Symptoms, symptom severity, and contact with primary health care among nonhospitalized COVID-19 patients: a Norwegian web-based survey.

Autor: Fossum GH; The Antibiotic Centre for Primary Care, Department of General Practice, University of Oslo, Oslo, Norway.; General Practice Research Unit (AFE), Department of General Practice, University of Oslo, Oslo, Norway., Brænd AM; The Antibiotic Centre for Primary Care, Department of General Practice, University of Oslo, Oslo, Norway.; General Practice Research Unit (AFE), Department of General Practice, University of Oslo, Oslo, Norway., Heltveit-Olsen SR; The Antibiotic Centre for Primary Care, Department of General Practice, University of Oslo, Oslo, Norway., Rørtveit G; Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.; Research Unit for General Practice, NORCE Norwegian Research Centre, Bergen, Norway., Høye S; The Antibiotic Centre for Primary Care, Department of General Practice, University of Oslo, Oslo, Norway., Straand J; General Practice Research Unit (AFE), Department of General Practice, University of Oslo, Oslo, Norway.
Jazyk: angličtina
Zdroj: Scandinavian journal of primary health care [Scand J Prim Health Care] 2023 Dec; Vol. 41 (4), pp. 427-434. Date of Electronic Publication: 2023 Nov 29.
DOI: 10.1080/02813432.2023.2266477
Abstrakt: Objective: Dependent on clinical setting, geography and timing during the pandemic, variable symptoms of COVID-19 have been reported. Our aim was to describe self-reported symptom intensity and contact with primary health care among nonhospitalized COVID-19 patients.
Design: Web-based survey.
Setting: Norway between March 2020 and July 2021.
Subjects: Adults in home isolation.
Main Outcome Measures: Participants reported possible COVID-19 symptoms, duration of symptoms, score of symptom severity (Likert scale 0-3), risk factors, comorbidity, and questions regarding follow-up and information from primary health care.
Results: Of 477 participants, 379 (79%) had PCR-confirmed COVID-19, 324 (68%) were females, and 90% were younger than 60 years. Most common symptoms were "fatigue and/or muscle ache" (80%), nasal symptoms (79%), and headache (73%). The mean severity of symptoms was generally low. Symptoms with the highest mean scores were "fatigue and/or muscle ache" (1.51, SD 1.02) and headache (1.27 (SD 1.00). Mean scores for severity ranged from 0.28 (nausea) to 1.51 (fatigue and/or muscle ache). Women reported higher symptom scores than men. For "affected sense of smell and/or taste", patients either reported a high symptom score (24%) or no affliction at all (49%). A third of the participants (32%) were followed-up by primary care health personnel, and almost 40% had sought or received information about COVID-19 from general practitioners.
Conclusion: The mean severity of symptoms among nonhospitalized adult COVID-19 patients was generally low. We found large variations in the occurrence and severity of symptoms between patients.
Databáze: MEDLINE
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