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Health-related quality of life and long-term symptoms among patients with non-severe covid-19–a prospective cohort study

Löfström, Emma LU ; Kunkel, Stefan ; Kötz, Arne ; Lingman, Markus ; Undén, Johan LU and Nygren, Jens M. (2023) In Infectious Diseases 55(4). p.272-281
Abstract

Background: The vast majority of covid-19 patients experience non-severe disease. Nonetheless, long-term symptoms may be common and the impact on quality of life is uncertain. This study aims to examine these aspects in a prospective, longitudinal cohort. Methods: Non-hospitalised patients with PCR-confirmed covid-19 were prospectively invited to self-report assessments of background data, symptoms and recovery, illness perception (BIPQ) and health-related quality of life (HR-Qol) measured by EQ5D-VAS. Results: 154 patients were included (mean age 46 years, 69% female). The majority of participants (65%) had symptoms for 1–4 weeks and 12% more than 6 months. The most common symptoms were initially malaise, fatigue, headache, fever and... (More)

Background: The vast majority of covid-19 patients experience non-severe disease. Nonetheless, long-term symptoms may be common and the impact on quality of life is uncertain. This study aims to examine these aspects in a prospective, longitudinal cohort. Methods: Non-hospitalised patients with PCR-confirmed covid-19 were prospectively invited to self-report assessments of background data, symptoms and recovery, illness perception (BIPQ) and health-related quality of life (HR-Qol) measured by EQ5D-VAS. Results: 154 patients were included (mean age 46 years, 69% female). The majority of participants (65%) had symptoms for 1–4 weeks and 12% more than 6 months. The most common symptoms were initially malaise, fatigue, headache, fever and cough and the most common long-term symptoms were impaired physical condition, fatigue, anosmia and headache. The BIPQ index had a negative correlation with the EQ5D-VAS score after the infection, but not with long-term symptoms. Mean differences in the EQ5D-VAS score were significantly lower after the infection and patients with long-term symptoms had a more pronounced negative effect in EQ5D-VAS scores. Conclusion: We found that most patients with non-severe covid-19 reported symptoms for 1–4 weeks and approximately 10% developed long-term symptoms. Non-severe covid-19 seems to have a negative influence on HR-Qol, especially in patients with long-term symptoms and with a greater burden from the disease. None of the initial symptoms could predict the presence of long-term symptoms.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Covid-19, HR-Qol, perception of illness, post-covid, symptoms
in
Infectious Diseases
volume
55
issue
4
pages
272 - 281
publisher
Informa Healthcare
external identifiers
  • scopus:85147779083
  • pmid:36755472
ISSN
2374-4235
DOI
10.1080/23744235.2023.2175904
language
English
LU publication?
yes
id
bef97990-c8f0-4cad-a099-c19a217ea800
date added to LUP
2023-02-23 15:37:12
date last changed
2024-06-14 00:13:18
@article{bef97990-c8f0-4cad-a099-c19a217ea800,
  abstract     = {{<p>Background: The vast majority of covid-19 patients experience non-severe disease. Nonetheless, long-term symptoms may be common and the impact on quality of life is uncertain. This study aims to examine these aspects in a prospective, longitudinal cohort. Methods: Non-hospitalised patients with PCR-confirmed covid-19 were prospectively invited to self-report assessments of background data, symptoms and recovery, illness perception (BIPQ) and health-related quality of life (HR-Qol) measured by EQ5D-VAS. Results: 154 patients were included (mean age 46 years, 69% female). The majority of participants (65%) had symptoms for 1–4 weeks and 12% more than 6 months. The most common symptoms were initially malaise, fatigue, headache, fever and cough and the most common long-term symptoms were impaired physical condition, fatigue, anosmia and headache. The BIPQ index had a negative correlation with the EQ5D-VAS score after the infection, but not with long-term symptoms. Mean differences in the EQ5D-VAS score were significantly lower after the infection and patients with long-term symptoms had a more pronounced negative effect in EQ5D-VAS scores. Conclusion: We found that most patients with non-severe covid-19 reported symptoms for 1–4 weeks and approximately 10% developed long-term symptoms. Non-severe covid-19 seems to have a negative influence on HR-Qol, especially in patients with long-term symptoms and with a greater burden from the disease. None of the initial symptoms could predict the presence of long-term symptoms.</p>}},
  author       = {{Löfström, Emma and Kunkel, Stefan and Kötz, Arne and Lingman, Markus and Undén, Johan and Nygren, Jens M.}},
  issn         = {{2374-4235}},
  keywords     = {{Covid-19; HR-Qol; perception of illness; post-covid; symptoms}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{272--281}},
  publisher    = {{Informa Healthcare}},
  series       = {{Infectious Diseases}},
  title        = {{Health-related quality of life and long-term symptoms among patients with non-severe covid-19–a prospective cohort study}},
  url          = {{http://dx.doi.org/10.1080/23744235.2023.2175904}},
  doi          = {{10.1080/23744235.2023.2175904}},
  volume       = {{55}},
  year         = {{2023}},
}