Professor & Head of Dept. AIIMS Patna PATNA, Bihar, India
Research Objectives: To investigate the relation of different factors with recovery from dyspnea after COVID-19.
Design: A questionnaire based observational study . The SGRQ is a health and related quality of life related questionnaire. it is validated for using in post COVID patients. The modified BORG scale for dyspnea is a categorical scale starting from 0 (nothing at all) to ending at10 (maximal). Modified MRC scale for dyspnea is a 5-point scale with scores ranging from 0-4,It measures dyspnea during daily activities.Patients were assessed at the day of discharge and on 30th day after discharge
Setting: This study was conducted in a tertiary care center of Eastern India and study population was all discharged Patients of COVID-19 with presence of dyspnea.
Participants: Total 48 patients were included in this prospective observational study. Patients having dyspnea during discharge are selected for this study.
Interventions: Only those patients who were having dyspnea after discharge and not admitted to another department for concomitant illness were studied. HRQoL was assessed by St George’s Respiratory Questionnaire (SGRQ) and dyspnea during daily activity was assessed by modified Medical Research Council (mMRC) scale and we used modified BORG scale for dyspnea during exertion.
Main Outcome Measures: HRQoL, dyspnea during daily activity and dyspnea during exertion.
Results: The mean mMRC, modified Borg and SGRQ at D0 were 2.38±0.98, 3.15±2.12 and 45.36±27.32 respectively which were improved to 0.94±0.86, 0.94±1.27 and 19.22±18.96. Age showed significant positive correlations with initial modified Borg (r=0.292, p=0.044) and SGRQ (r=0.332, p=0.021). Body mass Index showed significant positive correlations with initial mMRC (r=0.352, p=0.014) and SGRQ (r=0.419, p=0.003).
Conclusions: Our study showed on discharge many COVID patients have impaired HRQoL and also have dyspnea on exertion. With early institution of standard pulmonary rehabilitation protocol symptoms and HRQoL improves rapidly in a month.
Author(s) Disclosures: There is no conflict of interest
Learning Objectives:
Upon completion, participant will be able to understand patients of COVID-19 are prone to develop pulmonary complications that affect health related quality of life
Upon completion, participant will be able to how various pre existing co-morbidities affect Post COVID health related quality of life
Upon completion, participant will be able to understand the importance of long term followup of patients of COVID 19 in relation to health related quality of life.
.jpg)
