Health-Related Quality of Life of Adult COVID-19 Patients Following One-Month Illness Experience Since Diagnosis: Findings of a Cross-Sectional Study in Bangladesh

Islam, Md. Ziaul; Riaz, Baizid Khoorshid; Efa, Syeda Sumaiya; Farjana, Sharmin; Mahmood, Fahad

doi:10.2139/ssrn.3781641

Cited by 1 publication

(6 citation statements)

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“…On the other hand, the EQ-5D-5L allows a rapid survey of HRQOL because of its short structure. Previously, the CDC HRQOL-14 instrument [ 16 ] and WHOQOL BREF [ 15 ] were used in COVID-19 patients who completed one month and a median 172 days after being tested positive, respectively, in population-based settings. However, we targeted to include only hospitalized COVID-19 patients one month after discharge in post-acute-care and follow-up clinic, and therefore, we intended to use a rapidly deployable instrument for HRQOL.…”

Section: Discussionmentioning

confidence: 99%

“…However, after adjustment for comorbidities and other factors, compared to younger age (18–29 years), ≥60 age was found to be associated with a higher chance of having problems in mobility only. The study by Islam and colleagues [ 16 ] found that comorbidity was significant associated with patient’s need for help for routine needs. Whereas we found that comorbidities were independently associated with increased pain/discomfort, which might explain why these people needs help with their routine activity.…”

Section: Discussionmentioning

confidence: 99%

“…Islam and colleagues [ 16 ] reported that nearly four-fifth (86%) patients had various type of symptoms and the presence of symptoms, one-month after diagnosis of COVID-19, was significantly associated with poor/fair general health condition and requirement of help with daily needs. Our findings if nearly similar in that we found more than ninety percent (91.83%) patients having various type of symptoms, and presence of symptom was significantly associated with problems in self-care, usual activities, pain/discomfort and anxiety/depression.…”

Section: Discussionmentioning

confidence: 99%

“…In two recent population-based cross-sectional studies, the quality of life (QoL) of COVID-19 recovered patients in Bangladesh measured by the World Health Organization Quality of Life instrument brief version (WHOQOL BREF) [ 14 ] and Center for Disease Control and Prevention Health Related Quality of Life instrument (CDC HRQOL-14) were found to be significantly affected in multiple dimension [ 15 , 16 ]. The former study reported a significantly lower QoL in physical, psychological and social dimensions of those with a history of hospitalization.…”

Section: Introductionmentioning

confidence: 99%

“…Hospitalized COVID-19 patients were found to experience a substantial impairment in HRQoL after discharge in many other countries [ 17 – 20 ]. Hence, it is essential to explore the HRQoL and associated factors of hospitalized COVID-19 patients after discharge, so that tailored interventions can be taken to aid their recovery to full physical and mental health [ 16 ]. However, in Bangladesh, HRQoL assessment of COVID-19 patients short time after discharge from hospital is scarce.…”

Section: Introductionmentioning

confidence: 99%

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Post-discharge quality of life of COVID-19 patients at 1-month follow-up: A cross-sectional study in the largest tertiary care hospital of Bangladesh

et al. 2023

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There is increasing evidence of the post-COVID-19 suffering and decreased quality of life in the COVID-19 patients. This study aimed to assess the quality of life and associated factors of COVID-19 patients at one month after discharge from the hospital. This was a cross-sectional study that was conducted at the post-covid clinic of Dhaka Medical College Hospital (DMCH) where RT–PCR-confirmed adult COVID-19 recovered patients were enrolled one month after discharge from the same hospital. They were consecutively selected from January 01 to May 30. A pretested semi-structured questionnaire was used for the data collection for clinical variables. The generic multi-attributable utility instrument EQ-5D-5L was used for assessing health-related quality of life (HRQoL). A total of 563 patients were enrolled in the study. The patients had a mean age with standard deviation (±SD) of 51.18 (±13.49) years and 55.95% were male. The mean (SD) EQ-5D-5L index score and EQ-VAS scores were 0.78 (±0.19) and 70.26 (±11.13), respectively. Overall, 45.77%, 50.99%, 52.79%, 55.14% and 62.16% had problems (slight to extreme) in the mobility, self-care, usual activities, pain/discomfort and anxiety/depression dimensions, respectively. Patients aged ≥60 years had significant problem in mobility (odds ratio [OR] 3.24, 95% confidence interval [CI]: 1.07–9.77). Female participants were 5.50 times (95% CI: 2.22–13.62) more likely to have problems in their usual activities. In comparison to urban area, living in a peri-urban setting was significantly associated with problems in mobility (OR 1.89, 95% CI: 1.13–3.20), pain/discomfort (OR 1.82, 95% CI: 1.04–3.12) and anxiety/depression (OR 2.16, 95% CI: 1.22–3.84). Comorbid patients were 1.75 times (95% CI: 1.07–2.85) more likely to report problems in the pain/discomfort dimension. Presence of symptom(s) was associated with problems in self-care (OR 3.27, 95%CI: 1.31–8.18), usual-activity (OR 3.08, 95%CI: 1.21–7.87), pain/discomfort dimensions (OR 2.75, 95%CI: 1.09–6.96) and anxiety/depression (OR 3.35, 95%CI: 1.35–8.30). Specific management strategies should be planned to address the factors associated with low health-related quality of life in post-acute care of COVID-19 patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%