Impact of COVID-19 on health-related quality of life in patients with cardiovascular disease: a multi-ethnic Asian study

Background Little is known about the impact of the global coronavirus disease-2019 (COVID-19) pandemic on patients with cardiovascular disease (CVD), the biggest global killer and major risk factor for severe COVID-19 infections. We aim to explore the indirect consequences of COVID-19 on health-rela...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Health and quality of life outcomes Jg. 18; H. 1; S. 387 - 7
Hauptverfasser: Lim, Shir Lynn, Woo, Kai Lee, Lim, Eleanor, Ng, Faclin, Chan, Mark Y., Gandhi, Mihir
Format: Journal Article
Sprache:Englisch
Veröffentlicht: London BioMed Central 14.12.2020
BioMed Central Ltd
Springer Nature B.V
BMC
Schlagworte:
Activities of Daily Living
Adult
Aged
Anxiety
Anxiety - complications
Asian Continental Ancestry Group
Cardiology
Cardiovascular
Cardiovascular disease
Cardiovascular diseases
Cardiovascular Diseases - complications
Cardiovascular Diseases - ethnology
Cardiovascular Diseases - psychology
Congestive heart failure
Coronary artery
Coronary artery disease
Coronary vessels
Coronaviruses
COVID-19
COVID-19 - psychology
Demographic aspects
Depression - complications
Epidemics
EQ-5D
Evaluation
Female
Health aspects
Health problems
Health Status
Health Surveys
Health-related quality of life
Heart diseases
Heart failure
Hospitals
Humans
Influence
Longitudinal Studies
Male
Medicine
Medicine & Public Health
Mental depression
Mental health
Middle Aged
Pain - etiology
Pandemics
Patient outcomes
Population
Psychological health
Quality of Life
Quality of Life Research
Questionnaires
Risk analysis
Risk factors
Self Care
Singapore
Standard deviation
Viral diseases
Singapore
COVID-19
Health-related quality of life
EQ-5D
Psychological health
Cardiovascular
ISSN:1477-7525, 1477-7525
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Beschreibung
Zusammenfassung:Background Little is known about the impact of the global coronavirus disease-2019 (COVID-19) pandemic on patients with cardiovascular disease (CVD), the biggest global killer and major risk factor for severe COVID-19 infections. We aim to explore the indirect consequences of COVID-19 on health-related quality of life (HRQoL) of patients with CVD. Methods Eighty-one adult outpatients with CVD were assessed using the EQ-5D, a generic health status instrument with five dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), before and during the pandemic. Changes in the EQ-5D dimensional responses were compared categorically as well as using the dimension-specific sum-score (range 1–3, with a higher score indicating worse health). The responses and sum-score were compared using the exact test of symmetry and the paired t -test, respectively. Results These patients [mean age (SD) 59.8 (10.5); 92.6% males; 56% New York Heart Association (NYHA) functional class I] had coronary artery disease (69%), heart failure (28%), or arrhythmias (15%). None experienced change in NYHA class between assessments. About 30% and 38% of patients reported problems with at least one of the EQ-5D dimensions pre-pandemic and during the pandemic, respectively. The highest increase in health problems was reported for anxiety/depression (12.5% pre-pandemic vs 23.5% during pandemic; p  = 0.035) with mean domain-specific score from 1.12 (SD 0.33) to 1.25 (SD 0.46) (standardized effect size = 0.373, p  = 0.012). There was no meaningful change in other dimensions as well as overall HRQoL. Conclusion The COVID-19 pandemic is associated with a significant worsening of the mental health of patients with CVD.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 14
content type line 23
ISSN:1477-7525
1477-7525
DOI:10.1186/s12955-020-01640-5