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P140 Does the length of symptoms of long covid affect perceived dyspnoea?
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Journal Article
P140 Does the length of symptoms of long covid affect perceived dyspnoea?
2021
Overview
Introduction and ObjectiveLong COVID or ongoing symptoms post-acute COVID infection can affect up to 20% of patients.1 Dyspnoea can be a cardinal symptom and have a significant impact on patients’ quality of life and ability to function in society. NHS England devised a five-point plan for long COVID which included dedicated post COVID assessment clinics.2 We aimed to review whether duration of symptoms influenced the severity of perceived dyspnoea (using Borg score) and breathlessness (using MRC dyspnoea score).MethodsRetrospective analysis of patients assessed in the Cheshire and Merseyside long COVID assessment hub between 1 February and 30 April 2021. Data was split into three categories based on duration of symptoms: 3–6 months, 6–12 months and over 12 months. The data was analysed using an ANOVA and tukey’s multiple comparison test.Results332 patients were assessed, 7 were excluded from analysis.Of the 325:251 (75.7%) were femaleAge range 17–82 years, mean 47years31 (9.5%) patients received hospital treatment during initial illness305 (94%) patients reported exertional dyspnoeaAbstract P140 Table 1Results comparing mean Borg/MRC scores against length of time post covid infection Time assessed in clinic from acute infection (months) Mean Borg scale (±SD) Mean MRC score (±SD) 3–6 5.2 (2.0) 2.6 (0.8) 6–12 4.7 (1.9) 2.5 (0.9) >12 3.3 (2.2) 2.2 (0.9) ConclusionA significant difference was seen between Borg score in 3–6months and >12 (P<0.01), suggesting that perceived dyspnoea due to long COVID improves with time. No significant difference was found in MRC dyspnoea score between each group. The reason for this remains unclear though improvement in perceived dyspnoea with time may offer reassurance to many long Covid patients. Further research is needed to determine if pulmonary rehabilitation provides a greater reduction in perceived dyspnoea.ReferencesOns.gov.uk. 2021. The prevalence of long COVID symptoms and COVID-19 complications - Office for National Statistics. [online] Available at: [Accessed 22 June 2021]England N, 2021. NHS England » NHS to offer ‘long covid’ sufferers help at specialist centres. [online] England.nhs.uk. Available at:
Publisher
BMJ Publishing Group Ltd and British Thoracic Society,BMJ Publishing Group LTD
