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Post-COVID Rehabilitation Service: COVID-19 Yorkshire Rehabilitation Scale (C-19 YRS) and Health-Related Quality of Life EuroQol Five-Dimensional Five-Level Questionnaire (EQ-5D-5L) Outcomes

DOI: 10.4236/ojtr.2025.133013, PP. 144-158

Keywords: C-19 YRS, EQ-5D-5L, Quality of Life, Long COVID, Brain Fog, Breathlessness, Fatigue, Relaxation, Pain, Depression, Anxiety

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Abstract:

Background: In the United Kingdom (UK) long COVID symptoms are defined as symptoms that are unexplained by an alternative diagnosis and persist for more than 12 weeks after acute COVID-19. Long COVID services have been commissioned in the UK to respond to patient needs. Purpose/Aim: To investigate whether a post-COVID rehabilitation service and its interventions have a positive impact on patients’ outcomes as measured by the COVID-19 Yorkshire Rehabilitation Scale (C-19 YRS) and the EuroQol five-dimensional, five-level questionnaire (EQ-5D-5L) health-related quality of life scale. Methods: A retrospective investigation was conducted using routinely collected data (baseline and a 12-week follow-up) from service users of a post-COVID rehabilitation service. Twenty-one EQ-5D-5L and thirty C-19 YRS datasets were collected. Results: There was a significant improvement in symptom severity on the C-19 YRS score from baseline (M = 19.57, SD = 6.41) to 12-week follow-up (M = 17.13, SD = 7.60), with a medium effect size. There was a significant improvement in functional disability on the C-19 YRS score from baseline (M = 8.14, SD = 4.20) to 12-week follow-up (M = 7.17, SD = 4.38), with a small-medium effect size. There was an improvement in C-19 YRS “overall health”, but this was not statistically significant. The EQ-5D-5L dimension of “usual activities” improved, with a significant decrease in issues reported from baseline (M = 3.19, SD = 1.03) to follow-up (M = 2.86, SD = 1.24), with a small-moderate effect size. The EQ-5D-5L dimension “mobility issues” improved; participants reported mild to moderate issues (level 2) at baseline and no issues (level 1) at follow-up. Conclusion: The results show that a post-COVID rehabilitation service can have a significant positive impact on symptoms of long COVID and real-world functioning. It is essential that treating long COVID symptoms remains a healthcare priority. As there is a move away from specific long COVID services there is a need for effective services for tackling long-term conditions and symptoms that have occurred due to COVID-19.

