Decrease in Health-Related Quality of Life and Post–COVID-19 Syndrome in Health Care Workers After SARS-CoV-2 Infection

D'Ávila, Karen Gomes; Monaiar, Luciana Rott; Dantas, Lia Dias Pinheiro; Freitas, Alana Ambos; Rodrigues, Marcelle Martinez; Bonamigo, Renan Rangel; Filho, Fábio Fernandes Dantas; Silva, Denise Rossato

doi:10.1097/jom.0000000000002727

Cited by 7 publications

(10 citation statements)

References 25 publications

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“…At the baseline measurement, the total prevalence of HADSdepression and HADSanxiety was 50% and 46%, respectively. These results are within the same range as other long-term studies [ 15 , 52 ], indicating a prevalence of depression and anxiety among healthcare workers of up to 44%. In the current study, the included participants were also mostly employed in the healthcare sector.…”

Section: Discussionsupporting

confidence: 89%

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Impact of Rehabilitation on Physical and Neuropsychological Health of Patients Who Acquired COVID-19 in the Workplace

Müller

Poppele

Ottiger

et al. 2023

IJERPH

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Workers, especially healthcare workers, are exposed to an increased risk for SARS-CoV-2 infection. However, less is known about the impact of rehabilitation on health outcomes associated with post-COVID. This longitudinal observational study examined the changes in physical and neuropsychological health and work ability after inpatient rehabilitation of 127 patients (97 females/30 males; age 21–69 years; Mean = 50.62) who acquired COVID-19 in the workplace. Post-COVID symptoms, functional status, physical performance, neuropsychological health, employment, and work ability were assessed before and after rehabilitation. Group differences relating to sex, professions, and acute COVID status were also analyzed. Except for fatigue, the prevalence of all post-COVID symptoms decreased after rehabilitation. Significant improvements in physical performance and neuropsychological health outcomes were determined. Moreover, healthcare workers showed a significantly greater reduction in depressive symptoms compared to non-healthcare workers. Nevertheless, participants reported poor work ability, and 72.5% of them were still unable to work after discharge from rehabilitation. As most participants were still suffering from the impact of COVID-19 at rehabilitation discharge, ongoing strategies in aftercare are necessary to improve their work ability. Further investigations of this study population at 6 and 12 months after rehabilitation should examine the further course of post-COVID regarding health and work ability status.

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Section: Discussionsupporting

confidence: 89%

“…Comparable prevalence rates were found up to six months after acute infection [ 17 , 50 , 51 ]. Among healthcare workers, depression and anxiety have a prevalence of 8–44% three to ten months after acute COVID-19 [ 15 , 52 , 53 ]. Results regarding the risk factors for higher rates of anxiety and depression are inconsistent.…”

Section: Introductionmentioning

confidence: 99%

Impact of Rehabilitation on Physical and Neuropsychological Health of Patients Who Acquired COVID-19 in the Workplace

Müller

Poppele

Ottiger

et al. 2023

IJERPH

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“…Consistently, results obtained with the specific HRQoL indicator, the EQ‐5D index, were significantly lower in all PCC groups compared with HC group. Lower HRQoL after COVID‐19 has been reported in previous studies 16–19,22–24 . The average EQ‐5D index value for the three groups under investigation exceeded the values previously documented by researchers from the other countries 17,23,24 .…”

Section: Discussioncontrasting

confidence: 50%

“…Studies have documented a decrease in HRQoL and functioning in individuals more than 6 months after discharge or recovery. This has been observed in both patients post‐hospitalization 16–18 and individuals experiencing persistent symptoms 19–24 . Nevertheless, research involving persons experiencing persistent symptoms following moderate or mild COVID‐19 revealed that the average HRQoL fell within the range of the general population mean.…”

Section: Introductionmentioning

confidence: 99%

Cognitive and emotional predictors of quality of life and functioning after COVID‐19

