Physical Health-Related Quality of Life Improves over Time in Post-COVID-19 Patients: An Exploratory Prospective Study 2023, Malesevic et al

Discussion in 'Long Covid research' started by Sly Saint, Jun 16, 2023.

  1. Sly Saint

    Sly Saint Senior Member (Voting Rights)

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    Abstract:
    (1) Background: Ongoing symptoms after mild or moderate acute coronavirus disease 19 (COVID-19) substantially affect health-related quality of life (HRQoL). However, follow-up data on HRQoL are scarce. We characterized the change in HRQoL over time in post-COVID-19 patients who initially suffered from mild or moderate acute COVID-19 without hospitalization.

    (2) Methods: Outpatients who visited an interdisciplinary post-COVID-19 consultation at the University Hospital Zurich and suffered from ongoing symptoms after acute COVID-19 were included in this observational study. HRQoL was assessed using established questionnaires. Six months after baseline, the same questionnaires and a self-constructed questionnaire about the COVID-19 vaccination were distributed.

    (3) Results: In total, 69 patients completed the follow-up, of whom 55 (80%) were female. The mean (SD) age was 44 (12) years and the median (IQR) time from symptom onset to completing the follow-up was 326 (300, 391) days. The majority of patients significantly improved in EQ-5D-5L health dimensions of mobility, usual activities, pain and anxiety. Furthermore, according to the SF-36, patients showed clinically relevant improvements in physical health, whereas no significant change was found regarding mental health.

    (4) Conclusions: Physical aspects of HRQoL in post-COVID-19 patients relevantly improved over 6 months. Future studies are needed to focus on potential predictors that allow for establishing individual care and early interventions.

    https://www.mdpi.com/2077-0383/12/12/4077
     
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  2. Trish

    Trish Moderator Staff Member

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    Looks like the patients didn't have any treatment from the clinic, just assessment and then follow up questionnaires. The fact that most who responded at follow up had improved on various questionnaries makes the case very clearly that any treatment trials must have control groups.

    All the trials we've seen of rehab of various sorts without control groups and that claim the rehab led to improvement need to demonstrate much bigger improvement than this sample without treatment.
     
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