References

[1]  Callard, F. and Perego, E. (2021) How and Why Patients Made Long Covid. Social Science & Medicine, 268, Article 113426.
https://doi.org/10.1016/j.socscimed.2020.113426
[2]  Prior, R. (2024) The Long Haul: How Long Covid Survivors Are Revolutionizing Health Care. MIT Press.
[3]  NHS England (2022) Commissioning Guidance for Post COVID Services for Adults, Children, and Young People.
https://www.england.nhs.uk/publication/national-commissioning-guidance-for-post-covid-services/
[4]  Greenhalgh, T., Darbyshire, J.L., Lee, C., Ladds, E. and Ceolta-Smith, J. (2024) What Is Quality in Long COVID Care? Lessons from a National Quality Improvement Collaborative and Multi-Site Ethnography. BMC Medicine, 22, Article No. 159.
https://doi.org/10.1186/s12916-024-03371-6
[5]  https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/conditionsanddiseases/articles/selfreportedcoronaviruscovid19infectionsandassociatedsymptomsenglandandscotland/november2023tomarch2024
[6]  Shabnam, S., Razieh, C., Dambha-Miller, H., Yates, T., Gillies, C., Chudasama, Y.V., et al. (2023) Socioeconomic Inequalities of Long COVID: A Retrospective Population-Based Cohort Study in the United Kingdom. Journal of the Royal Society of Medicine, 116, 263-273.
https://doi.org/10.1177/01410768231168377
[7]  Macpherson, K., Cooper, K., Harbour, J., Mahal, D., Miller, C. and Nairn, M. (2022) Experiences of Living with Long COVID and of Accessing Healthcare Services: A Qualitative Systematic Review. BMJ Open, 12, e050979.
https://doi.org/10.1136/bmjopen-2021-050979
[8]  Natarajan, A., Shetty, A., Delanerolle, G., Zeng, Y., Zhang, Y., Raymont, V., et al. (2023) A Systematic Review and Meta-Analysis of Long COVID Symptoms. Systematic Reviews, 12, Article No. 88.
https://doi.org/10.1186/s13643-023-02250-0
[9]  Greenhalgh, T., Sivan, M., Perlowski, A. and Nikolich, J.Ž. (2024) Long COVID: A Clinical Update. The Lancet, 404, 707-724.
https://doi.org/10.1016/s0140-6736(24)01136-x
[10]  O’Mahoney, L.L., Routen, A., Gillies, C., Ekezie, W., Welford, A., Zhang, A., et al. (2023) The Prevalence and Long-Term Health Effects of Long Covid among Hospitalised and Non-Hospitalised Populations: A Systematic Review and Meta-Analysis. E Clinical Medicine, 55, Article 101762.
https://doi.org/10.1016/j.eclinm.2022.101762
[11]  Astin, R., Banerjee, A., Baker, M.R., Dani, M., Ford, E., Hull, J.H., et al. (2023) Long COVID: Mechanisms, Risk Factors and Recovery. Experimental Physiology, 108, 12-27.
https://doi.org/10.1113/ep090802
[12]  Bodey, R., Grimaldi, J., Tait, H., Godfrey, B., Witton, S., Shardha, J., et al. (2024) How Long Is Long COVID? Evaluation of Long-Term Health Status in Individuals Discharged from a Specialist Community Long COVID Service. Journal of Clinical Medicine, 13, Article 5817.
https://doi.org/10.3390/jcm13195817
[13]  Busse, M., Pallmann, P., Riaz, M., Potter, C., Leggat, F.J., Harris, S., et al. (2025) Effectiveness of a Personalised Self-Management Intervention for People Living with Long Covid (Listen Trial): Pragmatic, Multicentre, Parallel Group, Randomised Controlled Trial. BMJ Medicine, 4, e001068.
https://doi.org/10.1136/bmjmed-2024-001068
[14]  Knuppel, A., Boyd, A., Macleod, J., Chaturvedi, N. and Williams, D.M. (2024) The Long COVID Evidence Gap in England. The Lancet, 403, 1981-1982.
https://doi.org/10.1016/s0140-6736(24)00744-x
[15]  NICE (2022) Royal College of General Practitioners. COVID-19 Rapid Guideline: Managing the Long-Term Effects of COVID-19. National Institute for Health and Care Excellence, London.
[16]  Wolf, S., Zechmeister-Koss, I. and Erdös, J. (2022) Possible Long COVID Healthcare Pathways: A Scoping Review. BMC Health Services Research, 22, Article No. 1076.
https://doi.org/10.1186/s12913-022-08384-6
[17]  Parkin, A., Davison, J., Tarrant, R., Ross, D., Halpin, S., Simms, A., et al. (2021) A Multidisciplinary NHS COVID-19 Service to Manage Post-Covid-19 Syndrome in the Community. Journal of Primary Care & Community Health, 12, 1-9.
https://doi.org/10.1177/21501327211010994
