Analysis of the follow-up time of patients who presented COVID-19 in the pneumology outpatient clinic of a secondary hospital in the Federal District

Authors

DOI:

https://doi.org/10.33448/rsd-v13i3.45425

Keywords:

COVID-19; Post-acute COVID-19 syndrome; Coronavirus infections.

Abstract

COVID-19 is an infectious disease caused by the coronavirus SARS-CoV-2 which presents a variable but potentially serious clinical picture in some individuals. Many of these required long periods of hospitalization and continued to have sequelae even after discharge. Among them, pulmonary diseases can be mentioned, requiring specialized follow-up. The follow-up time after discharge became the object of this study. Objective: To identify, through data collection from the pulmonology outpatient clinic, the follow-up time after medical discharge from both the medical clinic ward and the emergency room of a secondary hospital, within the group of patients who presented severe cases of COVID-19. Methods: Observational, analytical, cross-sectional and retrospective study in which epidemiological and clinical data were analyzed through electronic medical records attended at the pulmonology outpatient clinic of a secondary hospital who met the study's eligibility criteria. Results: 57 patients were analyzed, the majority of whom were female, with a mean age of 56.65 years. All the patients were referred for outpatient follow-up and 91.23% were followed up. The average length of outpatient follow-up was 27.29 weeks. Conclusion: A longer follow-up period was observed for these patients, most of whom did not present long-term sequelae.

References

Arnold, D. T., Hamilton, F. W., Milne, A., Morley, A. J., Viner, J., Attwood, M., Noel, A., Gunning, S., Hatrick, J., Hamilton, S., Elvers, K. T., Hyams, C., Bibby, A., Moran, E., Adamali, H. I., Dodd, J. W., Maskell, N. A., & Barratt, S. L. (2020). Patient outcomes after hospitalisation with COVID-19 and implications for follow-up: results from a prospective UK cohort. Thorax, 76(4), 399–401. https://doi.org/10.1136/thoraxjnl-2020-216086

Azevedo, H. M. J., Santos, N. W. F. D., Lafetá, M. L., Albuquerque, A. L. P., Tanni, S. E., Sperandio, P. A., & Ferreira, E. V. M. (2022). Persistence of symptoms and return to work after hospitalization for COVID-19. Jornal Brasileiro De Pneumologia, 48(6). https://doi.org/10.36416/1806-3756/e20220194

Falavigna, M., Stein, C., Amaral, J. L. G., Azevedo, L. C. P., Belli, K. C., Colpani, V., Cunha, C. A., Dal-Pizzol, F., Dias, M. B. S., Ferreira, J. C., Freitas, A. P. R., Gräf, D. D., Guimarães, H. P., Lobo, S. M. A., Monteiro, J. T., Nunes, M. S., Oliveira, M. S., Prado, C. C. L., Santos, V. C. C., & Carvalho, C. R. R. (2022). Diretrizes Brasileiras para o tratamento farmacológico de pacientes hospitalizados com COVID-19. Revista Brasileira de Terapia Intensiva, 34(1), 1–12. https://doi.org/10.5935/0103-507x.20220001-pt

Graça, N. P., Viscont, N. R. G. R, Santos, M. I. V, Capone, D., Cardoso, A. P., & Mello, F. C. Q. (2020). COVID-19: Seguimento após a alta hospitalar. Pulmão RJ, 29(1), 32–36. http://www.sopterj.com.br/wp-content/themes/_sopterj_redesign_2017/_revista/2020/artigo-6-COVID-19%20Seguimento%20ap%C3%B3s%20a%20alta%20hospitalar.pdf

Guler, S. A., Ebner, L., Aubry-Beigelman, C., Bridevaux, P.-O., Brutsche, M., Clarenbach, C., Garzoni, C., Geiser, T. K., Lenoir, A., Mancinetti, M., Naccini, B., Ott, S. R., Piquilloud, L., Prella, M., Que, Y.-A., Soccal, P. M., Garnier, C. von, & Funke-Chambour, M. (2021). Pulmonary function and radiological features 4 months after COVID-19: first results from the national prospective observational Swiss COVID-19 lung study. European Respiratory Journal, 57(4). https://doi.org/10.1183/13993003.03690-2020

Han, X., Chen, L., Fan, Y., Alwalid, O., Jia, X., Zheng, Y., Liu, J., Li, Y., Cao, Y., Gu, J., Liu, J., Zheng, C., Ye, Q., & Shi, H. (2023). Longitudinal Assessment of Chest CT Findings and Pulmonary Function after COVID-19 Infection. Radiology, 307(2). https://doi.org/10.1148/radiol.222888

Hendrickson, K., Hopkins, R. O., Groat, D., Stokes, S. C., Schroeder, F., Butler, J., & Hirshberg, E. L. (2023). Patient experiences with SARS-CoV-2: Associations between patient experience of disease and coping profiles. PLOS ONE, 18(11). https://doi.org/10.1371/journal.pone.0294201

Huang, C., Huang, L., Wang, Y., Li, X., Ren, L., Gu, X., Kang, L., Guo, L., Liu, M., Zhou, X., Luo, J., Huang, Z., Tu, S., Zhao, Y., Chen, L., Xu, D., Li, Y., Li, C., Peng, L., & Li, Y. (2021). 6-month consequences of COVID-19 in patients discharged from hospital: a cohort study. The Lancet, 397(10270), 220–232. https://doi.org/10.1016/S0140-6736(20)32656-8

John Hopkins University. (2023).COVID-19 Map – John Hopkins Coronavirus Research Center. https://coronavirus.jhu.edu/map.html

