Ayuso García B, Pérez López A, Besteiro Balado Y, Romay Lema E, García País M J, Marchán-López Á, Rodríguez Álvarez A, Corredoira Sánchez J, Rabuñal Rey R
Unidad de Enfermedades Infecciosas, Servicio de Medicina Interna, Hospital Universitario Lucus Augusti, Lugo, España.
Servicio de Medicina Interna, Hospital Universitario Lucus Augusti, Lugo, España.
J Healthc Qual Res. 2022 Jul-Aug;37(4):208-215. doi: 10.1016/j.jhqr.2022.01.001. Epub 2022 Jan 17.
The presence of symptoms after acute SARS-CoV-2 infection is frequent and has an impact on patients' quality of life. The aim of this study is to assess the health-related quality of life of COVID-19 survivors and to ascertain which factors are related to worse results.
An observational, cross-sectional study has been performed, using, a telephone survey that was administered to all patients with COVID-19 from the first pandemic wave in our healthcare area 10months after the acute infection. Patients with dementia and nursing home residents were excluded. Health-related quality of life was assessed using the EQ-5D instrument and its índices EQ-VAS and EQ-Health Index.
443 answers were collected. Mean age was 54±16 and 38.4% of patients were male. The most affected domain was anxiety/depression (23.9% of patients) and mobility (16.5%). Mean global EQ-VAS score was 75.8±18.7, and mean EQ-Health Index was 0.884±0.174. Both VAS and Health Index scores were lower in females, patients older than 65 years, patients with comorbidities, and those who needed hospital admission during the acute infection. VAS scores in our sample were lower than in the general Spanish population, but similar to the scores in our region prior to the pandemic. Female sex, hospital admission, and a lower educational status were independently associated to lower EQ-Health Index scoring.
While health self-perception is affected after COVID-19, this might not be directly related to the infection. There exist profiles of patients more prone to a worse quality of life in which interventions may be considered.
急性SARS-CoV-2感染后症状频发,会对患者的生活质量产生影响。本研究旨在评估新冠病毒疾病(COVID-19)幸存者的健康相关生活质量,并确定哪些因素与较差的结果相关。
我们开展了一项观察性横断面研究,采用电话调查的方式,对我们医疗区域第一波疫情期间所有感染COVID-19的患者在急性感染10个月后进行调查。排除患有痴呆症的患者和养老院居民。使用欧洲五维度健康量表(EQ-5D)及其视觉模拟量表(EQ-VAS)和健康指数(EQ-Health Index)评估健康相关生活质量。
共收集到443份回复。平均年龄为54±16岁,38.4%的患者为男性。受影响最严重的领域是焦虑/抑郁(23.9%的患者)和行动能力(16.5%)。EQ-VAS的平均总体评分为75.8±18.7,EQ-健康指数平均为0.884±0.174。女性、65岁以上的患者、患有合并症的患者以及在急性感染期间需要住院治疗的患者,其VAS评分和健康指数评分均较低。我们样本中的VAS评分低于西班牙普通人群,但与疫情前我们所在地区的评分相似。女性、住院治疗以及较低的教育水平与较低的EQ-健康指数评分独立相关。
虽然COVID-19感染后健康自我认知受到影响,但这可能与感染没有直接关系。存在一些更容易出现较差生活质量的患者特征,对此可考虑采取干预措施。