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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Veröffentlicht in:PloS one 2023-01, Vol.18 (1), p.e0280882-e0280882
Hauptverfasser: 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
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container_issue 1
container_start_page e0280882
container_title PloS one
container_volume 18
creator 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
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.
doi_str_mv 10.1371/journal.pone.0280882
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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.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0280882</identifier><identifier>PMID: 36719890</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Aftercare ; Analysis ; Anxiety ; Bangladesh - epidemiology ; Biology and Life Sciences ; Body mass index ; Consent ; Coronaviruses ; COVID-19 ; COVID-19 - epidemiology ; Cross-Sectional Studies ; Data collection ; Discomfort ; Earth Sciences ; Ethics ; Female ; Health aspects ; Health Status ; Hospitalization ; Hospitals ; Humans ; Male ; Medical research ; Medicine and Health Sciences ; Medicine, Experimental ; Mental depression ; Middle Aged ; Mobility ; Obesity ; Overweight ; Pain ; Patient Discharge ; Patients ; People and Places ; Quality assessment ; Quality of Life ; Questionnaires ; Social Sciences ; Sociodemographics ; Subacute care ; Surveys ; Surveys and Questionnaires ; Tertiary ; Tertiary Care Centers ; Urban areas ; Urban environments ; Variance analysis</subject><ispartof>PloS one, 2023-01, Vol.18 (1), p.e0280882-e0280882</ispartof><rights>Copyright: © 2023 Hoque et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>2023 Hoque et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 Hoque et al 2023 Hoque et al</rights><rights>2023 Hoque et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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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.</description><subject>Adult</subject><subject>Aftercare</subject><subject>Analysis</subject><subject>Anxiety</subject><subject>Bangladesh - epidemiology</subject><subject>Biology and Life Sciences</subject><subject>Body mass index</subject><subject>Consent</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>COVID-19 - epidemiology</subject><subject>Cross-Sectional Studies</subject><subject>Data collection</subject><subject>Discomfort</subject><subject>Earth Sciences</subject><subject>Ethics</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health Status</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Male</subject><subject>Medical research</subject><subject>Medicine and Health Sciences</subject><subject>Medicine, 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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><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></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-7015447ff07511568e5db9b27c2263547efef3a2752f13cbb01abab78ee0fd163</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adult</topic><topic>Aftercare</topic><topic>Analysis</topic><topic>Anxiety</topic><topic>Bangladesh - epidemiology</topic><topic>Biology and Life Sciences</topic><topic>Body mass index</topic><topic>Consent</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>COVID-19 - epidemiology</topic><topic>Cross-Sectional Studies</topic><topic>Data collection</topic><topic>Discomfort</topic><topic>Earth Sciences</topic><topic>Ethics</topic><topic>Female</topic><topic>Health aspects</topic><topic>Health Status</topic><topic>Hospitalization</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Male</topic><topic>Medical research</topic><topic>Medicine and Health Sciences</topic><topic>Medicine, Experimental</topic><topic>Mental depression</topic><topic>Middle Aged</topic><topic>Mobility</topic><topic>Obesity</topic><topic>Overweight</topic><topic>Pain</topic><topic>Patient Discharge</topic><topic>Patients</topic><topic>People and Places</topic><topic>Quality assessment</topic><topic>Quality of Life</topic><topic>Questionnaires</topic><topic>Social Sciences</topic><topic>Sociodemographics</topic><topic>Subacute care</topic><topic>Surveys</topic><topic>Surveys and Questionnaires</topic><topic>Tertiary</topic><topic>Tertiary Care Centers</topic><topic>Urban areas</topic><topic>Urban environments</topic><topic>Variance analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hoque, Mohammad Mahfuzul</creatorcontrib><creatorcontrib>Datta, Ponkaj Kanti</creatorcontrib><creatorcontrib>Basu, Kamalesh Chandra</creatorcontrib><creatorcontrib>Rahman, Muhammad Faizur</creatorcontrib><creatorcontrib>Khan, Mohammed Masudul Hassan</creatorcontrib><creatorcontrib>Kamal, Mohammad Mostafa</creatorcontrib><creatorcontrib>Mahmud, Reaz</creatorcontrib><creatorcontrib>Aftab, Kazi Ali</creatorcontrib><creatorcontrib>Khan, Ejrarul Alam</creatorcontrib><creatorcontrib>Mahmud, Imran</creatorcontrib><creatorcontrib>Sharmin, Rumana</creatorcontrib><creatorcontrib>Khan, Md Abdullah Saeed</creatorcontrib><creatorcontrib>Hasan, Mohammad Jahid</creatorcontrib><creatorcontrib>Amin, Md Robed</creatorcontrib><creatorcontrib>Miah, Md Titu</creatorcontrib><creatorcontrib>Rahman, Md Mujibur</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological &amp; Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science &amp; Engineering Collection</collection><collection>ProQuest Central (Alumni 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and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Meteorological &amp; Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Advanced Technologies &amp; Aerospace Database</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hoque, Mohammad Mahfuzul</au><au>Datta, Ponkaj Kanti</au><au>Basu, Kamalesh Chandra</au><au>Rahman, Muhammad Faizur</au><au>Khan, Mohammed Masudul Hassan</au><au>Kamal, Mohammad Mostafa</au><au>Mahmud, Reaz</au><au>Aftab, Kazi Ali</au><au>Khan, Ejrarul Alam</au><au>Mahmud, Imran</au><au>Sharmin, Rumana</au><au>Khan, Md Abdullah Saeed</au><au>Hasan, Mohammad Jahid</au><au>Amin, Md Robed</au><au>Miah, Md Titu</au><au>Rahman, Md Mujibur</au><au>Purba, Fredrick Dermawan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2023-01-31</date><risdate>2023</risdate><volume>18</volume><issue>1</issue><spage>e0280882</spage><epage>e0280882</epage><pages>e0280882-e0280882</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><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.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>36719890</pmid><doi>10.1371/journal.pone.0280882</doi><tpages>e0280882</tpages><orcidid>https://orcid.org/0000-0002-4381-1511</orcidid><orcidid>https://orcid.org/0000-0003-2100-7773</orcidid><orcidid>https://orcid.org/0000-0003-2796-2560</orcidid><orcidid>https://orcid.org/0000-0002-0707-0437</orcidid><orcidid>https://orcid.org/0000-0002-5500-5103</orcidid><orcidid>https://orcid.org/0000-0002-4508-4549</orcidid><orcidid>https://orcid.org/0000-0003-3528-2426</orcidid><orcidid>https://orcid.org/0000-0002-9427-1746</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Aftercare
Analysis
Anxiety
Bangladesh - epidemiology
Biology and Life Sciences
Body mass index
Consent
Coronaviruses
COVID-19
COVID-19 - epidemiology
Cross-Sectional Studies
Data collection
Discomfort
Earth Sciences
Ethics
Female
Health aspects
Health Status
Hospitalization
Hospitals
Humans
Male
Medical research
Medicine and Health Sciences
Medicine, Experimental
Mental depression
Middle Aged
Mobility
Obesity
Overweight
Pain
Patient Discharge
Patients
People and Places
Quality assessment
Quality of Life
Questionnaires
Social Sciences
Sociodemographics
Subacute care
Surveys
Surveys and Questionnaires
Tertiary
Tertiary Care Centers
Urban areas
Urban environments
Variance analysis
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
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