Ariza,

Cano,

Segura

et al. 2023

Ann Clin Transl Neurol

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ObjectiveA long‐term decline in health‐related quality of life (HRQoL) has been reported after coronavirus disease 2019 (COVID‐19). Studies with people with persistent symptoms showed inconsistent outcomes. Cognition and emotion are important determinants in HRQoL, but few studies have examined their prognostic significance for HRQoL and functionality in post‐COVID patients with persisting symptoms. We aimed to describe QoL, HRQoL, and functioning in individuals post‐COVID with varying COVID‐19 severities and to investigate the predictive value of cognitive and emotional variables for QoL, HRQoL, and functioning.MethodsIn total, 492 participants (398 post‐COVID and 124 healthy controls) underwent a neurobehavioral examination that included assessments of cognition, mood, QoL/HRQoL (WHOQOL‐BREF, EQ‐5D), and functioning (WHODAS‐II). Analysis of covariance and linear regression models were used to study intergroup differences and the relationship between cognitive and emotional variables and QoL and functioning.ResultsThe Physical and Psychological dimensions of WHOQoL, EQ‐5D, and WHODAS Cognition, Mobility, Life Activities, and Participation dimensions were significantly lower in post‐COVID groups compared with a control group. Regression models explaining 23.9%–53.9% of variance were obtained for the WHOQoL‐BREF dimensions and EQ‐5D, with depressive symptoms, post‐COVID symptoms, employment status, income, and mental speed processing as main predictors. For the WHODAS, models explaining 17%–60.2% of the variance were obtained. Fatigue, depressive symptoms, mental speed processing, and post‐COVID symptoms were the main predictors.InterpretationQoL/HRQoL and functioning after COVID‐19 in individuals with persistent symptoms were lower than in non‐affected persons. Depressive symptoms, fatigue, and slower mental processing speed were predictors of lower QoL/HRQoL and functioning.

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“…Respecto a grupo profesional, se observaba una mayor afectación de COVID Persistente en los trabajadores asistenciales (en primera línea de actuación sanitaria, más expuestos a la infección por Sars-CoV-2 en este período), versus los no asistenciales. La sintomatología de COVID Persistente más prevalente fue: afectación del sueño, pérdida de memoria, dificultades de concentración, cambios en el estado de ánimo, artralgias, fatiga y cefalea, observados en otros estudios de COVID Persistente (30)(31)(32)(33).…”

Section: Discussionunclassified

Study of Persistent Covid Cases in Health Workers

García Grau,

InglésTorruella,

Gil Soto

et al. 2024

Enferm. investig.

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Introducción: La enfermedad de COVID-19 presenta una afectación aguda que puede prolongarse de forma mantenida más allá de las 12 semanas desde el inicio de la clínica inicial, denominándose COVID Persistente (Post COVID, Long COVID).Objetivo: Valorar la incidencia de COVID Persistente que han presentado las trabajadoras/es del Hospital Sant Joan de Reus y de Atención Primaria de Reus-Baix Camp (EDPSSJRBC), durante el periodo de marzo 2020 a noviembre 2022, clínica predominante y afectación laboral. Métodos: Estudio observacional, descriptivo de los trabajadores/as en activo en septiembre 2022, que tras el COVID-19 desarrollaron COVID Persistente durante 2020 a 2022. Se aplicaron instrumentos tipos encuesta a los trabajadores con COVID-19 con sintomatología de COVID Persistente y posterior evaluación presencial mediante cuestionarios, exámenes de salud y pruebas complementarias. Valoración final de capacidad laboral frente al COVID Persistente en el contexto de la Vigilancia de la Salud del Servicio de Prevención de Riesgos Laborales. Resultados: El perfil del trabajador/a afectado de COVID Persistente en el actual estudio se caracteriza por: sexo femenino, mayor de 40 años, perfil laboral asistencial, con sintomatología predominante de trastorno del sueño, de memoria, dificultad de concentración, cambios del estado de ánimo, artralgias, fatiga y cefalea. Presentaban resultados anormales en los tests: Escala Funcional Post COVID-19, Índice de Gravedad del Insomnio y Test de Evaluación Cognitiva Montreal. Conclusiones: Afectación clínica de COVID Persistente de los trabajadores de la actual investigación, mejoraron con el paso del tiempo y tras los tratamientos de rehabilitación cognitiva en Unidad de Deterioro Cognitivo y realización de ejercicio físico regular pautado por Unidad de Medicina del Deporte. La afectación por el COVID Persistente no impidió el desarrollo de su actividad laboral

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Decrease in Health-Related Quality of Life and Post–COVID-19 Syndrome in Health Care Workers After SARS-CoV-2 Infection

Cited by 7 publications

References 25 publications

Impact of Rehabilitation on Physical and Neuropsychological Health of Patients Who Acquired COVID-19 in the Workplace

Impact of Rehabilitation on Physical and Neuropsychological Health of Patients Who Acquired COVID-19 in the Workplace

Cognitive and emotional predictors of quality of life and functioning after COVID‐19

Study of Persistent Covid Cases in Health Workers

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