Effect of the COVID-19 pandemic on unmet healthcare needs after hospital discharge in acute respiratory failure survivors: A multicenter prospective cohort study.

Harris L Carmichael, Danielle Groat, Victor D Dinglas, Somnath Bose, Mustafa Mir Kasimov, James C Jackson, Naga Preethi Kadiri, Maria Isabel Trejo-Zambrano, Carla M Sevin, Tom Green, Dale M Needham, Samuel M Brown
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Abstract

Survivors of acute respiratory failure (ARF) have complex healthcare needs postdischarge, frequently resulting in unmet needs. This prospective multicenter study explores the association between COVID-19 status and unmet healthcare needs in survivors of ARF following hospital discharge. We analyzed patient characteristics and unmet healthcare needs by COVID-19 status using a multivariable regression model with propensity weights. Among 195 patients in the final analysis, 54% were COVID-19+, 53% were female, 42% were non-White, and the median (interquartile range [IQR]) age was 54 (42-63). The median (IQR) percentage of unmet healthcare needs was 26% (17%-36%), with follow-up appointments accounting for most unmet needs. Unmet medication needs were found to be very low at 6%. Despite the challenges in healthcare delivery during the COVID-19 pandemic, our data suggest COVID status had no observable effect on unmet healthcare needs for ARF survivors, after controlling for patient baseline and clinical status.

COVID-19大流行对急性呼吸衰竭幸存者出院后未满足医疗需求的影响:一项多中心前瞻性队列研究
急性呼吸衰竭(ARF)幸存者在出院后有复杂的医疗保健需求,经常导致需求未得到满足。这项前瞻性多中心研究探讨了ARF幸存者出院后COVID-19状况与未满足医疗保健需求之间的关系。我们使用带有倾向权重的多变量回归模型分析了COVID-19状态的患者特征和未满足的医疗需求。最终分析的195例患者中,54%为COVID-19+, 53%为女性,42%为非white,中位年龄(四分位数间距[IQR])为54岁(42-63岁)。未满足的医疗保健需求的中位数(IQR)百分比为26%(17%-36%),随访预约占大多数未满足的需求。未满足的药物需求非常低,只有6%。尽管在COVID-19大流行期间医疗保健服务面临挑战,但我们的数据表明,在控制患者基线和临床状况后,COVID状况对ARF幸存者未满足的医疗保健需求没有可观察到的影响。
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