Cohort Profile: Post-Hospitalisation COVID-19 (PHOSP-COVID) study

Elneima, Omer; McAuley, Hamish J C; Leavy, Olivia C; Chalmers, James D; Horsley, Alex; Ho, Ling-Pei; Marks, Michael; Poinasamy, Krisnah; Raman, Betty; Shikotra, Aarti; Singapuri, Amisha; Sereno, Marco; Harris, Victoria C; Houchen-Wolloff, Linzy; Saunders, Ruth M; Greening, Neil J; Richardson, Matthew; Quint, Jennifer K; Briggs, Andrew; Docherty, Annemarie B; Kerr, Steven; Harrison, Ewen M; Lone, Nazir I; Thorpe, Mathew; Heaney, Liam G; Lewis, Keir E; Aul, Raminder; Beirne, Paul; Bolton, Charlotte E; Brown, Jeremy S; Choudhury, Gourab; Bakerly, Nawar Diar; Easom, Nicholas; Echevarria, Carlos; Fuld, Jonathan; Hart, Nick; Hurst, John R; Jones, Mark G; Parekh, Dhruv; Pfeffer, Paul; Rahman, Najib M; Rowland-Jones, Sarah L; Thompson, Aa Roger; Jolley, Caroline; Shah, Ajay M; Wootton, Dan G; Chalder, Trudie; Davies, Melanie J; De Soyza, Anthony; Geddes, John R; Greenhalf, William; Heller, Simon; Howard, Luke S; Jacob, Joseph; Jenkins, R Gisli; Lord, Janet M; Man, William D-C; McCann, Gerry P; Neubauer, Stefan; Openshaw, Peter Jm; Porter, Joanna C; Rowland, Matthew J; Scott, Janet T; Semple, Malcolm G; Singh, Sally J; Thomas, David C; Toshner, Mark; Smith, Nikki; Sheikh, Aziz; Brightling, Christopher E; Wain, Louise V; Evans, Rachael A; ,; Brightling, C E; Evans, R A; Wain, L V; Chalmers, J D; Harris, V C; Ho, L P; Horsley, A; Marks, M; Poinasamy, K; Raman, B; Shikotra, A; Singapuri, A; Brightling, C E; Evans, R A; Wain, L V; Dowling, R; Edwardson, C; Elneima, O; Finney, S; Greening, N J; Hargadon, B; Harris, V C; Houchen-Wolloff, L; Leavy, O C; McAuley, H J C; Overton, C; Plekhanova, T; Saunders, R M; Sereno, M; Singapuri, A; Shikotra, A; Taylor, C; Terry, S; Tong, C; Zhao, B; Lomas, D; Sapey, E; Berry, C; Bolton, C E; Brunskill, N; Chilvers, E R; Djukanovic, R; Ellis, Y; Forton, D; French, N; George, J; Hanley, N A; Hart, N; McGarvey, L; Maskell, N; McShane, H; Parkes, M; Peckham, D; Pfeffer, P; Sayer, A; Sheikh, A; Thompson, A A R; Williams, N; Brightling, C E; Greenhalf, W; Semple, M G; Ashworth, M; Hardwick, H E; Lavelle-Langham, L; Reynolds, W; Sereno, M; Saunders, R M; Singapuri, A; Shaw, V; Shikotra, A; Venson, B; Wain, L V; Docherty, A B; Harrison, E M; Sheikh, A; Baillie, J K; Brightling, C E; Daines, L; Free, R; Evans, R A; Kerr, S; Leavy, O C; Lone, N I; McAuley, H J C; Pius, R; Quint, J K; Richardson, M; Sereno, M; Thorpe, M; Wain, L