Rehabilitation needs and mortality associated with the Covid-19 pandemic: a population-based study of all hospitalised and home-healthcare individuals in a Swedish healthcare region

  1. Anestis Divanoglou
  2. Assoc. Prof Kersti Samuelsson
  3. Prof. Emer. Rune Sjödahl
  4. Christer Andersson
  5. Prof. Richard Levi

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Abstract

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  1. Version published to 10.1016/j.eclinm.2021.100920
  2. ScreenIT

    SciScore for 10.1101/2021.04.30.21256372: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    EthicsIRB: Ethics committee approval: The Swedish Ethical Review Authority approved the study protocol (Dnr 2020-03029 and 2020-04443).
    Sex as a biological variablenot detected.
    Randomizationnot detected.
    Blindingnot detected.
    Power Analysisnot detected.

    Table 2: Resources

    Software and Algorithms
    SentencesResources
    The following exclusion criteria were implemented: Additional exclusion criteria pertaining to research question related to rehabilitation needs were: Procedures: To identify hospitalised patients with Covid-19, all regional medical records during the study period were scrutinised.
    Procedures
    suggested: (Surgical Procedures, RRID:SCR_004793)
    Statistical analyses were performed with IBM SPSS statistics for Windows (Version 27, Chicago, Illinois, USA).
    SPSS
    suggested: (SPSS, RRID:SCR_002865)

    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).

    Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:
    At follow-up, approximately 20% reported dyspnea scores indicating considerable activity limitations, independently of disease severity. Cognitive and affective impairments were reported by 20-40% of cases and were equally common in all disease severity sub-groups. 31% reported limb weakness, 26% of those working or studying reported difficulties returning to these activities, and 25% reported problems walking >1 km, with those with grade 7-9 more likely to report these problems as compared to those with moderate disease. Among hospitalised patients, the 90-day (after diagnosis) mortality rate associated with Covid-19 was 15.1%. There are currently few studies pertaining to long-term outcomes of the Covid-19 pandemic. Our study is fundamentally in agreement with existing studies regarding symptom enumeration.4,6,33 The main contribution of this study lies in its focus not primarily on symptom enumeration, but on identifying the Covid-19 associated rehabilitation needs resulting from diverse impairments and activity/participation limitations. Problems at all levels of functioning comprise the impetus to rehabilitation. Few studies provide this scope.4,11 The use of the WHO ICF taxonomy, not utilized in studies on outcomes of Covid-19 hitherto, characterises our approach. Additionally, mortality is one key outcome not to be excluded from any analysis of consequences of a disease. This provides a backdrop in relation to which outcomes are put in context. The most relevant study ...

    Results from TrialIdentifier: No clinical trial numbers were referenced.

    Results from Barzooka: We did not find any issues relating to the usage of bar graphs.

    Results from JetFighter: We did not find any issues relating to colormaps.

    Results from rtransparent:
    • Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
    • Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
    • No protocol registration statement was detected.

    Results from scite Reference Check: We found no unreliable references.

    About SciScore

    SciScore is an automated tool that is designed to assist expert reviewers by finding and presenting formulaic information scattered throughout a paper in a standard, easy to digest format. SciScore checks for the presence and correctness of RRIDs (research resource identifiers), and for rigor criteria such as sex and investigator blinding. For details on the theoretical underpinning of rigor criteria and the tools shown here, including references cited, please follow this link.

  3. Version published to 10.1101/2021.04.30.21256372v1 on medRxiv