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Anxiety symptoms in critically ill COVID-19 survivors and its association with post-discharge health concerns

Published online by Cambridge University Press:  01 September 2022

B. Silva*
Affiliation:
Faculty of Medicine University of Porto (FMUP), Fmup, Porto, Portugal
S. Martins
Affiliation:
Faculty of Medicine - University Porto, Department Of Clinical Neuroscience And Mental Health And Center for health technology and services research (cintesis), Porto, Portugal
A.R. Ferreira
Affiliation:
Faculty of Medicine - University Porto, Department Of Clinical Neuroscience And Mental Health And Center for health technology and services research (cintesis), Porto, Portugal
J. Fernandes
Affiliation:
Centro Hospitalar Universitário São João (CHUSJ), Intensive Care Medicine Department, Porto, Portugal
T. Vieira
Affiliation:
Centro Hospitalar Universitário São João (CHUSJ), Intensive Care Medicine Department, Porto, Portugal
L. Fontes
Affiliation:
Centro Hospitalar Universitário São João (CHUSJ), Intensive Care Medicine Department, Porto, Portugal
N. Reis
Affiliation:
Centro Hospitalar Universitário São João (CHUSJ), Intensive Care Medicine Department, Porto, Portugal
A. Braga
Affiliation:
Centro Hospitalar Universitário São João (CHUSJ), Intensive Care Medicine Department, Porto, Portugal
I. Coimbra
Affiliation:
Centro Hospitalar Universitário São João (CHUSJ), Intensive Care Medicine Department, Porto, Portugal
J.A. Paiva
Affiliation:
Centro Hospitalar Universitário São João (CHUSJ), Intensive Care Medicine Department, Porto, Portugal Faculty of Medicine - University Porto, Department Of Medicine, Porto, Portugal
L. Fernandes
Affiliation:
Faculty of Medicine - University Porto, Department Of Clinical Neuroscience And Mental Health And Center for health technology and services research (cintesis), Porto, Portugal Psychiatry Service, Centro Hospitalar Universitário De São João, Porto, Portugal
*
*Corresponding author.

Abstract

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Introduction

Evidence suggest that critically ill COVID-19 patients are at higher risk of developing anxiety symptoms, which may be related to or exacerbated by patients concerns regarding their health status and recovery.

Objectives

To assess anxiety symptoms in critically ill COVID-19 survivors, 1-2 months after hospital discharge and to analyze its association with concerns reported by patients regarding their own health status and recovery.

Methods

In the framework of MAPA prospective research, this preliminary study included COVID-19 patients admitted in the Intensive Care Medicine Department (ICMD) of a University Hospital. Patients were excluded if they had an ICMD length of stay (LoS) ≤24h, terminal illness, major auditory impairment or inability to communicate at the evaluation time. Participants were assessed at a scheduled telephone follow-up appointment, with Generalized Anxiety Disorder Scale (GAD-7). Additional questions were asked to assess the survivors’ post-discharge concerns regarding discrimination against for COVID-19, infection of a family member, re-infection or sequelae related to COVID-19.

Results

Eighty-three patients were included (median age=63 years; 63% male) and 24% had anxiety symptoms. Anxiety scores were higher in survivors who reported being afraid of being discriminated against for COVID-19 (30% vs 10%; p=0.034), being re-infected (100% vs 79%; p=0.032) and having sequelae (94% vs 44%; p<0.001).

Conclusions

These findings revealed that anxiety is common in COVID-19 survivors and is associated with post-discharge patients concerns that may limit patient daily living. This study emphasizes the importance of psychological assessment and follow-up of the COVID-19 survivors, in order to support these patients recovery.

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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