Are Healthcare Resource Utilization Patterns for Pain Management Specific to Post-Acute COVID-19 Syndrome? A Study of Survivors from the First French Pandemic Wave
2024

Healthcare Resource Use for Pain Management in Post-Acute COVID-19 Syndrome

Sample size: 68822 publication Evidence: moderate

Author Information

Author(s): Dziadzko Mikhail, Belhassen Manon, Van Ganse Eric, Marant-Micallef Claire, Martinez Valeria, Aubrun Frederic, Pugliese Francesco, Alessandri Francesco, Giordano Giovanni

Primary Institution: Département d’Anesthésie-Réanimation, Douleur, Hôpital de la Croix Rousse, Hospices Civils de Lyon, France

Hypothesis

Analyzing changes in healthcare resource utilization may help identify new patterns of chronic pain related to PACS.

Conclusion

Non-specific increases in healthcare resource utilization for pain management were found following COVID-19 hospitalization, likely due to disease severity and ICU care rather than PACS-related chronic pain.

Supporting Evidence

  • Chronic pain affects 11-60% of patients with Post-Acute COVID-19 Syndrome.
  • Significant increases in healthcare resource utilization were observed for ICU survivors.
  • Dispensing of strong opioids and antiepileptics increased post-COVID hospitalization.
  • Hospitalizations for chronic pain also increased after COVID-19 discharge.

Takeaway

After recovering from COVID-19, many people needed more help for pain, but it wasn't clear if this was because of COVID-19 itself.

Methodology

The study analyzed healthcare resource utilization among 68,822 patients hospitalized for COVID-19 during the first pandemic wave, comparing data from six months before and after hospitalization.

Potential Biases

Potential bias due to the exclusion of patients with milder COVID-19 cases and reliance on ICD codes for data collection.

Limitations

The study focused only on hospitalized patients, omitting those with milder cases, and lacked data on over-the-counter medication use.

Participant Demographics

The median age was 66 years, with 47% being women.

Statistical Information

Confidence Interval

95% confidence interval for PP-Ratio Rates.

Digital Object Identifier (DOI)

10.3390/jcm13247680

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