Enhancing Quality of Life in Severe Post-COVID Survivors through Multidisciplinary Care

D. J. Cataneo-Piña, Armando Castorena-Maldonado, D. González-Islas, Susana Galicia-Amor, A. Orea-Tejeda, V. Peláez-Hernández, Alma Delia Gutiérrez-Álvarez, Jorge Rojas-Serrano, Eduardo Ortiz-Reyes, Aline Mendoza-Méndez, Ángel Mendoza-Escamilla, Sinuhe Fabre-Alonso, Ivette Buendía-Roldán, Laura Gochicoa-Rangel, C. López-García, Marian Radillo-Gil, Celia Gabriela Hernández Favela, S. Monraz-Pérez, J. Salas-Hernández, Patricio Santillán-Doherty
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Abstract

COVID-19 survivors who were hospitalized continue to experience long-term multi-systemic sequelae and symptoms, impacting their health-related quality of life (HRQo). The complexity of post-COVID-19 conditions underscores the importance of adopting a multidisciplinary, patient-centric approach to ensure ongoing care. This study aims to assess HRQoL and post-COVID symptoms in a cohort of severe COVID-19 survivors depending on their participation in a multidisciplinary program.This prospective study was conducted in a post-COVID clinic staffed by a multidisciplinary team (physical rehabilitator, nutritionist, psychologist, including experts in pulmonary rehabilitation, nutrition, psychology, and others). Subjects over 18 years old who were hospitalized by COVID-19 severe during acute phase and accept attend the post-COVID clinic within the first three months following discharge were included. Subjects who were unable or unwilling to provide informed consent to participate in the protocol were excluded. Linear mixed-effect models were employed to examine changes in SF-12 component scores. The resolution of post-COVID symptom clusters was compared using Cox Model.A total of 730 patients were included, with a mean age of 55.78±15.43 years, 60.55% were male, and 90.62% required mechanical ventilation during hospitalization. Program attendants demonstrated improved SF-12 physical and mental component scores at 3 and 12 months. A reduction in the prevalence of post-COVID symptoms was observed in both groups, with greater reductions in those attending the program.Our study showed that multidisciplinary programme experienced improvements in fatigue, musculoskeletal, gastrointestinal, neuropsychiatric, and respiratory symptoms, along with enhanced SF-12 mental and physical component scores.
通过多学科护理提高严重宫颈糜烂后幸存者的生活质量
住院治疗的 COVID-19 幸存者仍会出现多系统的长期后遗症和症状,影响他们与健康相关的生活质量 (HRQo)。COVID-19 后遗症的复杂性凸显了采用多学科、以患者为中心的方法来确保持续护理的重要性。这项前瞻性研究在一家由多学科团队(物理康复师、营养师、心理学家,包括肺康复、营养、心理等方面的专家)组成的 COVID 后诊所进行。受试者年龄在 18 周岁以上,在急性期因 COVID-19 重症住院,并在出院后的前三个月内接受 COVID 后门诊治疗。无法或不愿提供知情同意书参与方案的受试者被排除在外。采用线性混合效应模型来研究 SF-12 各部分得分的变化。共纳入 730 名患者,平均年龄(55.78±15.43)岁,60.55% 为男性,90.62% 在住院期间需要机械通气。项目参与者在 3 个月和 12 个月后的 SF-12 身心评分均有所改善。我们的研究表明,多学科计划改善了患者的疲劳、肌肉骨骼、胃肠道、神经精神和呼吸系统症状,同时提高了 SF-12 精神和身体部分的评分。
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