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Letter to the Editor
Useful tools in post-COVID syndrome evaluation
Escalas de utilidad para la evaluación del síndrome post-COVID
Blanca Ayuso García
Corresponding author
blanca.ayuso90@gmail.com

Corresponding author.
, Eva Romay Lema, Ramón Rabuñal Rey
Infectious Diseases Unit, University Hospital Lucus Augusti, Lugo, Spain
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thus making it possible to compare samples against the baseline status&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a> C19-YRS was developed in 2020 specifically to evaluate symptoms after acute COVID-19&#44; and also explores the job status and caregiver role of individuals&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">All ambulatory and hospitalized patients with a positive molecular diagnostic test were included&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a> From 745 infected people&#44; 44 died and 93 had dementia and were excluded since information could not be retrieved&#59; a total of 443 answers were obtained &#40;answer rate 72&#46;9&#37;&#41;&#46; Mean age was 54<span class="elsevierStyleHsp" style=""></span>&#43;&#47;&#8722;<span class="elsevierStyleHsp" style=""></span>16 years&#44; 38&#46;4&#37; of patients were male&#44; and 42&#46;9&#37; of them had some prior condition&#46; The hospitalization rate was 19&#46;6&#37; and 2&#46;3&#37; of patients required admission to an ICU&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Differences were found when comparing the results of both tools&#46; Some symptom was reported by 36&#46;8&#37; of patients using EQ-5D-5L&#44; while 63&#46;2&#37; of patients had some complaint according to C19-YRS&#46; The domains with a higher proportion of impairment in EQ-5D-5L were anxiety&#47;depression &#40;23&#46;9&#37;&#41; and mobility &#40;16&#46;5&#37;&#41;&#44; whereas in C19-YRS fatigue &#40;23&#46;0&#37;&#41; and exercise breathlessness &#40;17&#46;2&#37;&#41; were the most affected&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">When the items shared by the two tools were compared&#44; similar rates of impairment where observed&#44; perhaps subtly higher when EQ-5D-5L was used&#46; Global symptom detection was higher using C19-YRS&#44; probably due to a higher number of items being explored&#46; This is however difficult to interpret&#44; since a higher number of symptoms does not necessarily imply a worse quality of life with respect to the same population before the infection&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">A good agreement was found in the evaluation of mobility&#44; self-care and anxiety&#47;depression&#44; which was only moderate in basic activities of daily living and pain&#47;discomfort &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46; Diverging scores were found in severity grading for each item&#44; which were higher in the domain of pain&#47;discomfort&#46; This could be explained regarding the highly subjective experience of pain&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0035" class="elsevierStylePara elsevierViewall">C19-YRS has some additional advantages like the assessment of work status impairment after SARS-CoV-2 infection&#46; In our sample&#44; 8&#46;9&#37; of patients were on a medical leave when they were interviewed&#44; 3&#46;5&#37; were unemployed&#44; and 7&#46;7&#37; reported difficulties performing the usual tasks at work&#44; results in agreement with what Boix et al&#46; remark in terms of inability of returning to working life&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> Meanwhile&#44; EQ-5D-5L overall scores are similar to the scores of the same population before the pandemic&#44; which opposes a worsening in current self-health perception&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a></p><p id="par0040" class="elsevierStylePara elsevierViewall">In conclusion&#44; a proper selection of tools which allow for screening and comparing the impact of post-COVID syndrome is critical through the development and enforcement of post-COVID programs&#46; Agreement between the featured scales is in general terms moderate to good and both&#44; although probably not exchangeable&#44; can be used to assess and establish comparisons in results&#46; More&#44; wider studies are needed to definitely choose one over the several others in the evaluation of post-COVID patients&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0045" class="elsevierStylePara elsevierViewall">No funding was perceived by the authors&#46;</p></span></span>"
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Article information
ISSN: 23870206
Original language: English
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