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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

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 con...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9888719/
https://www.ncbi.nlm.nih.gov/pubmed/36719890
http://dx.doi.org/10.1371/journal.pone.0280882
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author 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
author_facet 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
author_sort Hoque, Mohammad Mahfuzul
collection PubMed
description 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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spelling pubmed-98887192023-02-01 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 PLoS One Research Article 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. Public Library of Science 2023-01-31 /pmc/articles/PMC9888719/ /pubmed/36719890 http://dx.doi.org/10.1371/journal.pone.0280882 Text en © 2023 Hoque et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
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
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
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9888719/
https://www.ncbi.nlm.nih.gov/pubmed/36719890
http://dx.doi.org/10.1371/journal.pone.0280882
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