V; Halling-Brown, M; Gleeson, F; Jacob, J; Neubauer, S; Raman, B; Siddiqui, S; Wild, J M; Aslani, S; Baxter, G; Beggs, M; Bloomfield, C; Cassar, M P; Chiribiri, A; Cox, E; Cuthbertson, D J; Halling-Brown, M; Ferreira, V M; Finnigan, L; Francis, S; Jezzard, P; Kemp, G J; Lamlum, H; Lukaschuk, E; Manisty, C; McCann, G P; McCracken, C; McGlynn, K; Menke, R; Miller, C A; Moss, A J; Nichols, T E; Nikolaidou, C; O'Brien, C; Ogbole, G; Rangelov, B; O'Regan, D P; Pakzad, A; Piechnik, S; Plein, S; Propescu, I; Samat, A A; Saunders, L; Sanders, Z B; Steeds, R; Treibel, T; Tunnicliffe, E M; Webster, M; Willoughby, J; Weir McCall, J; Xie, C; Xu, M; Wain, L V; Baillie, J K; Baxendale, H; Brightling, C E; Brown, M; Chalmers, J D; Evans, R A; Gooptu, B; Greenhalf, W; Hardwick, H E; Jenkins, R G; Jones, D; Koychev, I; Langenberg, C; Lawrie, A; Molyneaux, P L; Shikotra, A; Pearl, J; Ralser, M; Sattar, N; Saunders, R M; Scott, J T; Shaw, T; Thomas, D; Wilkinson, D; Heaney, L G; De Soyza, A; Adeloye, D; Brightling, C E; Brown, J S; Busby, J; Chalmers, J D; Echevarria, C; Daines, L; Elneima, O; Evans, R A; Hurst, J R; Novotny, P; Nicolaou, C; Pfeffer, P; Poinasamy, K; Quint, J K; Rudan, I; Sapey, E; Shankar-Hari, M; Sheikh, A; Siddiqui, S; Walker, S; Zheng, B; Geddes, J R; Hotopf, M; Abel, K; Ahmed, R; Allan, L; Armour, C; Baguley, D; Baldwin, D; Ballard, C; Bhui, K; Breen, G; Breeze, K; Broome, M; Brugha, T; Bullmore, E; Burn, D; Callard, F; Cavanagh, J; Chalder, T; Clark, D; David, A; Deakin, B; Dobson, H; Elliott, B; Evans, J; Evans, R A; Francis, R; Guthrie, E; Harrison, P; Henderson, M; Hosseini, A; Huneke, N; Husain, M; Jackson, T; Jones, I; Kabir, T; Kitterick, P; Korszun, A; Koychev, I; Kwan, J; Lingford-Hughes, A; Mansoori, P; McAllister-Williams, H; McIvor, K; Michael, B; Milligan, L; Morriss, R; Mukaetova-Ladinska, E; Munro, K; Nevado-Holgado, A; Nicholson, T; Nicolaou, C; Paddick, S; Pariante, C; Pimm, J; Saunders, K; Sharpe, M; Simons, G; Taylor, J P; Upthegrove, R; Wessely, S; McCann, G P; Amoils, S; Antoniades, C; Banerjee, A; Bularga, A; Berry, C; Chowienczyk, P; Greenwood, J P; Hughes, A D; Khunti, K; Lawson, C; Mills, N L; Moss, A J; Neubauer, S; Raman, B; Sattar, A N; Sudlow, C L; Toshner, M; Openshaw, P J M; Altmann, D; Baillie, J K; Batterham, R; Baxendale, H; Bishop, N; Brightling, C E; Calder, P C; Evans, R A; Heeney, J L; Hussell, T; Klenerman, P; Lord, J M; Moss, P; Rowland-Jones, S