There is an established literature on the symptoms and complications of COVID-19 but the after-effects of COVID-19 are not well understood with few studies reporting persistent symptoms and quality of life. We aim to evaluate the pooled prevalence of poor quality of life in post-acute COVID-19 syndrome (PCS) and conducted meta-regression to evaluate the effects of persistent symptoms and intensive care unit (ICU) admission on the poor quality of life. We extracted data from observational studies describing persistent symptoms and quality of life in post-COVID-19 patients from March 10, 2020, to March 10, 2021, following PRISMA guidelines with a consensus of two independent reviewers. We calculated the pooled prevalence with 95% confidence interval (CI) and created forest plots using random-effects models. A total of 12 studies with 4828 PCS patients were included.We found that amongst PCS patients, the pooled prevalence of poor quality of life

Background Coronavirus disease-2019 (COVID-19), a pandemic that brought the whole world to a standstill, has led to financial and health care burden. We aimed to evaluate epidemiological characteristics, needs of resources, outcomes, and global burden of the disease. Methods Systematic review was performed searching PubMed from December 1, 2019, to March 25, 2020, for full-text observational studies that described epidemiological characteristics, following MOOSE protocol. Global data were collected from the JHU-Corona Virus Resource Center, WHO-COVID-2019 situation reports, KFF.org, and Worldometers.info until March 31, 2020. The prevalence percentages were calculated. The global data were plotted in excel to calculate case fatality rate (CFR), predicted CFR, COVID-19 specific mortality rate, and doubling time for cases and deaths. CFR was predicted using Pearson correlation, regression models, and coefficient of determination. Results From 21 studies of 2747 patients, 8.4% of patients died, 20.4% recovered, 15.4% were admitted to ICU and 14.9% required ventilation. COVID-19 was more prevalent in patients with hypertension (19.3%), smoking (11.3%), diabetes mellitus (10%), and cardiovascular diseases (7.4%). Common complications were pneumonia (82%), cardiac complications (26.4%), acute respiratory distress syndrome (15.7%), secondary infection (11.2%), and septic shock (4.3%). Though CFR and COVID-19 specific death rates are dynamic, they were consistently high for Italy, Spain, and Iran. Polynomial growth models were best fit for all countries for predicting CFR. Though many interventions have been implemented, stern measures like nationwide lockdown and school closure occurred after very high infection rates (>10cases per 100 000population) prevailed. Given the trend of government measures and decline of new cases in China and South Korea, most countries will reach the peak between April 1-20, if interventions are followed. Conclusions A collective approach undertaken by a responsible government, wise strategy implementation and a receptive population may help contain the spread of COVID-19 outbreak. Close monitoring of predictive models of such indicators in the highly affected countries would help to evaluate the potential fatality if the second wave of pandemic occurs. The future studies should be focused on identifying accurate indicators to mitigate the effect of underestimation or overestimation of COVID-19 burden.

Enquadramento: com o crescente envelhecimento da população e o consequente aumento de doenças crónicas, deparamo-nos com um número significativo de pessoas dependentes no autocuidado, sendo hoje uma enorme preocupação a sua identificação e a criação de respostas ajustadas às suas necessidades. Objetivo: com o presente estudo, definem-se como objetivos: descrever a dependência no autocuidado das pessoas dependentes em contexto familiar e identificar áreas de intervenção de enfermagem no apoio às pessoas dependentes e às famílias que as integram. Metodologia: num estudo quantitativo, exploratório e descritivo, recorrendo a uma técnica de amostragem probabilística, aleatória, estratificada e proporcional, foram identificadas, num concelho do norte do país, 241 famílias que integravam pessoas dependentes. Resultados: os dependentes eram, maioritariamente, do sexo feminino, com um nível etário elevado e, predominantemente, pensionistas/reformados. Os dados, relativamente aos diferentes domínios de autocuidado, evidenciaram que uma parte substantiva dos dependentes precisava, no mínimo, de ajuda de pessoa para a concretização das atividades de autocuidado. Conclusão: os resultados obtidos confirmam uma dependência significativa e preocupante. As pessoas dependentes evidenciam a necessidade de cuidados de saúde. Carecem, particularmente, do apoio dos profissionais de enfermagem.Palavras-chave: dependência; autocuidado; família; enfer magem.Marco contextual: con el creciente envejecimiento de la población y el consecuente aumento de las enfermedades crónicas, nos encontramos con un número significativo de personas dependientes en el autocuidado. A este respecto, la identificación de estas personas y la creación de respuestas ajustadas a sus necesidades suponen, hoy en día, una enorme preocupación. Objetivo: este estudio define como objetivos, describir la dependencia en el autocuidado de las personas dependientes en el ámbito familiar e identificar las áreas de intervención de la enfermería relacionadas con el apoyo a estas personas y a sus familias. Metodología: a través de un estudio cuantitativo, exploratorio y descriptivo, mediante una técnica de muestreo probabilística, aleatoria, estratificada y proporcional, se identificaron, en un municipio del norte del país, 241 familias que tenían personas dependientes. Resultados: las personas dependientes eran, mayoritariamente, del sexo femenino, de edad avanzada y, predominantemente, pensionistas/jubilados. Los datos relativos a los diferentes dominios del autocuidado mostraron que una parte sustantiva de las personas dependientes necesitaba, como mínimo, ayuda de otra persona para concretar las actividades relacionadas con el autocuidado. Conclusión: los resultados obtenidos confirman una dependencia significativa y preocupante. Las personas dependientes muestran que necesitan asistencia sanitaria y, en concreto, carecen del apoyo de los profesionales de enfermería.

This study emphasizes the need for promoting better conditions for professional practice, namely, with regard to emotional support, as well as training programmes for skills development in the area of management of traumatic situations and of communication with clients.

No abstract