Quality of Life assessment among post-COVID-19 undergraduates of a tertiary institution in India

Abstract

Background: The coronavirus disease (COVID-19) pandemic caused by the severe acute respiratory syndrome coronavirus 2 virus has been devastating, with over a billion confirmed cases and seven million deaths globally. Studies suggest that the virus can be transmitted through fecal-oral routes, in addition to respiratory transmission. Survivors of COVID-19 often experience long-term symptoms known as post-COVID-19 syndrome, which can have a significant impact on their Quality of Life (QOL) for years after infection. This study aims to evaluate the QOL of undergraduate students who have experienced post-COVID-19 syndrome and identify any associated risk factors. Materials and Methods: The EQ-5D-5L questionnaire was distributed to undergraduate students via online platforms using convenience sampling. The survey received 213 responses (76.5% of whom were women and 22.5% were men). The questionnaire included the health dimensions and levels, as well as the Euro quality of life visual analogue scale. Socio-demographic and clinical data were also included. All statistical analyses were carried out using the Statistical package for the social sciences statistical software. Results: With a mean and standard deviation age of 19 ± 1.3, we discovered that 131 (61.5%) of our respondents have a poor QOL, whereas 82 (38.5%) have a good QOL. Furthermore, 5.1% of respondents stated that they have no post-COVID symptoms. The most common symptoms among those who presented symptoms were fatigue (99.6%) and hair loss (92.4%). Among participants, EQ-5D-5L utility scores were distributed as follows: pain/discomfort 58 (27.2%), anxiety/depression 94 (44.1%), usual activities 58 (27.2%), mobility 57 (26.8%), and self-care 32 (15.1%). With a P-value of 0.001, we discovered that students with comorbidities such as asthma, coronary artery disease, and others are further affected post-COVID. Conclusion: COVID-19, like every other pandemic, has been shown to have deleterious effects on patients even months after recovery. To this end, it is imperative to monitor closely, the QOL of these patients to understand the long-term impact of the disease on them and also to offer timely interventions.