Health Care Utilization and Clinical Characteristics of Nonhospitalized Adults in an Integrated Health Care System 28–180 Days After COVID-19 Diagnosis — Georgia, May 2020–March 2021

Hernández-Romieu, Alfonso C; Leung, Serena; Mbanya, Armand; Jackson, Brendan R; Cope, Jennifer R.; Bushman, Dena; Dixon, Meredith; Brown, Jessica; McLeod, Tim; Saydah, Sharon; Datta, Deblina; Koplan, Kate; Lobelo, Felipe

doi:10.15585/mmwr.mm7017e3

Cited by 49 publications

(67 citation statements)

References 9 publications

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“…The identification of poorer physical health among post-COVID-19 patients is consistent with a previous study that found that 92% of post-COVID-19 patients had diagnoses potentially related to post-COVID-19 conditions, including weakness, malaise, fatigue, respiratory failure with hypoxia, and gait abnormalities (2,3). Poorer self-reported physical and mental health is associated with long-term negative health outcomes including chronic diseases (e.g., diabetes and cardiovascular disease), functional decline (4), and mortality (5).…”

Section: Discussionsupporting

confidence: 90%

Outcomes Among Patients Referred to Outpatient Rehabilitation Clinics After COVID-19 diagnosis — United States, January 2020–March 2021

Rogers-Brown¹,

Wanga²,

Okoro³

et al. 2021

MMWR Morb. Mortal. Wkly. Rep.

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As of June 30, 2021, 33.5 million persons in the United States had received a diagnosis of . Although most patients infected with SARS-CoV-2, the virus that causes COVID-19, recover within a few weeks, some experience post-COVID-19 conditions. These range from new or returning to ongoing health problems that can continue beyond 4 weeks. Persons who were asymptomatic at the time of infection can also experience post-COVID-19 conditions. Data on post-COVID-19 conditions are emerging and information on rehabilitation needs among persons recovering from COVID-19 is limited. Using data acquired during January 2020-March 2021 from Select Medical* outpatient rehabilitation clinics, CDC compared patient-reported measures of health, physical endurance, and health care use between patients who had recovered from COVID-19 (post-COVID-19 patients) and patients needing rehabilitation because of a current or previous diagnosis of a neoplasm (cancer) who had not experienced COVID-19 (control patients). All patients had been referred to outpatient rehabilitation. Compared with control patients, post-COVID-19 patients had higher age-and sex-adjusted odds of reporting worse physical health (adjusted odds ratio [aOR] = 1.8), pain (aOR = 2.3), and difficulty with physical activities (aOR = 1.6). Post-COVID-19 patients also had worse physical endurance, measured by the 6-minute walk test † (6MWT) (p<0.001) compared with control patients. Among patients referred to outpatient rehabilitation, those recovering from COVID-19 had poorer physical health and functional status than those who had cancer, or were recovering from cancer but not COVID-19. Patients recovering from COVID-19 might need additional clinical support, including tailored physical and mental health rehabilitation services.Data were obtained from electronic health records (EHRs) of patients referred to Select Medical's outpatient rehabilitation clinics during January 2020-March 2021. Epidemiologic, clinical, and functional data from 1,295 post-COVID-19 patients and 2,395 control patients were examined. Post-COVID-19 patients were defined as those who were referred to a Select Medical facility for post-COVID-19 physical rehabilitation.

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Section: Discussionsupporting

confidence: 90%

Outcomes Among Patients Referred to Outpatient Rehabilitation Clinics After COVID-19 diagnosis — United States, January 2020–March 2021

Rogers-Brown¹,

Wanga²,

Okoro³

et al. 2021

MMWR Morb. Mortal. Wkly. Rep.

Self Cite

View full text Add to dashboard Cite

show abstract

“…Early data on post-COVID conditions primarily came from hospitalized cohorts ( 1 , 6 ); more recent reports describe post-COVID conditions among nonhospitalized, asymptomatic, or mildly ill patients ( 1 , 7 ). The prevalence of the most common long-term symptoms among respondents who received a positive test result in this investigation was similar to that in earlier studies ( 1 , 8 ). Many studies on post-COVID conditions lack comparisons with the general population of adults with negative test results for SARS-CoV-2; however, this investigation included a comparison group, allowing for assessment of background symptom frequencies.…”

Section: Discussionsupporting

confidence: 89%

Long-Term Symptoms Among Adults Tested for SARS-CoV-2 — United States, January 2020–April 2021

Wanga¹,

Chevinsky²,

Dimitrov³

et al. 2021

MMWR Morb. Mortal. Wkly. Rep.

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“…Longitudinal electronic health record (EHR) data serve as a rich data source for studying PASC symptoms. However, retrospective studies that primarily utilize structured EHR data (e.g., lab results or International Classification of Disease [ICD] diagnosis codes) [11] , [14] , [19] may miss many clinical symptoms, which are often documented in clinical notes. [20] …”

Section: Background and Significancementioning

confidence: 99%

PASCLex: A comprehensive post-acute sequelae of COVID-19 (PASC) symptom lexicon derived from electronic health record clinical notes

Wang

Foer

MacPhaul

et al. 2022

Journal of Biomedical Informatics

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Health Care Utilization and Clinical Characteristics of Nonhospitalized Adults in an Integrated Health Care System 28–180 Days After COVID-19 Diagnosis — Georgia, May 2020–March 2021

Cited by 49 publications

References 9 publications

Outcomes Among Patients Referred to Outpatient Rehabilitation Clinics After COVID-19 diagnosis — United States, January 2020–March 2021

Outcomes Among Patients Referred to Outpatient Rehabilitation Clinics After COVID-19 diagnosis — United States, January 2020–March 2021

Long-Term Symptoms Among Adults Tested for SARS-CoV-2 — United States, January 2020–April 2021

PASCLex: A comprehensive post-acute sequelae of COVID-19 (PASC) symptom lexicon derived from electronic health record clinical notes

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