ERJ Open Research (Jul 2024)
Long-term impact of COVID-19 hospitalisation among individuals with pre-existing airway diseases in the UK: a multicentre, longitudinal cohort study – PHOSP-COVID
- Omer Elneima,
- John R. Hurst,
- Carlos Echevarria,
- Jennifer K. Quint,
- Samantha Walker,
- Salman Siddiqui,
- Petr Novotny,
- Paul E. Pfeffer,
- Jeremy S. Brown,
- Manu Shankar-Hari,
- Hamish J.C. McAuley,
- Olivia C. Leavy,
- Aarti Shikotra,
- Amisha Singapuri,
- Marco Sereno,
- Matthew Richardson,
- Ruth M. Saunders,
- Victoria C. Harris,
- Linzy Houchen-Wolloff,
- Neil J. Greening,
- Ewen M. Harrison,
- Annemarie B. Docherty,
- Nazir I. Lone,
- James D. Chalmers,
- Ling-Pei Ho,
- Alex Horsley,
- Michael Marks,
- Krisnah Poinasamy,
- Betty Raman,
- Rachael A. Evans,
- Louise V. Wain,
- Aziz Sheikh,
- Chris E. Brightling,
- Anthony De Soyza,
- Liam G. Heaney,
- J.K. Baillie,
- N.I. Lone,
- E. Pairo-Castineira,
- N. Avramidis,
- K. Rawlik,
- S Jones,
- L. Armstrong,
- B. Hairsine,
- H. Henson,
- C. Kurasz,
- A. Shaw,
- L. Shenton,
- H. Dobson,
- A. Dell,
- S. Fairbairn,
- N. Hawkings,
- J. Haworth,
- M. Hoare,
- V. Lewis,
- A. Lucey,
- G. Mallison,
- H. Nassa,
- C. Pennington,
- A. Price,
- C. Price,
- A. Storrie,
- G. Willis,
- S. Young,
- K. Poinasamy,
- S. Walker,
- I. Jarrold,
- A. Sanderson,
- K. Chong-James,
- C. David,
- W.Y. James,
- P. Pfeffer,
- O. Zongo,
- A. Martineau,
- C. Manisty,
- C. Armour,
- V. Brown,
- J. Busby,
- B. Connolly,
- T. Craig,
- S. Drain,
- L.G. Heaney,
- B. King,
- N. Magee,
- E. Major,
- D. McAulay,
- L. McGarvey,
- J. McGinness,
- T. Peto,
- R. Stone,
- A. Bolger,
- F. Davies,
- A. Haggar,
- J. Lewis,
- A. Lloyd,
- R. Manley,
- E. McIvor,
- D. Menzies,
- K. Roberts,
- W. Saxon,
- D. Southern,
- C. Subbe,
- V. Whitehead,
- A. Bularga,
- N.L. Mills,
- J. Dawson,
- H. El-Taweel,
- L. Robinson,
- L. Brear,
- K. Regan,
- D. Saralaya,
- K. Storton,
- S. Amoils,
- A. Bermperi,
- I. Cruz,
- K. Dempsey,
- A. Elmer,
- J. Fuld,
- H. Jones,
- S. Jose,
- S. Marciniak,
- M. Parkes,
- C. Ribeiro,
- J. Taylor,
- M. Toshner,
- L. Watson,
- J. Worsley,
- L. Broad,
- T. Evans,
- M. Haynes,
- L. Jones,
- L. Knibbs,
- A. McQueen,
- C. Oliver,
- K. Paradowski,
- R. Sabit,
- J. Williams,
- I. Jones,
- L. Milligan,
- E. Harris,
- C. Sampson,
- E. Davies,
- C. Evenden,
- A. Hancock,
- K. Hancock,
- C. Lynch,
- M. Rees,
- L. Roche,
- N. Stroud,
- T. Thomas-Woods,
- S. Heller,
- T. Chalder,
- K. Shah,
- E. Robertson,
- B. Young,
- M. Babores,
- M. Holland,
- N. Keenan,
- S. Shashaa,
- H. Wassall,
- L. Austin,
- E. Beranova,
- T. Cosier,
- J. Deery,
- T. Hazelton,
- C. Price,
- H. Ramos,
- R. Solly,
- S. Turney,
- H. Weston,
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- W. Stoker,
- A. Wilson,
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- G. Arbane,
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- M.M. Magtoto,
- P. Marino,
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- C. Lawson,
- L. Gardiner,
- A.J. Moss,
- E. Mukaetova-Ladinska,
- P. Novotny,
- C. Overton,
- J.E. Pearl,
- T. Plekhanova,
- M. Richardson,
- N. Samani,
- J. Sargent,
- M. Sharma,
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- L. Finnigan,
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- P.C. Calder,
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- G. Simons,
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- P. Crisp,
- R. Dharmagunawardena,
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- A. Wight,
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Affiliations
- Omer Elneima
- The Institute for Lung Health, NIHR Leicester Biomedical Research Centre – Respiratory, University of Leicester, Leicester, UK
- John R. Hurst
- UCL Respiratory, Department of Medicine, University College London, London, UK
- Carlos Echevarria
- Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK
- Jennifer K. Quint
- School of Public Health, Imperial College London, London, UK
- Samantha Walker
- Asthma+Lung UK, London, UK
- Salman Siddiqui
- National Heart and Lung Institute, Imperial College London, London, UK
- Petr Novotny
- The Institute for Lung Health, NIHR Leicester Biomedical Research Centre – Respiratory, University of Leicester, Leicester, UK
- Paul E. Pfeffer
- Department of Respiratory Medicine, Barts Health NHS Trust, London, UK
- Jeremy S. Brown
- UCL Respiratory, Department of Medicine, University College London, London, UK
