[Regional Healthcare Situation and Needs of Former SARS-CoV-2 Infected Persons in the Hanseatic City of Lübeck - Results of a Population Survey].

Abstract

Background: Infection with SARS-CoV-2 can lead to health impairments lasting over several months, the so-called Post-COVID syndrome (PCS). In order to better understand and assess the regional care situation with the acute COVID-19-disease/PCS, possible consequences of illness and current needs, a survey was conducted among the population of the Hanseatic City of Lübeck. The survey also analysed the distribution of PCS and the burden of disease in the sample.

Methods: Cross-sectional survey between September and November 2023 in the Hanseatic City of Lübeck using an online survey. Individuals over 18 years of age who were registered with the Lübeck residents' registration office and who had been infected with SARS-CoV-2 at least once in the past were included. Questions were asked about the number of SARS-CoV-2 infections, the last illness, vaccinations and medical services used. Quality of life, impairment of participation, comorbidity and socio-demographic data were also recorded. The presence of PCS was assessed using self-report (yes/no) and a symptom-based scale (PCS score). Treatment preferences were also collected.

Results: After checking the inclusion criteria, questionnaire data were available from 619 people; 66.2% of respondents were female and the mean age was 47 years. Most people had last contracted SARS-CoV-2 in 2022 and 2023. 54% (N=332) of respondents considered themselves to have PCS and reported more symptoms (6 vs. 2; p<0.01), higher participation limitations (39.9 vs. 7.2; p<0.01) and poorer quality of life (45 vs. 70; p<0.01) than people who did not consider themselves to have PCS. Medical services related to SARS-CoV-2 infection/PCS were used statistically significantly more by people with PCS. However, only 2.4% of people with PCS were satisfied with their current care situation. A number of wishes were expressed, such as better information from physicians (70%) or a website (67%) with information on regional care services for PCS.

Conclusion: People with PCS reported a high burden of disease and were affected by a range of symptoms at the time of the survey. The degree of restrictions in light of the wishes suggest that medical and therapeutic care should be optimised for those affected and that awareness and networking among practitioners should be strengthened.