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
{"title":"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","authors":"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","doi":"10.1002/jhm.13576","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":94084,"journal":{"name":"Journal of hospital medicine","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effect of the COVID-19 pandemic on unmet healthcare needs after hospital discharge in acute respiratory failure survivors: A multicenter prospective cohort study.\",\"authors\":\"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\",\"doi\":\"10.1002/jhm.13576\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>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.</p>\",\"PeriodicalId\":94084,\"journal\":{\"name\":\"Journal of hospital medicine\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-12-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of hospital medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1002/jhm.13576\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of hospital medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1002/jhm.13576","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Effect of the COVID-19 pandemic on unmet healthcare needs after hospital discharge in acute respiratory failure survivors: A multicenter prospective cohort study.
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.
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