- Manu Shankar-Hari
- Centre for Inflammation Research, University of Edinburgh, Edinburgh, UK
- Hamish J.C. McAuley
- The Institute for Lung Health, NIHR Leicester Biomedical Research Centre – Respiratory, University of Leicester, Leicester, UK
- Olivia C. Leavy
- The Institute for Lung Health, NIHR Leicester Biomedical Research Centre – Respiratory, University of Leicester, Leicester, UK
- Aarti Shikotra
- The Institute for Lung Health, NIHR Leicester Biomedical Research Centre – Respiratory, University of Leicester, Leicester, UK
- Amisha Singapuri
- The Institute for Lung Health, NIHR Leicester Biomedical Research Centre – Respiratory, University of Leicester, Leicester, UK
- Marco Sereno
- The Institute for Lung Health, NIHR Leicester Biomedical Research Centre – Respiratory, University of Leicester, Leicester, UK
- Matthew Richardson
- The Institute for Lung Health, NIHR Leicester Biomedical Research Centre – Respiratory, University of Leicester, Leicester, UK
- Ruth M. Saunders
- The Institute for Lung Health, NIHR Leicester Biomedical Research Centre – Respiratory, University of Leicester, Leicester, UK
- Victoria C. Harris
- The Institute for Lung Health, NIHR Leicester Biomedical Research Centre – Respiratory, University of Leicester, Leicester, UK
- Linzy Houchen-Wolloff
- The Institute for Lung Health, NIHR Leicester Biomedical Research Centre – Respiratory, University of Leicester, Leicester, UK
- Neil J. Greening
- The Institute for Lung Health, NIHR Leicester Biomedical Research Centre – Respiratory, University of Leicester, Leicester, UK
- Ewen M. Harrison
- Centre for Medical Informatics, The Usher Institute, University of Edinburgh, Edinburgh, UK
- Annemarie B. Docherty
- Centre for Medical Informatics, The Usher Institute, University of Edinburgh, Edinburgh, UK
- Nazir I. Lone
- Centre for Medical Informatics, The Usher Institute, University of Edinburgh, Edinburgh, UK
- James D. Chalmers
- University of Dundee, Ninewells Hospital and Medical School, Dundee, UK
- Ling-Pei Ho
- MRC Translational Discovery Immunology Unit, University of Oxford, Oxford, UK
- Alex Horsley
- Division of Infection, Immunity and Respiratory Medicine, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK
- Michael Marks
- Department of Clinical Research, London School of Hygiene and Tropical Medicine, London, UK
- Krisnah Poinasamy
- Asthma+Lung UK, London, UK
- Betty Raman
- NIHR Oxford BRC, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
- Rachael A. Evans
- The Institute for Lung Health, NIHR Leicester Biomedical Research Centre – Respiratory, University of Leicester, Leicester, UK
- Louise V. Wain
- The Institute for Lung Health, NIHR Leicester Biomedical Research Centre – Respiratory, University of Leicester, Leicester, UK
- Aziz Sheikh
- Centre for Medical Informatics, The Usher Institute, University of Edinburgh, Edinburgh, UK
- Chris E. Brightling
- The Institute for Lung Health, NIHR Leicester Biomedical Research Centre – Respiratory, University of Leicester, Leicester, UK
- Anthony De Soyza
- Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK
- Liam G. Heaney
- Wellcome-Wolfson Institute for Experimental Medicine, Queens University Belfast, Belfast, UK
- J.K. Baillie
- N.I. Lone
- E. Pairo-Castineira
- N. Avramidis
- K. Rawlik
- S Jones
- L. Armstrong
- B. Hairsine
- H. Henson
- C. Kurasz
- A. Shaw
- L. Shenton
- H. Dobson
- A. Dell
- S. Fairbairn
- N. Hawkings
- J. Haworth
- M. Hoare
- V. Lewis
- A. Lucey
- G. Mallison
- H. Nassa
- C. Pennington
- A. Price
- C. Price
- A. Storrie
- G. Willis
- S. Young
- K. Poinasamy
- S. Walker
- I. Jarrold
- A. Sanderson
- K. Chong-James
- C. David
- W.Y. James
- P. Pfeffer
- O. Zongo
- A. Martineau
- C. Manisty
- C. Armour
- V. Brown
- J. Busby
- B. Connolly
- T. Craig
- S. Drain
- L.G. Heaney
- B. King
- N. Magee
- E. Major
- D. McAulay
- L. McGarvey
- J. McGinness
- T. Peto
- R. Stone
- A. Bolger
- F. Davies
- A. Haggar
- J. Lewis
- A. Lloyd
- R. Manley
- E. McIvor
- D. Menzies
- K. Roberts
- W. Saxon
- D. Southern
- C. Subbe
- V. Whitehead
- A. Bularga
- N.L. Mills
- J. Dawson
- H. El-Taweel
- L. Robinson
- L. Brear
- K. Regan
- D. Saralaya
- K. Storton
- S. Amoils
- A. Bermperi
- I. Cruz
- K. Dempsey
- A. Elmer
- J. Fuld
- H. Jones
- S. Jose
- S. Marciniak
- M. Parkes
- C. Ribeiro
- J. Taylor
- M. Toshner
- L. Watson
