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...
| Main Authors: | , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2023-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0280882&type=printable |
| _version_ | 1797681957103992832 |
|---|---|
| author | Mohammad Mahfuzul Hoque Ponkaj Kanti Datta Kamalesh Chandra Basu Muhammad Faizur Rahman Mohammed Masudul Hassan Khan Mohammad Mostafa Kamal Reaz Mahmud Kazi Ali Aftab Ejrarul Alam Khan Imran Mahmud Rumana Sharmin Md Abdullah Saeed Khan Mohammad Jahid Hasan Md Robed Amin Md Titu Miah Md Mujibur Rahman |
| author_facet | Mohammad Mahfuzul Hoque Ponkaj Kanti Datta Kamalesh Chandra Basu Muhammad Faizur Rahman Mohammed Masudul Hassan Khan Mohammad Mostafa Kamal Reaz Mahmud Kazi Ali Aftab Ejrarul Alam Khan Imran Mahmud Rumana Sharmin Md Abdullah Saeed Khan Mohammad Jahid Hasan Md Robed Amin Md Titu Miah Md Mujibur Rahman |
| author_sort | Mohammad Mahfuzul Hoque |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-11T23:52:32Z |
| format | Article |
| id | doaj.art-d046254aa3db4440bec0a4609ab9a758 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-03-11T23:52:32Z |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-d046254aa3db4440bec0a4609ab9a7582023-09-19T05:31:58ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01181e028088210.1371/journal.pone.0280882Post-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.Mohammad Mahfuzul HoquePonkaj Kanti DattaKamalesh Chandra BasuMuhammad Faizur RahmanMohammed Masudul Hassan KhanMohammad Mostafa KamalReaz MahmudKazi Ali AftabEjrarul Alam KhanImran MahmudRumana SharminMd Abdullah Saeed KhanMohammad Jahid HasanMd Robed AminMd Titu MiahMd Mujibur RahmanThere 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.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0280882&type=printable |
| spellingShingle | Mohammad Mahfuzul Hoque Ponkaj Kanti Datta Kamalesh Chandra Basu Muhammad Faizur Rahman Mohammed Masudul Hassan Khan Mohammad Mostafa Kamal Reaz Mahmud Kazi Ali Aftab Ejrarul Alam Khan Imran Mahmud Rumana Sharmin Md Abdullah Saeed Khan Mohammad Jahid Hasan Md Robed Amin Md Titu Miah Md Mujibur Rahman 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. PLoS ONE |
| 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 |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0280882&type=printable |
| work_keys_str_mv | AT mohammadmahfuzulhoque postdischargequalityoflifeofcovid19patientsat1monthfollowupacrosssectionalstudyinthelargesttertiarycarehospitalofbangladesh AT ponkajkantidatta postdischargequalityoflifeofcovid19patientsat1monthfollowupacrosssectionalstudyinthelargesttertiarycarehospitalofbangladesh AT kamaleshchandrabasu postdischargequalityoflifeofcovid19patientsat1monthfollowupacrosssectionalstudyinthelargesttertiarycarehospitalofbangladesh AT muhammadfaizurrahman postdischargequalityoflifeofcovid19patientsat1monthfollowupacrosssectionalstudyinthelargesttertiarycarehospitalofbangladesh AT mohammedmasudulhassankhan postdischargequalityoflifeofcovid19patientsat1monthfollowupacrosssectionalstudyinthelargesttertiarycarehospitalofbangladesh AT mohammadmostafakamal postdischargequalityoflifeofcovid19patientsat1monthfollowupacrosssectionalstudyinthelargesttertiarycarehospitalofbangladesh AT reazmahmud postdischargequalityoflifeofcovid19patientsat1monthfollowupacrosssectionalstudyinthelargesttertiarycarehospitalofbangladesh AT kazialiaftab postdischargequalityoflifeofcovid19patientsat1monthfollowupacrosssectionalstudyinthelargesttertiarycarehospitalofbangladesh AT ejrarulalamkhan postdischargequalityoflifeofcovid19patientsat1monthfollowupacrosssectionalstudyinthelargesttertiarycarehospitalofbangladesh AT imranmahmud postdischargequalityoflifeofcovid19patientsat1monthfollowupacrosssectionalstudyinthelargesttertiarycarehospitalofbangladesh AT rumanasharmin postdischargequalityoflifeofcovid19patientsat1monthfollowupacrosssectionalstudyinthelargesttertiarycarehospitalofbangladesh AT mdabdullahsaeedkhan postdischargequalityoflifeofcovid19patientsat1monthfollowupacrosssectionalstudyinthelargesttertiarycarehospitalofbangladesh AT mohammadjahidhasan postdischargequalityoflifeofcovid19patientsat1monthfollowupacrosssectionalstudyinthelargesttertiarycarehospitalofbangladesh AT mdrobedamin postdischargequalityoflifeofcovid19patientsat1monthfollowupacrosssectionalstudyinthelargesttertiarycarehospitalofbangladesh AT mdtitumiah postdischargequalityoflifeofcovid19patientsat1monthfollowupacrosssectionalstudyinthelargesttertiarycarehospitalofbangladesh AT mdmujiburrahman postdischargequalityoflifeofcovid19patientsat1monthfollowupacrosssectionalstudyinthelargesttertiarycarehospitalofbangladesh |