L; Schwaeble, W; Semple, M G; Thwaites, R S; Turtle, L; Wain, L V; Walmsley, S; Wraith, D; Rowland, M J; Rostron, A; Baillie, J K; Connolly, B; Docherty, A B; Lone, N I; McAuley, D F; Parekh, D; Rostron, A; Simpson, J; Summers, C; Jenkins, R G; Porter, J; Allen, R J; Aul, R; Baillie, J K; Barratt, S; Beirne, P; Blaikley, J; Chambers, R C; Chaudhuri, N; Coleman, C; Denneny, E; Fabbri, L; George, P M; Gibbons, M; Gleeson, F; Gooptu, B; Guillen Guio, B; Hall, I; Hanley, N A; Ho, L P; Hufton, E; Jacob, J; Jarrold, I; Jenkins, G; Johnson, S; Jones, M G; Jones, S; Khan, F; Mehta, P; Mitchell, J; Molyneaux, P L; Pearl, J E; Piper Hanley, K; Poinasamy, K; Quint, J; Parekh, D; Rivera-Ortega, P; Saunders, L C; Semple, M G; Simpson, J; Smith, D; Spears, M; Spencer, L G; Stanel, S; Stewart, I; Thompson, A A R; Thickett, D; Thwaites, R; Wain, L V; Walker, S; Walsh, S; Wild, J M; Wootton, D G; Wright, L; Heller, S; Davies, M J; Atkins, H; Bain, S; Dennis, J; Ismail, K; Johnston, D; Kar, P; Khunti, K; Langenberg, C; McArdle, P; McGovern, A; Peto, T; Petrie, J; Robertson, E; Sattar, N; Shah, K; Valabhji, J; Young, B; Howard, L S; Toshner, Mark; Berry, C; Chowienczyk, P; Lawrie, A; Leavy, O C; Mitchell, J; Newman, J; Price, L; Quint, J; Reddy, A; Rossdale, J; Sattar, N; Sudlow, C; Thompson, A A R; Wild, J M; Wilkins, M; Singh, S J; Man, W D-C; Lord, J M; Greening, N J; Chalder, T; Scott, J T; Armstrong, N; Baldry, E; Baldwin, M; Basu, N; Beadsworth, M; Bishop, L; Bolton, C E; Briggs, A; Buch, M; Carson, G; Cavanagh, J; Chinoy, H; Dawson, C; Daynes, E; Defres, S; Evans, R A; Gardiner, L; Greenhaff, P; Greenwood, S; Harvie, M; HOuchen-Wolloff, L; Husain, M; MacDonald, S; McArdle, A; McAuley, H J C; McMahon, A; McNarry, M; Mills, G; Nolan, C; O'Donnell, K; Parekh, D; Pimm,; Sargent, J; Sigfrid, L; Steiner, M; Stensel, D; Tan, A L; Vogiatzis, I; Whitney, J; Wilkinson, D; Wilson, D; Witham, M; Wootton, D G; Yates, T; Thomas, D; Brunskill, N; Francis, S; Greenwood, S; Laing, C; Bramham, K; Chowdhury, P; Frankel, A; Lightstone, L; McAdoo, S; McCafferty, K; Ostermann, M; Selby, N; Sharpe, C; Willicombe, M; Houchen-Wolloff, L; Bunker, J; Gill, R; Hastie, C; Nathu, R; Rogers, N; Smith, N; Shaw, A; Armstrong, L; Hairsine, B; Henson, H; Kurasz, C; Shenton, L; Fairbairn, S; Dell, A; Hawkings, N; Haworth, J; Hoare, M; Lucey, A; Lewis, V; Mallison, G; Nassa, H; Pennington, C; Price, A; Price, C; Storrie, A; Willis, G; Young, S; Pfeffer, P; Chong-James, K; David, C; James, W