Kamal, M., Omirah, M. A., Hussein, A., & Saeed, H. (2020). Assessment and characterisation of post‐COVID‐19 manifestations. International Journal of Clinical Practice, 75(3). https://doi.org/10.1111/ijcp.13746

Koonce, R. M., & Martin, B. C. (2024). The association between suspected long-COVID and stimulant prescribing in the United States. Psychiatry Research, 331. https://doi.org/10.1016/j.psychres.2023.115686

Merad, M., Blish, C. A., Sallusto, F., & Iwasaki, A. (2022). The immunology and immunopathology of COVID-19. Science, 375(6585), 1122–1127. https://doi.org/10.1126/science.abm8108

Merchán-Hamann, E., & Tauil, P. L. (2021). Proposta de classificação dos diferentes tipos de estudos epidemiológicos descritivos. Epidemiologia e Serviços de Saúde, 30(1), 1–13. https://doi.org/10.1590/s1679-49742021000100026

Munblit, D., Nicholson, T. R., Needham, D. M., Seylanova, N., Parr, C., Chen, J., Kokorina, A., Sigfrid, L., Buonsenso, D., Bhatnagar, S., Thiruvengadam, R., Parker, A. M., Preller, J., Avdeev, S., Klok, F. A., Tong, A., Diaz, J. V., Groote, W. D., Schiess, N., & Akrami, A. (2022). Studying the post-COVID-19 condition: research challenges, strategies, and importance of Core Outcome Set development. BMC Medicine, 20(1). https://doi.org/10.1186/s12916-021-02222-y

Nalbandian, A., Sehgal, K., Gupta, A., Madhavan, M. V., McGroder, C., Stevens, J. S., Cook, J. R., Nordvig, A. S., Shalev, D., Sehrawat, T. S., Ahluwalia, N., Bikdeli, B., Dietz, D., Der-Nigoghossian, C., Liyanage-Don, N., Rosner, G. F., Bernstein, E. J., Mohan, S., Beckley, A. A., & Seres, D. S. (2021). Post-acute COVID-19 syndrome. Nature Medicine, 27(4), 1–15. https://doi.org/10.1038/s41591-021-01283-z

Orzes, N., Pini, L., Levi, G., Uccelli, S., Cettolo, F., & Tantucci, C. (2021). A prospective evaluation of lung function at three and six months in patients with previous SARS-COV-2 pneumonia. Respiratory Medicine, 186. https://doi.org/10.1016/j.rmed.2021.106541

Seeble, J., Waterboer, T., Hippchen, T., Simon, J., Kirchner, M., Lim, A., Müller, B., & Merle, U. (2021). Persistent symptoms in adult patients one year after COVID-19: a prospective cohort study. Clinical Infectious Diseases, 74(7), 1191–1198. https://doi.org/10.1093/cid/ciab611

Strumann, C., Von Meibner, W., Blickle, P., & Steinhäuser, J. (2023). The ambulatory care of patients with post-acute sequelae of COVID-19. Research in Health Services & Regions, 2(1). https://doi.org/10.1007/s43999-023-00020-y

Vijayakumar, B., Tonkin, J., Devaraj, A., Philip, K., Orton, C. M., Desai, S. R., & Shah, P. L. (2022). CT Lung Abnormalities after COVID-19 at 3 Months and 1 Year after Hospital Discharge. Radiology, 303(2), 444–454. https://doi.org/10.1148/radiol.2021211746

Weerahandi, H., Hochman, K. A., Simon, E., Blaum, C., Chodosh, J., Duan, E., Garry, K., Kahan, T., Karmen-Tuohy, S. L., Karpel, H. C., Mendoza, F., Prete, A. M., Quintana, L., Rutishauser, J., Santos Martinez, L., Shah, K., Sharma, S., Simon, E., Stirniman, A. Z., & Horwitz, L. I. (2021). Post-Discharge Health Status and Symptoms in Patients with Severe COVID-19. Journal of General Internal Medicine, 36(3), 738–745. https://doi.org/10.1007/s11606-020-06338-4

Zhang, X., Wang, F., Shen, Y., Zhang, X., Cen, Y., Wang, B., Zhao, S., Zhou, Y., Hu, B., Wang, M., Liu, Y., Miao, H., Jones, P., Ma, X., He, Y., Cao, G., Cheng, L., & Li, L. (2021). Symptoms and Health Outcomes Among Survivors of COVID-19 Infection 1 Year After Discharge From Hospitals in Wuhan, China. JAMA Network Open, 4(9). https://doi.org/10.1001/jamanetworkopen.2021.27403

Zhao, Y., Yang, C., An, X., Xiong, Y., Shang, Y., He, J., Qiu, Y., Zhang, N., Huang, L., Jia, J., Xu, Q., Zhang, L., Zhao, J., Pei, G., Luo, H., Wang, J., Li, Q., Gao, Y., & Xu, A. (2021). Follow-up study on COVID-19 survivors one year after discharge from hospital. International Journal of Infectious Diseases, 112, 173–182. https://doi.org/10.1016/j.ijid.2021.09.017

Published

29/03/2024

How to Cite

THOMÉ, C. G. de O. .; MARTINS, R. C. K. L. .; NAME, P. K. de L. .; CAVALCANTI, C. B. . Analysis of the follow-up time of patients who presented COVID-19 in the pneumology outpatient clinic of a secondary hospital in the Federal District. Research, Society and Development, [S. l.], v. 13, n. 3, p. e12313345425, 2024. DOI: 10.33448/rsd-v13i3.45425. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/45425. Acesso em: 21 nov. 2024.

Issue

Section

Health Sciences