clinical management and support for survivors.
- Results will contribute to a better understanding of post-COVID-19 syndrome and guide future research and healthcare policies.
Introduction:
The long-term effects caused by COVID-19 are unknown. The present study aims to assess factors associated with health-related quality of life and long-term outcomes among survivors of hospitalization for COVID-19 in Brazil.
Methods:
This is a multicenter prospective cohort study nested in five randomized clinical trials designed to assess the effects of specific COVID-19 treatments in over 50 centers in Brazil. Adult survivors of hospitalization due to proven or suspected SARS-CoV-2 infection will be followed-up for a period of 1 year by means of structured telephone interviews. The primary outcome is the 1-year utility score of health-related quality of life assessed by the EuroQol-5D3L. Secondary outcomes include all-cause mortality, major cardiovascular events, rehospitalizations, return to work or study, physical functional status assessed by the Lawton-Brody Instrumental Activities of Daily Living, dyspnea assessed by the modified Medical Research Council dyspnea scale, need for long-term ventilatory support, symptoms of anxiety and depression assessed by the Hospital Anxiety and Depression Scale, symptoms of posttraumatic stress disorder assessed by the Impact of Event Scale-Revised, and self-rated health assessed by the EuroQol-5D3L Visual Analog Scale. Generalized estimated equations will be performed to test the association between five sets of variables (1- demographic characteristics, 2- premorbid state of health, 3- characteristics of acute illness, 4- specific COVID-19 treatments received, and 5- time-updated postdischarge variables) and outcomes.
Ethics And Dissemination:
The study protocol was approved by the Research Ethics Committee of all participant institutions. The results will be disseminated through conferences and peer-reviewed journals.
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