Loss in everyday functioning reported by veterans during pandemic

Many veterans with and without documented COVID-19 infection reported a loss of everyday functioning during the pandemic, according to a study published online March 1 in JAMA Network Open.

Theodore J. Iwashyna, M.D., Ph.D., from the VA Center for Clinical Management Research in Ann Arbor, Michigan, and colleagues examined the impact of COVD-19 infection on everyday functioning 18 months after infection using data for 186 veterans with COVID-19 between October 2020 and April 2021 and 186 matched comparators who did not have documented COVID-19 infections. The differences in self-reported everyday functioning were estimated.

The researchers found that compared with the control cohort, a higher proportion of veterans in the COVID-19 cohort reported that they could do less than what they felt they could do at the beginning of 2020 (weighted percentage, 44.9 versus 35.3 percent; within-matched pair adjusted odds ratio, 1.52; 95 percent confidence interval, 0.79 to 2.91).

No association was seen for documented COVID-19 infection with fatigue, substantial pain, limitations in activities of daily living or instrumental activities of daily living, severely curtailed life-space mobility, employment, or mean health-related quality of life on a utility scale.

"These results highlight the importance of acknowledging and addressing the broader impacts of the COVID-19 pandemic on health beyond those directly associated with documented infection," the authors write.