Symptoms and psychosocial effects following hospitalization for Covid-19: A sequential, mixed-methods study from northern India

Abstract
BACKGROUND It is reported that patients who have recovered from Covid-19 continue to experience various symptoms and adverse outcomes. However, this aspect has not been studied well. We aimed to evaluate these variables and the perceived impact of Covid-19 among patients discharged from a Covid hospital in northern India. METHODS We conducted this study among patients discharged from a Covid-19 hospital in northern India in June 2020. As per the official policy at that time, patients detected to have Covid-19 (symptomatically or via contact tracing) were mandatorily admitted. A sequential, mixed-methods design was followed. Patients discharged from the hospital were contacted telephonically, and the cross-sectional prevalence of symptoms, the prevalence of depression and anxiety and the social consequences of admission were assessed. A subgroup of patients was interviewed for qualitative assessment of their experience. RESULTS A total of 274 patients provided consent and were assessed, of which 8 patients underwent detailed interviews. The prevalence of somatic symptoms was 3.4%; 36.2% of the patients had depressive and 12% of the patients had anxiety symptoms. A majority of patients experienced adverse social and economic consequences of hospitalization for Covid-19. These themes were reinforced by a qualitative analysis of in-depth interviews. CONCLUSIONS Our study population experienced a high prevalence of adverse psychosocial consequences of Covid-19. These included depression and anxiety symptoms, stigma and economic and occupational consequences. These deserve more recognition and study.
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Citation
KHERA SAGAR, KAUR MANMEET, KAUR RUPINDER, SHARMA ABHISHEK, MOHINDRA RITIN, SURI VIKAS, LAKSHMI P.V.M., SONI ROOP KISHOR, BHALLA ASHISH, SINGH SHUBH MOHAN. Symptoms and psychosocial effects following hospitalization for Covid-19: A sequential, mixed-methods study from northern India. The National Medical Journal of India. 2022 Aug; 35(4): 210-214