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Health-related quality of life and long-term symptoms among patients with non-severe covid-19–a prospective cohort study
Halland Hospital Halmstad, Halmstad, Sweden; Department Of Clinical Sciences Lund, Lund, Sweden.
Region Halland, Halmstad, Sweden.
Halland Hospital Halmstad, Halmstad, Sweden.
Hospital Of Halland, Halmstad, Sweden.
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2023 (English)In: Infectious Diseases, ISSN 2374-4235, E-ISSN 2374-4243, Vol. 55, no 4, p. 272-281Article in journal (Refereed) Published
Abstract [en]

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. © 2023 Society for Scandinavian Journal of Infectious Diseases.

Place, publisher, year, edition, pages
Oxfordshire: Taylor & Francis, 2023. Vol. 55, no 4, p. 272-281
Keywords [en]
Covid-19, HR-Qol, perception of illness, post-covid, symptoms
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Health Innovation, IDC
Identifiers
URN: urn:nbn:se:hh:diva-50012DOI: 10.1080/23744235.2023.2175904ISI: 000932988800001PubMedID: 36755472Scopus ID: 2-s2.0-85147779083OAI: oai:DiVA.org:hh-50012DiVA, id: diva2:1740105
Funder
Region Halland
Note

Funding: The Region Halland Research council, the Foundation of Sparbanken Varberg and the Southern Medical Care Region, Sweden

Available from: 2023-02-28 Created: 2023-02-28 Last updated: 2023-06-21Bibliographically approved

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Nygren, Jens M.

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