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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.
Hoque, Mohammad Mahfuzul; Datta, Ponkaj Kanti; Basu, Kamalesh Chandra; Rahman, Muhammad Faizur; Khan, Mohammed Masudul Hassan; Kamal, Mohammad Mostafa; Mahmud, Reaz; Aftab, Kazi Ali; Khan, Ejrarul Alam; Mahmud, Imran; Sharmin, Rumana; Khan, Md Abdullah Saeed; Hasan, Mohammad Jahid; Amin, Md Robed; Miah, Md Titu; Rahman, Md Mujibur.
  • Hoque MM; Department of Medicine, Dhaka Medical College, Dhaka, Bangladesh.
  • Datta PK; Department of Medicine, Dhaka Medical College, Dhaka, Bangladesh.
  • Basu KC; Department of Medicine, Dhaka Medical College, Dhaka, Bangladesh.
  • Rahman MF; Department of Medicine, Dhaka Medical College, Dhaka, Bangladesh.
  • Khan MMH; Department of Medicine, Dhaka Medical College, Dhaka, Bangladesh.
  • Kamal MM; Department of Medicine, Dhaka Medical College, Dhaka, Bangladesh.
  • Mahmud R; Department of Neurology, Dhaka Medical College, Dhaka, Bangladesh.
  • Aftab KA; Department of Endocrinology, Dhaka Medical College, Dhaka, Bangladesh.
  • Khan EA; Department of Medicine, Dhaka Medical College, Dhaka, Bangladesh.
  • Mahmud I; Department of Medicine, Dhaka Medical College, Dhaka, Bangladesh.
  • Sharmin R; Department of Pathology, National Institute of Cancer Research & Hospital, Dhaka, Bangladesh.
  • Khan MAS; Pi Research Consultancy Center, Dhaka, Bangladesh.
  • Hasan MJ; Pi Research Consultancy Center, Dhaka, Bangladesh.
  • Amin MR; Department of Medicine, Dhaka Medical College, Dhaka, Bangladesh.
  • Miah MT; Department of Medicine, Dhaka Medical College, Dhaka, Bangladesh.
  • Rahman MM; Department of Medicine, Dhaka Medical College, Dhaka, Bangladesh.
PLoS One ; 18(1): e0280882, 2023.
Article in English | MEDLINE | ID: covidwho-2224472
ABSTRACT
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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Full text: Available Collection: International databases Database: MEDLINE Main subject: Quality of Life / COVID-19 Type of study: Cohort study / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Long Covid Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2023 Document Type: Article Affiliation country: Journal.pone.0280882

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Quality of Life / COVID-19 Type of study: Cohort study / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Long Covid Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2023 Document Type: Article Affiliation country: Journal.pone.0280882