Physical impairments following an inpatient stay for Covid-19 infection

Aims and objectives: There is a paucity of data detailing the recovery trajectory following covid-19 infection. This observational study aimed to exam any physical impairment following discharge from hospital after an inpatient stay for management of Covid-19 infection. Ethical approval was obtained by the Tallaght University and St James hospitals ethics committee. Methods: Patients hospitalised for Covid-19 management were offered multidisciplinary outpatient follow up. Demographic information, self-reported falls and return to work was recorded. Exercise capacity (6mwt) and frailty (clinical frailty score) were assessed and a patient concerns assessment completed. Participants were routinely provided with education and written material to support ongoing physical recovery. Referrals to additional services were made to facilitate ongoing physical recovery if deemed appropriate. Data was collected and collated on Microsoft Excel. Results: In total, 48 participants (mean age 57.7yrs [sd 13.7]; female=18, male =30; critical care admission n=10) were recruited. Mean 6mwt distance was 371.5m (SD 113), median frailty score was 3 (range 1-5), 14% of participants (n=6) reported falls or near misses since hospital discharge, only 43% (n=12) of those still working (n=28) had returned to full occupational activities. The most common patient reported concerns were memory issues (n=21), concentration (n=20) and breathlessness (n=17). The most common onward referral destination was musculoskeletal physiotherapy services (n=9). Conclusion: Impairments are evident following an inpatient stay for management of Covid-19 infection. Comprehensive multidisciplinary follow up and ongoing support is required to maximise recovery.