Ítem
Acceso Abierto
Resilience and quality of life in patients who underwent mechanical ventilation due to COVID-19, one year after discharge
Título de la revista
Autores
Rodríguez Lima, D. R.
Rubio Ramos, C.
Diaz Quiroz, M. A.
Rodríguez Aparicio, E. E.
Gómez Cortes, L. A.
Otálora González, L.
Ruíz Sternberg, Ángela María
Fecha
2024-12-01
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Editor
Journal of Patient-Reported Outcomes
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Resumen
Background: Patients with COVID-19 often experience severe long-term sequelae. This study aimed to assess resilience and Quality of Life (QoL) of patients who underwent mechanical ventilation due to COVID-19, one year after discharge. Methods: This cross-sectional study enrolled patients who received mechanical ventilation for severe COVID-19 and were assessed one-year post-discharge. Participants completed a structured questionnaire via telephone comprising the Connor-Davidson Resilience Scale (CD-RISC) and the Post-COVID-19 Functional Status scale (PCFS). To establish the association between QoL and resilience, Spearman correlations were calculated between the PCFS and the CD-RISC. Linear regression models were adjusted to evaluate which factors were associated with QoL, with the total score of PCFS as the dependent variable. Results: A total of 225 patients were included in the analysis. The CD-RISC had a median score of 83 (IQR 74–91). The PCFS results showed that 61.3% (n?=?138) of the patients were able to resume their daily activities without limitations. Among them, 37.3% (n?=?84) were classified as Grade 0 and 24% (n?=?54) as Grade 1. Mild and moderate functional limitations were found in 33.7% of the patients, with 24.8% (n?=?56) classified as Grade 2 and 8.8% (n?=?20) as Grade 3. Severe functional limitations (Grade 4) were observed in 4.8% (n?=?11) of the patients. High CD-RISC scores were associated with lower levels of PCFS score (p?<?0.001). Conclusions: In this cohort of critically ill patients who underwent mechanical ventilation due to COVID-19, 38% of patients experienced a significant decline in their QoL one year after hospital discharge. Finally, a high level of resilience was strongly associated with better QoL one year after discharge.
Abstract
Palabras clave
Connor-Davidson Resilience Scale , Post-COVID-19 Functional Status Scale , EuroQoL 5D-3L , Quality of life , COVID-19 , Mechanical ventilation , Resilience