Y; Manisty, C; Martineau, A; Zongo, O; Sanderson, A; Heaney, L G; Armour, C; Brown, V; Craig, T; Drain, S; King, B; Magee, N; McAulay, D; Major, E; McGarvey, L; McGinness, J; Stone, R; Haggar, A; Bolger, A; Davies, F; Lewis, J; Lloyd, A; Manley, R; McIvor, E; Menzies, D; Roberts, K; Saxon, W; Southern, D; Subbe, C; Whitehead, V; El-Taweel, H; Dawson, J; Robinson, L; Saralaya, D; Brear, L; Regan, K; Storton, K; Fuld, J; Bermperi, A; Cruz, I; Dempsey, K; Elmer, A; Jones, H; Jose, S; Marciniak, S; Parkes, M; Ribeiro, C; Taylor, J; Toshner, M; Watson, L; Weir McCall, J; Worsley, J; Sabit, R; Broad, L; Buttress, A; Evans, T; Haynes, M; Jones, L; Knibbs, L; McQueen, A; Oliver, C; Paradowski, K; Williams, J; Harris, E; Sampson, C; Lynch, C; Davies, E; Evenden, C; Hancock, A; Hancock, K; Rees, M; Roche, L; Stroud, N; Thomas-Woods, T; Babores, M; Bradley-Potts, J; Holland, M; Keenan, N; Shashaa, S; Wassall, H; Beranova, E; Weston, H; Cosier, T; Austin, L; Deery, J; Hazelton, T; Price, C; Ramos, H; Solly, R; Turney, S; Pearce, L; McCormick, W; Pugmire, S; Stoker, W; Wilson, A; Hart, N; Aguilar Jimenez, L A; Arbane, G; Betts, S; Bisnauthsing, K; Dewar, A; Chowdhury, P; Chiribiri, A; Dewar, A; Kaltsakas, G; Kerslake, H; Magtoto, M M; Marino, P; Martinez, L M; O'Brien, C; Ostermann, M; Rossdale, J; Solano, T S; Wynn, E; Williams, N; Storrar, W; Alvarez Corral, M; Arias, A; Bevan, E; Griffin, D; Martin, J; Owen, J; Payne, S; Prabhu, A; Reed, A; Wrey Brown, C; Lawson, C; Burdett, T; Featherstone, J; Layton, A; Mills, C; Stephenson, L; Easom, N; Atkin, P; Brindle, K; Crooks, M G; Drury, K; Flockton, R; Holdsworth, L; Richards, A; Sykes, D L; Thackray-Nocera, S; Wright, C; Lewis, K E; Mohamed, A; Ross, G; Coetzee, S; Davies, K; Hughes, R; Loosley, R; O'Brien, L; Omar, Z; McGuinness, H; Perkins, E; Phipps, J; Taylor, A; Tench, H; Wolf-Roberts, R; Howard, L S; Kon, O; Thomas, D C; Anifowose, S; Burden, L; Calvelo, E; Card, B; Carr, C; Chilvers, E R; Copeland, D; Cullinan, P; Daly, P; Evison, L; Fayzan, T; Gordon, H; Haq, S; Jenkins, R G; King, C; March, K; Mariveles, M; McLeavey, L; Mohamed, N; Moriera, S; Munawar, U; Nunag, J; Nwanguma, U; Orriss- Dib, L; O'Regan, D P; Ross, A; Roy, M; Russell, E; Samuel, K; Schronce, J; Simpson, N; Tarusan, L; Wood, C; Yasmin, N; Reddy, R; Guerdette, A-M; Hewitt, M; Warwick, K; White, S; Shah, A M; Jolley, C