[18]  Fang, C., Baz, S.A., Sheard, L. and Carpentieri, J.D. (2024) “They Seemed to Be Like Cogs Working in Different Directions”: A Longitudinal Qualitative Study on Long COVID Healthcare Services in the United Kingdom from a Person-Centred Lens. BMC Health Services Research, 24, Article No. 406.
https://doi.org/10.1186/s12913-024-10891-7
[19]  Broadbent, E., Petrie, K.J., Main, J. and Weinman, J. (2006) The Brief Illness Perception Questionnaire. Journal of Psychosomatic Research, 60, 631-637.
https://doi.org/10.1016/j.jpsychores.2005.10.020
[20]  D’Souza, A.N., Merrett, M., Griffin, H., Tran-Duy, A., Struck, C., Fazio, T.N., et al. (2024) Recovering from COVID-19 (ReCOV): Feasibility of an Allied-Health-Led Multidisciplinary Outpatient Rehabilitation Service for People with Long Covid. International Journal of Environmental Research and Public Health, 21, Article 958.
https://doi.org/10.3390/ijerph21070958
[21]  van der Feltz-Cornelis, C., Heightman, M. and Allsopp, G. (2023) Learning from Long COVID: Integrated Care for Multiple Long-Term Conditions. British Journal of General Practice, 73, 196-197.
https://doi.org/10.3399/bjgp23x732561
[22]  Sunkersing, D., Ramasawmy, M., Alwan, N.A., Clutterbuck, D., Mu, Y., Horstmanshof, K., et al. (2024) What Is Current Care for People with Long COVID in England? A Qualitative Interview Study. BMJ Open, 14, e080967.
https://doi.org/10.1136/bmjopen-2023-080967
[23]  EuroQol Group (1990) EuroQol—A New Facility for the Measurement of Health-Related Quality of Life. Health Policy, 16, 199-208.
[24]  van Hout, B., Janssen, M.F., Feng, Y., Kohlmann, T., Busschbach, J., Golicki, D., et al. (2012) Interim Scoring for the EQ-5D-5L: Mapping the EQ-5D-5L to EQ-5D-3L Value Sets. Value in Health, 15, 708-715.
https://doi.org/10.1016/j.jval.2012.02.008
[25]  Peasgood, T., Brazier, J. and Papaioannou, D. (2012) A systematic Review of the Validity and Responsiveness of EQ-5D and SF-6D for Depression and Anxiety. HEDS Discussion Paper.
[26]  Brooks, R. and EuroQol Group (1996) EuroQol: The Current State of Play. Health Policy, 37, 53-72.
https://doi.org/10.1016/0168-8510(96)00822-6
[27]  Herdman, M., Gudex, C., Lloyd, A., Janssen, M., Kind, P., Parkin, D., et al. (2011) Development and Preliminary Testing of the New Five-Level Version of EQ-5D (EQ-5D-5L). Quality of Life Research, 20, 1727-1736.
https://doi.org/10.1007/s11136-011-9903-x
[28]  NICE (2019) Position Statement on Use of the EQ-5D-5L Value Set for England (Updated October 2019).
https://rees-france.com/wp-content/uploads/2018/10/Position-statement-on-use-of-the-EQ-5D-5L.pdf
[29]  Sivan, M., Preston, N., Parkin, A., Makower, S., Gee, J., Ross, D., et al. (2022) The Modified COVID-19 Yorkshire Rehabilitation Scale (C19-YRSm) Patient-Reported Outcome Measure for Long Covid or Post-COVID-19 Syndrome. Journal of Medical Virology, 94, 4253-4264.
https://doi.org/10.1002/jmv.27878
[30]  O’Connor, R.J., Preston, N., Parkin, A., Makower, S., Ross, D., Gee, J., et al. (2022) The COVID-19 Yorkshire Rehabilitation Scale (C19-YRS): Application and Psychometric Analysis in a Post-COVID-19 Syndrome Cohort. Journal of Medical Virology, 94, 1027-1034.
https://doi.org/10.1002/jmv.27415
[31]  Thomas, C., Faghy, M.A., Owen, R., Yates, J., Ferraro, F., Bewick, T., et al. (2023) Lived Experience of Patients with Long COVID: A Qualitative Study in the UK. BMJ Open, 13, e068481.
https://doi.org/10.1136/bmjopen-2022-068481
[32]  Turk, F., Sweetman, J., Chew-Graham, C.A., Gabbay, M., Shepherd, J. and van der Feltz-Cornelis, C. (2024) Accessing Care for Long Covid from the Perspectives of Patients and Healthcare Practitioners: A Qualitative Study. Health Expectations, 27, e14008.
https://doi.org/10.1111/hex.14008
[33]  Brightling, C.E., Evans, R.A., Singapuri, A., Smith, N., Wain, L.V., Brightling, C.E., et al. (2023) Long COVID Research: An Update from the PHOSP-COVID Scientific Summit. The Lancet Respiratory Medicine, 11, e93-e94.
https://doi.org/10.1016/s2213-2600(23)00341-7

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