Complications after Covid19 Recovery in Patients Discharged from Intensive Care Unit: A Case Series Study:

Majid Vatankhah; Zahra Ghasemof; Mehdi Hassaniazad; Ehsan  Ramezanian Nik; Ali Mouseli

Complications after Covid19 Recovery in Patients Discharged from Intensive Care Unit: A Case Series Study

Authors

Majid Vatankhah Associated Professor, Anesthesiology, Critical Care and Pain Management Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Zahra Ghasemof Anesthesiology resident, Anesthesiology, Critical Care and Pain Management Research Center, Hormozgan University of Medical Sciences, ‎Bandar Abbas, Iran.‎
Mehdi Hassaniazad Associate Professor of Infectious Disease, Hormozgan University of medical sciences, Bandar Abbas, Iran.
Ehsan Ramezanian Nik Assistant Professor of Pulmonology, Internal medicine department, Faculty of Medicine, Hormozgan University of medical sciences, Bandar ‎Abbas, Iran.‎
Ali Mouseli Associate Professor, Social Determinants in Health Promotion Research Center, Hormozgan Health Institute, Hormozgan University of ‎Medical Sciences, Bandar Abbas, Iran.‎

Keywords:

Covid 19, Recovery, ICU, Aftercare

Abstract

Introduction: COVID-19 complications have not been precisely determined, especially in severe COVID-19 where patients get admitted to intensive care units (ICU). In this study, the remained complications and complaints of patients who were discharged from the ICU were investigated.

‎Methods: This is a case series study on patients discharged from the intensive care unit in January 2021 to December 2022 in Payambar Azam Complex. Patients discharged from the ICU were followed for 6 months after discharge. Demographic data was collected along with the data of the survey evaluating complications and complaints of patients. Referring a patient for a cardiologist, neurologist, or psychologist visit was considered as having cardiac, neurological, and psychological complications. Any episode of referring to healthcare centers for high blood pressure was considered as a history of newly emerged hypertension. Patients were asked for other complaints of myalgia and dyspnea.

Results: In 140 patients (61.4% women and 38.6% men), the average age was 44.96±17.78 years. Almost one-third (32.9%) of patients reported myalgia, while 30.7% reported dyspnea. Older patients with COVID-19 have more stroke/neurological diseases than younger patients (P = 0.004). Older patients with COVID-19 had more stroke/neurological disease than younger patients (P < 0.001). Only 38.6% had a full recovery. Adjusted for gender, the study found that for every year of age, the chance of complete recovery decreased by 3.2%.

Conclusion: These findings can contribute to future research on the long-term effects of COVID-19 on the nervous and cardiovascular systems in older patients.

Declarations:

Funding: Hormozgan University of Medical Sciences.

Conflicts of interest: None.

Authors' contributions: MV, ZG, MH, ERN, AM wrote the study protocol, collected datasets, AM and MH performed statistical analyses and wrote the final manuscript.

Acknowledgments ‎: None.

Ethical considerations: The study was approved by the Institutional Review Board of Hormozgan University of Medical ‎Sciences with the code of ethics "IR.HUMS.REC.1401.137".

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Complications after Covid19 Recovery in Patients Discharged from Intensive Care Unit: A Case Series Study: