Post-COVID-19 functional status: Relation to age, smoking, hospitalization, and previous comorbidities
Aliae A R Mohamed Hussein1, Mahmoud Saad2, Hossam Eldeen Zayan3, Mustafa Abdelsayed4, Mohamed Moustafa1, Abdel Rahman Ezzat5, Radwa Helmy6, Howaida Abd-Elaal7, Karim Aly8, Shaimaa Abdelrheem9, Islam Sayed10
1 Department of Chest, Assiut University Hospitals, Assiut, Egypt
2 Department of Faculty of Medicine, Assiut Faculty of Medicine, Assiut University, Assiut, Egypt
3 Department of Gastroenterology and Infectious Disease, Assiut University Hospitals, Assiut, Egypt
4 Faculty of Medicine, Assiut University Hospitals, Aswan, Egypt
5 Department of Medical Pharmacy, Asswan University, Aswan, Egypt
6 Faculty of Pharmacy, Asswan University, Aswan, Egypt
7 Faculty of Medicine, Faculty of Nursing, Assiut University, Assiut, Egypt
8 Department of Cardiology, Assiut University Hospitals, Assiut, Egypt
9 Faculty of Medicine, Aswan University, Aswan, Egypt
10 Faculty of Medicine, Aswan Faculty of Medicine, Aswan University, Aswan, Egypt
Prof. Aliae A R Mohamed Hussein
Faculty of Medicine, Assiut University
Source of Support: None, Conflict of Interest: None
RATIONAL: Recently, a new “Post-COVID-19 Functional Status (PCFS) scale” is recommended in the current COVID-19 pandemic. It is proposed that it could be used to display direct retrieval and the functional sequelae of COVID-19.
AIM OF THE STUDY: The aim of the study was to assess the PCFS and to evaluate if age, gender, smoking, hospitalization, and comorbidities have any effect on functional limitations in recovered COVID-19 patients.
METHODS: A total of 444 registered confirmed COVID-19 patients were included. They were interviewed in our follow-up clinics and filled an Arabic translated PCFS scale as well as their demographic and clinical data.
RESULTS: Eighty percent of COVID-19 recovered cases have diverse degrees of functional restrictions ranging from negligible (63.1%), slight (14.4%), moderate (2%), to severe (0.5%) based on PCFS. Furthermore, there was a substantial variance between the score of PCFS with age (P = 0.003), gender (P = 0.014), the duration since the onset of the symptoms of COVID-19 (P < 0.001), need for oxygen supplementation (P < 0.001), need for intensive care unit (ICU) admittance (P = 0.003), previous periodic influenza vaccination (P < 0.001), smoking status (P < 0.001), and finally, the presence of any comorbid disorder (P < 0.001).
CONCLUSIONS: Most of the COVID-19 recovered cases have diverse degrees of functional restrictions ranging from negligible to severe based on PCFS. These restrictions were affected by age, gender, periodic influenza vaccination, smoking, duration since symptoms onset, need for oxygen or ICU admittance, and finally the presence of coexisting comorbidity.