- J. Worsley
- L. Broad
- T. Evans
- M. Haynes
- L. Jones
- L. Knibbs
- A. McQueen
- C. Oliver
- K. Paradowski
- R. Sabit
- J. Williams
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- C. Evenden
- A. Hancock
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- S. Heller
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- B. Young
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- E. Fraile
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- K. Bisnauthsing
- A. Dewar
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- H. Kerslake
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- D. Copeland
- P. Cullinan
- P. Daly
- L. Evison
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- H. Gordon
- S. Haq
- R.G. Jenkins
- C. King
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- L.S. Howard
- D. Johnston
- A. Lingford-Hughes
- W.D-C. Man
- J. Mitchell
- P.L. Molyneaux
- C. Nicolaou
- D.P. O'Regan
- L. Price
- J. Quint
- D. Smith
- R.S. Thwaites
- J. Valabhji
- S. Walsh
- C.M. Efstathiou
- F. Liew
- A. Frankel
- L. Lightstone
- S. McAdoo
- M. Wilkins
- M. Willicombe
- R. Touyz
- A-M. Guerdette
- M. Hewitt
- R. Reddy
- K. Warwick
- S. White
- A. McMahon
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- C. Pariante
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- S. Byrne
- P. Dulawan
- A. Hoare
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- A. Knighton
- S. Patale
- I. Peralta
- N. Powell
- A. Ramos
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- C. Favager
- J. Glossop
- J. Greenwood
- L. Hall
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- A. Humphries
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- D. Peckham
- S. Plein
- J. Rangeley
- G. Saalmink
- A.L. Tan
- E. Wade
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- J. Woods
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- L. Allerton
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- A. Berridge
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- W. Greenhalf
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- S. Kaprowska
- A.L. Key
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- L.O. Wajero
- S.A. Williams-Howard
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- S.N. Diwanji
- S. Gurram
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- S. Quaid
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- J.T. Scott
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- I.D. Stewart
- D. Burn
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- DOI
- https://doi.org/10.1183/23120541.00982-2023
- Journal volume & issue
-
Vol. 10,
no. 4
Abstract
Background The long-term outcomes of COVID-19 hospitalisation in individuals with pre-existing airway diseases are unknown. Methods Adult participants hospitalised for confirmed or clinically suspected COVID-19 and discharged between 5 March 2020 and 31 March 2021 were recruited to the Post-hospitalisation COVID-19 (PHOSP-COVID) study. Participants attended research visits at 5 months and 1 year post discharge. Clinical characteristics, perceived recovery, burden of symptoms and health-related quality of life (HRQoL) of individuals with pre-existing airway disease (i.e., asthma, COPD or bronchiectasis) were compared to the non-airways group. Results A total of 615 out of 2697 (22.8%) participants had a history of pre-existing airway diseases (72.0% diagnosed with asthma, 22.9% COPD and 5.1% bronchiectasis). At 1 year, the airways group participants were less likely to feel fully recovered (20.4% versus 33.2%, p<0.001), had higher burden of anxiety (29.1% versus 22.0%, p=0.002), depression (31.2% versus 24.7%, p=0.006), higher percentage of impaired mobility using short physical performance battery ≤10 (57.4% versus 45.2%, p<0.001) and 27% had a new disability (assessed by the Washington Group Short Set on Functioning) versus 16.6%, p=0.014. HRQoL assessed using EQ-5D-5L Utility Index was lower in the airways group (mean±SD 0.64±0.27 versus 0.73±0.25, p<0.001). Burden of breathlessness, fatigue and cough measured using a study-specific tool was higher in the airways group. Conclusion Individuals with pre-existing airway diseases hospitalised due to COVID-19 were less likely to feel fully recovered, had lower physiological performance measurements, more burden of symptoms and reduced HRQoL up to 1 year post-hospital discharge.