J; Adeyemi, O; Adrego, R; Assefa-Kebede, H; Breeze, J; Brown, M; Byrne, S; Chalder, T; Chiribiri, A; Dulawan, P; Hart, N; Hayday, A; Hoare, A; Knighton, A; Malim, M; O'Brien, C; Patale, S; Peralta, I; Powell, N; Ramos, A; Shevket, K; Speranza, F; Te, A; Beirne, P; Ashworth, A; Clarke, J; Coupland, C; Dalton, M; Wade, E; Favager, C; Greenwood, J; Glossop, J; Hall, L; Hardy, T; Humphries, A; Murira, J; Peckham, D; Plein, S; Rangeley, J; Saalmink, G; Tan, A L; Whittam, B; Window, N; Woods, J; Coakley, G; Wootton, D G; Turtle, L; Allerton, L; All, A M; Beadsworth, M; Berridge, A; Brown, J; Cooper, S; Cross, A; Cuthbertson, D J; Defres, S; Dobson, S L; Earley, J; French, N; Greenhalf, W; Hardwick, H E; Hainey, K; Hawkes, J; Highett, V; Kaprowska, S; Kemp, G J; Key, A L; Koprowska, S; Lavelle-Langham, L; Lewis-Burke, N; Madzamba, G; Malein, F; Marsh, S; Mears, C; Melling, L; Noonan, M J; Poll, L; Pratt, J; Richardson, E; Rowe, A; Semple, M G; Shaw, V; Tripp, K A; Vinson, B; Wajero, L O; Williams-Howard, S A; Wyles, J; Diwanji, S N; Papineni, P; Gurram, S; Quaid, S; Tiongson, G F; Watson, E; Al-Sheklly, B; Horsley, A; Avram, C; Blaikely, J; Buch, M; Choudhury, N; Faluyi, D; Felton, T; Gorsuch, T; Hanley, N A; Hussell, T; Kausar, Z; Miller, C A; Odell, N; Osbourne, R; Piper Hanley, K; Radhakrishnan, K; Stockdale, S; De Soyza, A; Echevarria, C; Ayoub, A; Brown, J; Burns, G; Davies, G; Fisher, H; Francis, C; Greenhalgh, A; Hogarth, P; Hughes, J; Jiwa, K; Jones, G; MacGowan, G; Price, D; Sayer, A; Simpson, J; Tedd, H; Thomas, S; West, S; Witham, M; Wright, S; Young, A; McMahon, M J; Neill, P; Anderson, D; Bayes, H; Berry, C; Grieve, D; McInnes, I B; Basu, N; Brown, A; Dougherty, A; Fallon, K; Gilmour, L; Mangion, K; Morrow, A; Scott, K; Sykes, R; Touyz, R; Sage, E K; Barrett, F; Donaldson, A; Patel, M; Bell, D; Brown, A; Brown, M; Hamil, R; Leitch, K; Macliver, L; Quigley, J; Smith, A; Welsh, B; Choudhury, G; Baillie, J K; Clohisey, S; Deans, A; Docherty, A B; Furniss, J; Harrison, E M; Kelly, S; Lone, N I; Newby, D E; Sheikh, A; Chalmers, J D; Connell, D; Elliott, A; Deas, C; George, J; Mohammed, S; Rowland, J; Solstice, A R; Sutherland, D; Tee, C J; Maskell, N; Arnold, D; Barrett, S; Adamali, H; Dipper, A; Dunn, S; Morley, A; Morrison, L; Stadon, L; Waterson, S; Welch, H; Jayaraman, B; Light, T; Bolton, C E; Almeida, P; Bonnington, J; Chrystal, M; Cox, E; 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doi:10.1093/ije/dyad165

