Comparison of the quality of life of patients with liver cirrhosis before and during the COVID-19 lockdown in Slovakia
Abstract Liver cirrhosis is associated with a poor quality of life (QOL). The COVID-19 pandemic has led to several restriction measures and psychosocial consequences whose impact on QOL has combined with that of cirrhosis in an unknown way. Therefore, we have used our cirrhosis registry to assess th...
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| Format: | Article |
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Nature Portfolio
2023-02-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-29510-2 |
| _version_ | 1811165942329114624 |
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| author | Ľ. Skladaný D. Líška E. Liptáková T. Tapajčiková J. Vnenčaková T. Koller |
| author_facet | Ľ. Skladaný D. Líška E. Liptáková T. Tapajčiková J. Vnenčaková T. Koller |
| author_sort | Ľ. Skladaný |
| collection | DOAJ |
| description | Abstract Liver cirrhosis is associated with a poor quality of life (QOL). The COVID-19 pandemic has led to several restriction measures and psychosocial consequences whose impact on QOL has combined with that of cirrhosis in an unknown way. Therefore, we have used our cirrhosis registry to assess the quality of life before the pandemic (on the first admission to the tertiary liver unit) and during the most pronounced phase of the first lockdown. In this cross-sectional study conducted during the first lockdown in Slovakia (from April to May 2020), we have repeated the QOL measurement of QOL in cirrhotic patients previously enrolled in the RH7 registry. Patients who were alive (according to the national registry of deaths) were identified and contacted by phone with a structured and standardized interview led by trained professionals. The tool used for both QOL measurements (at enrolment in RH7 and during lockdown) was a standardized and validated EuroQOL-5D (EQ-5D) questionnaire. The study included 97 patients, of which 37 (38.1%) were women and 60 (61.9%) were men. Responses were achieved from 75 patients (68.18%). In general, patients scored their quality of life significantly higher during the pandemic compared to examination at admission to RH7 (that is, at admission to our tertiary liver unit with cirrhosis) (p = 0.005). In particular, of the domains included in EQ-5D: (1) self-care was better during lockdown compared to the first record on admission to RH7 (p < 0.001). (2) the ability to perform daily activities has also improved during lockdown (p = 0.002). On the other hand, (3) pain and discomfort did not change significantly during the lockdown compared to the previous measurement (p = 0.882). (4) anxiety and depression were lower during lockdown compared to admission to RH7 (p = 0.01). The quality of life in patients with liver cirrhosis was better during the lockdown of SARS-CoV-2 compared to the previous measurement at admission to the tertiary liver unit. |
| first_indexed | 2024-04-10T15:45:30Z |
| format | Article |
| id | doaj.art-8ffbe06ad4484a5ba6f3b3da627a3aec |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-10T15:45:30Z |
| publishDate | 2023-02-01 |
| publisher | Nature Portfolio |
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| series | Scientific Reports |
| spelling | doaj.art-8ffbe06ad4484a5ba6f3b3da627a3aec2023-02-12T12:10:59ZengNature PortfolioScientific Reports2045-23222023-02-011311810.1038/s41598-023-29510-2Comparison of the quality of life of patients with liver cirrhosis before and during the COVID-19 lockdown in SlovakiaĽ. Skladaný0D. Líška1E. Liptáková2T. Tapajčiková3J. Vnenčaková4T. Koller5HEGITO (Div Hepatology, Gastroenterology and Liver Transplant), 2nd Department of Internal Medicine, Faculty of Medicine, Slovak Medical University, F. D. Roosevelt Teaching HospitalDepartment of Physical Education and Sports, Faculty of Arts, Matej Bel UniversityDepartment of Applied Mathematics and Business Informatics, Faculty of Economics, Technical University of KošiceFaculty of Healthcare, Slovak Medical University in BratislavaHEGITO (Div Hepatology, Gastroenterology and Liver Transplant), 2nd Department of Internal Medicine, Faculty of Medicine, Slovak Medical University, F. D. Roosevelt Teaching HospitalGastroenterology and Hepatology Subdiv, 5th Department of Internal Medicine, University Hospital Bratislava, Comenius University Faculty of MedicineAbstract Liver cirrhosis is associated with a poor quality of life (QOL). The COVID-19 pandemic has led to several restriction measures and psychosocial consequences whose impact on QOL has combined with that of cirrhosis in an unknown way. Therefore, we have used our cirrhosis registry to assess the quality of life before the pandemic (on the first admission to the tertiary liver unit) and during the most pronounced phase of the first lockdown. In this cross-sectional study conducted during the first lockdown in Slovakia (from April to May 2020), we have repeated the QOL measurement of QOL in cirrhotic patients previously enrolled in the RH7 registry. Patients who were alive (according to the national registry of deaths) were identified and contacted by phone with a structured and standardized interview led by trained professionals. The tool used for both QOL measurements (at enrolment in RH7 and during lockdown) was a standardized and validated EuroQOL-5D (EQ-5D) questionnaire. The study included 97 patients, of which 37 (38.1%) were women and 60 (61.9%) were men. Responses were achieved from 75 patients (68.18%). In general, patients scored their quality of life significantly higher during the pandemic compared to examination at admission to RH7 (that is, at admission to our tertiary liver unit with cirrhosis) (p = 0.005). In particular, of the domains included in EQ-5D: (1) self-care was better during lockdown compared to the first record on admission to RH7 (p < 0.001). (2) the ability to perform daily activities has also improved during lockdown (p = 0.002). On the other hand, (3) pain and discomfort did not change significantly during the lockdown compared to the previous measurement (p = 0.882). (4) anxiety and depression were lower during lockdown compared to admission to RH7 (p = 0.01). The quality of life in patients with liver cirrhosis was better during the lockdown of SARS-CoV-2 compared to the previous measurement at admission to the tertiary liver unit.https://doi.org/10.1038/s41598-023-29510-2 |
| spellingShingle | Ľ. Skladaný D. Líška E. Liptáková T. Tapajčiková J. Vnenčaková T. Koller Comparison of the quality of life of patients with liver cirrhosis before and during the COVID-19 lockdown in Slovakia Scientific Reports |
| title | Comparison of the quality of life of patients with liver cirrhosis before and during the COVID-19 lockdown in Slovakia |
| title_full | Comparison of the quality of life of patients with liver cirrhosis before and during the COVID-19 lockdown in Slovakia |
| title_fullStr | Comparison of the quality of life of patients with liver cirrhosis before and during the COVID-19 lockdown in Slovakia |
| title_full_unstemmed | Comparison of the quality of life of patients with liver cirrhosis before and during the COVID-19 lockdown in Slovakia |
| title_short | Comparison of the quality of life of patients with liver cirrhosis before and during the COVID-19 lockdown in Slovakia |
| title_sort | comparison of the quality of life of patients with liver cirrhosis before and during the covid 19 lockdown in slovakia |
| url | https://doi.org/10.1038/s41598-023-29510-2 |
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