The presence of symptoms within 6 months after COVID-19: a single-center longitudinal study.

Autor: Emecen AN; Department of Public Health, Epidemiology Subsection, Faculty of Medicine, Dokuz Eylül University, 35340, Balçova, Izmir, Turkey. ahmetemecen@gmail.com., Keskin S; Department of Public Health, Epidemiology Subsection, Faculty of Medicine, Dokuz Eylül University, 35340, Balçova, Izmir, Turkey., Turunc O; Department of Public Health, Epidemiology Subsection, Faculty of Medicine, Dokuz Eylül University, 35340, Balçova, Izmir, Turkey., Suner AF; Department of Public Health, Epidemiology Subsection, Faculty of Medicine, Dokuz Eylül University, 35340, Balçova, Izmir, Turkey., Siyve N; Department of Public Health, Epidemiology Subsection, Faculty of Medicine, Dokuz Eylül University, 35340, Balçova, Izmir, Turkey., Basoglu Sensoy E; Department of Public Health, Epidemiology Subsection, Faculty of Medicine, Dokuz Eylül University, 35340, Balçova, Izmir, Turkey., Dinc F; Department of Medical Microbiology, Faculty of Medicine, Dokuz Eylül University, Izmir, Turkey., Kilinc O; Department of Pulmonary Medicine, Faculty of Medicine, Dokuz Eylül University, Izmir, Turkey., Avkan Oguz V; Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Dokuz Eylül University, Izmir, Turkey., Bayrak S; Department of Cardiovascular Surgery, Faculty of Medicine, Dokuz Eylül University, Izmir, Turkey., Unal B; Department of Public Health, Epidemiology Subsection, Faculty of Medicine, Dokuz Eylül University, 35340, Balçova, Izmir, Turkey.
Jazyk: angličtina
Zdroj: Irish journal of medical science [Ir J Med Sci] 2023 Apr; Vol. 192 (2), pp. 741-750. Date of Electronic Publication: 2022 Jun 17.
DOI: 10.1007/s11845-022-03072-0
Abstrakt: Background: Characterizing the post-COVID health conditions is helpful to direct patients to appropriate healthcare.
Aims: To describe the presence of symptoms in COVID-19 patients within 6 months after diagnosis and to investigate the associated factors in terms of reporting symptoms.
Methods: Data of DEU-COVIMER (a telephone interview-based COVID-19 follow-up center established in a tertiary care hospital) was analyzed for SARS-CoV-2 RNA positive participants aged ≥ 18 years from November 1st, 2020, to May 31st, 2021. Symptom frequencies were stratified by demographic and clinical characteristics at one, three, and 6 months after diagnosis. With the patients who had symptoms at baseline, generalized estimating equations were applied to identify the factors associated with reporting of symptoms.
Results: A total of 5610 patients agreed to participate in the study. Symptom frequency was 37.2%, 21.8%, and 18.2% for the first, third, and sixth months. Tiredness/fatigue, muscle or body aches, and dyspnea/difficulty breathing were the most common symptoms in all time frames. In multivariate analysis, older age, female gender (odds ratio OR 1.74, 95% confidence interval 1.57-1.93), bad economic status (OR 1.37, 1.14-1.65), current smoking (OR 1.15, 1.02-1.29), being fully vaccinated before COVID-19 (OR 0.53, 0.40-0.72), having more health conditions (≥ 3 conditions, OR 1.78, 1.33-2.37), having more symptoms (> 5 symptoms, OR 2.47, 2.19-2.78), and hospitalization (intensive care unit, OR 2.18, 1.51-3.14) were associated with reporting of symptoms.
Conclusions: This study identifies risk factors for patients who experience post-COVID-19 symptoms. Healthcare providers should appropriately allocate resources prioritizing the patients who would benefit from post-COVID rehabilitation.
(© 2022. The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland.)
Databáze: MEDLINE
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