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J Clin Med . Ambulatory Status at Discharge Predicts Six-Month Mortality in Patients with COVID-19: A Retrospective Cohort Study

tetano

Editor, Senior Moderator
J Clin Med


. 2024 Feb 17;13(4):1129.
doi: 10.3390/jcm13041129. Ambulatory Status at Discharge Predicts Six-Month Mortality in Patients with COVID-19: A Retrospective Cohort Study

Yoonju Na[SUP] 1 [/SUP], Chi Ryang Chung[SUP] 2 [/SUP], Gee Young Suh[SUP] 2 [/SUP], Oksoon Jeong[SUP] 3 [/SUP], Ryoung-Eun Ko[SUP] 2 [/SUP], Jong Geol Do[SUP] 1 [/SUP]



Affiliations
Free PMC article Abstract

This retrospective cohort study aimed to evaluate the association between ambulatory status at discharge and six-month post-discharge mortality among adults with coronavirus disease (COVID-19). We analyzed data from 398 patients aged over 18 admitted to a tertiary hospital in South Korea between December 2019 and June 2022. Patients were classified into two groups based on their ambulatory status at discharge: ambulatory (able to walk independently, n = 286) and non-ambulatory (unable to walk independently, requiring wheelchair or bed-bound, n = 112). Our analysis revealed that six-month survival rates were significantly higher in the ambulatory group (94.2%) compared to the non-ambulatory group (84.4%). Multivariate analysis identified ambulatory status at discharge (p = 0.047) and pre-existing malignancy (p = 0.007) as significant prognostic factors for post-discharge survival. This study highlights that the ability to walk independently at discharge is a crucial predictor of six-month survival in COVID-19 patients. These findings emphasize the need for interventions to improve the physical performance of non-ambulatory patients, potentially enhancing their survival prospects. This underscores the importance of targeted rehabilitation and physical therapy for the comprehensive care of COVID-19 survivors.

Keywords: 6-months mortality; COVID-19; ambulation; mobility; muscle weakness.

 
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