Cited by 4 publications

(1 citation statement)

References 25 publications

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“…The PHOSP-COVID is a UK national multicentre prospective longitudinal cohort study. The PHOSP-COVID study methods have been described in detail elsewhere [ 16 ]. Participants were invited to attend two research visits: the first visit between 2 and 7 months; and the second visit between 10 and 14 months post-hospital discharge.…”

Section: Methodsmentioning

confidence: 99%

Long-term impact of COVID-19 hospitalisation among individuals with pre-existing airway diseases in the UK: a multicentre, longitudinal cohort study – PHOSP-COVID

Elneima,

Hurst,

Echevarria

et al. 2024

ERJ Open Res

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BackgroundThe long-term outcomes of COVID-19 hospitalisation in individuals with pre-existing airways diseases are unknown.MethodsAdult participants hospitalised for confirmed or clinically suspected COVID-19 and discharged between 5 March 2020 and 31 March 2021 were recruited to the Post-hospitalisation COVID-19 (PHOSP-COVID) study. Participants attended research visits at five-months and one-year post discharge. Clinical characteristics, perceived recovery, burden of symptoms and health related quality of life (HRQoL) of individuals with pre-existing airways disease (i.e., asthma, chronic obstructive pulmonary disease (COPD) or bronchiectasis) were compared to the non-airways group.ResultsA total of 615/2697 (22.8%) participants had a history of pre-existing airways diseases (72.0% diagnosed with asthma, 22.9% COPD and 5.1% bronchiectasis). At one-year, the airways group participants were less likely to feel fully recovered (20.4%versus33.2%, p<0.001), had higher burden of anxiety (29.1%versus22.0%, p=0.002), depression (31.2%versus24.7%, p=0.006), higher percentage of impaired mobility using Short Physical Performance Battery ≤10 (57.4%versus45.2%, p<0.001) and 27% had a new disability (assessed by the Washington Group Short Set on Functioning)versus16.6%, p=0.014. HRQoL assessed using EQ-5D-5 L Utility Index was lower in the airways group (0.64 (sd0.27)versus0.73 (sd0.25), p<0.001). Burden of breathlessness, fatigue and cough measured using a study specific tool was higher in the airways group.ConclusionIndividuals with pre-existing airways diseases hospitalised due to COVID-19 were less likely to feel fully recovered, had lower physiological performance measurements, more burden of symptoms and reduced HRQoL up to one-year post hospital discharge.

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Section: Methodsmentioning

confidence: 99%

Long-term impact of COVID-19 hospitalisation among individuals with pre-existing airway diseases in the UK: a multicentre, longitudinal cohort study – PHOSP-COVID

Elneima,

Hurst,

Echevarria

et al. 2024

ERJ Open Res

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Cognitive and psychiatric symptom trajectories 2–3 years after hospital admission for COVID-19: a longitudinal, prospective cohort study in the UK

Taquet,

Skorniewska,

De Deyn

et al. 2024

The Lancet Psychiatry

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Clinical and cost-effectiveness of diverse post-hospitalisation pathways for COVID-19: A UK evaluation utilising the PHOSP-COVID cohort

2024

Preprint

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BackgroundLong Covid has emerged as a complex health condition for millions of people worldwide following the COVID-19 pandemic. Previously, we have categorised healthcare pathways for patients after discharge from hospital with COVID-19 across 45 UK sites. The aim of this work was to estimate the clinical and cost-effectiveness of these pathways.MethodsWe examined prospectively collected data from 1,013 patients at 12-months post-discharge on whether they felt fully recovered (self-report), number of newly diagnosed conditions (NDC), quality of life (EQ-5D-5L utility score compared to pre-covid estimate) and healthcare resource costs (healthcare records). An analysis of the cost-effectiveness was performed by combining the healthcare resource cost and one-year EQ5D (giving a quality adjusted life-year: QALY) using statistical models that accounted for observed confounding.ResultsAt 1 year, 29% of participants felt fully recovered and 41% of patients had an NDC. The most comprehensive services, where all patients could potentially access assessment, rehabilitation, and mental health services, were more clinically effective when compared with either no service or light touch services (mean (SE) QALY 0.789 (0.012) vs 0.725 (0.026)), with an estimated cost per QALY of £1,700 (95% uncertainty interval: dominated to £24,800).ConclusionOur analysis supports the need for proactive, stratified, comprehensive follow-up for adults after hospitalisation with COVID-19 showing these services are likely to be both clinically and cost-effective according to commonly accepted thresholds.

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Cohort Profile: Post-Hospitalisation COVID-19 (PHOSP-COVID) study

Cited by 4 publications

References 25 publications

Long-term impact of COVID-19 hospitalisation among individuals with pre-existing airway diseases in the UK: a multicentre, longitudinal cohort study – PHOSP-COVID

Long-term impact of COVID-19 hospitalisation among individuals with pre-existing airway diseases in the UK: a multicentre, longitudinal cohort study – PHOSP-COVID

Cognitive and psychiatric symptom trajectories 2–3 years after hospital admission for COVID-19: a longitudinal, prospective cohort study in the UK

Clinical and cost-effectiveness of diverse post-hospitalisation pathways for COVID-19: A UK evaluation utilising the PHOSP-COVID cohort

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