Osong Public Health Res Perspect.  2020 Oct;11(5):296-302. 10.24171/j.phrp.2020.11.5.05.

Health-Related Quality of Life and its Associated Factors in COVID-19 Patients

Affiliations
  • 1Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran
  • 2Healthcare Management, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
  • 3Health Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran
  • 4Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Health Economics Department, Tabriz University of Medical Sciences, Tabriz, Iran
  • 5Health Policy and Management Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

Abstract


Objectives
Health-related quality of life (HRQoL) is one of the most important outcome measures for patients. The purpose of this study was to evaluate HRQoL and related factors in Coronavirus disease 2019 (COVID-19) patients.
Methods
A total of 420 COVID-19 patients who had been discharged from hospital were selected using a systematic sampling. The EuroQol 5-dimensional-5 levels (EQ-5D-5L) questionnaire along with medical records of the patients were used to gather the data. The t test and analysis of variance were employed to test the difference between mean EQ-5D-5L scores, and the BetaMix model was used to investigate factors associated with EQ-5D-5L scores.
Results
The mean score for the patients who completed the EQ-5D-5L questionnaire (n = 409) was 0.6125. The EQ-5D-5L scores were significantly higher in males, patients with younger age , those with a low level of education, the employed, patients who worked in uncrowded workplaces, patients without diabetes, and those who were not admitted to intensive care unit. The BetaMix model showed that gender, age, education, employment status, having diabetes, heart failure, and admission to the intensive care unit were significant independent predictors of the EQ-5D-5L index values.
Conclusion
The mean score for EQ-5D-5L in COVID-19 patients was low in this study. Some of the factors, especially aging and having diabetes, should be considered in the aftercare of patients to improve their HRQoL.

Keyword

COVID-19; Health-related quality of life; EQ-5D-5L
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