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- Title
Rationale, Design, and Characteristics of the VALIANT (COVID-19 in Older Adults: A Longitudinal Assessment) Cohort.
- Authors
Cohen, Andrew B.; McAvay, Gail J.; Geda, Mary; Chattopadhyay, Sumon; Seohyuk Lee; Acampora, Denise; Araujo, Katy; Charpentier, Peter; Gill, Thomas M.; Hajduk, Alexandra M.; Ferrante, Lauren E.
- Abstract
Background: Most older adults hospitalized with COVID-19 survive their acute illness. The impact of COVID-19 hospitalization on patient-centered outcomes, including physical function, cognition, and symptoms, is not well understood. To address this knowledge gap, we collected longitudinal data about these issues from a cohort of older survivors of COVID-19 hospitalization. Methods: We undertook a prospective study of community-living persons age ≥ 60 years who were hospitalized with COVID-19 from June 2020–June 2021. A baseline interview was conducted during or up to 2 weeks after hospitalization. Follow-up interviews occurred at one, three, and six months postdischarge. Participants completed comprehensive assessments of physical and cognitive function, symptoms, and psychosocial factors. An abbreviated assessment could be performed with a proxy. Additional information was collected from the electronic health record. Results: Among 341 participants, the mean age was 71.4 (SD 8.4) years, 51% were women, and 37% were of Black race or Hispanic ethnicity. Median length of hospitalization was 8 (IQR 6–12) days. All but 4% of participants required supplemental oxygen, and 20% required care in an intensive care unit or stepdown unit. At enrollment, nearly half (47%) reported at least one preexisting disability in physical function, 45% demonstrated cognitive impairment, and 67% were pre-frail or frail. Participants reported a mean of 9 of 14 (SD 3) COVID-19-related symptoms. At the six-month follow-up interview, more than a third of participants experienced a decline from their pre-hospitalization function, nearly 20% had cognitive impairment, and burdensome symptoms remained highly prevalent. Conclusions: We enrolled a diverse cohort of older adults hospitalized with COVID-19 and followed them after discharge. Functional decline was common, and there were high rates of persistent cognitive impairment and symptoms. Future analyses of these data will advance our understanding of patient-centered outcomes among older COVID-19 survivors.
- Subjects
LENGTH of stay in hospitals; PATIENT aftercare; COGNITION disorders; COVID-19; FUNCTIONAL status; HISPANIC Americans; HEALTH outcome assessment; INTERVIEWING; PATIENT-centered care; HOSPITAL care of older people; RESEARCH funding; LONGITUDINAL method; AFRICAN Americans; OLD age
- Publication
Journal of the American Geriatrics Society, 2023, Vol 71, Issue 3, p832
- ISSN
0002-8614
- Publication type
Article
- DOI
10.1111/jgs.18146