Prevalence and factors associated with long COVID in adults from Southern Brazil: findings from the PAMPA cohort.

Autor: Feter N; Universidade Federal do Rio Grande do Sul, Porto Alegre, Brasil., Caputo EL; Universidade Federal de Pelotas, Pelotas, Brasil., Leite JS; Universidade Federal do Rio Grande do Sul, Porto Alegre, Brasil., Delpino FM; Universidade Federal de Pelotas, Pelotas, Brasil., Silva LSD; Universidade Federal de Pelotas, Pelotas, Brasil., Vieira YP; Universidade Federal do Rio Grande, Rio Grande, Brasil., Paz IA; Universidade Federal do Rio Grande do Sul, Porto Alegre, Brasil., Rocha JQS; Universidade Federal do Rio Grande, Rio Grande, Brasil., Silva CND; Universidade Federal do Rio Grande, Rio Grande, Brasil., Schröeder N; Universidade Federal do Rio Grande do Sul, Porto Alegre, Brasil., Silva MCD; Universidade Federal de Pelotas, Pelotas, Brasil., Rombaldi AJ; Universidade Federal de Pelotas, Pelotas, Brasil.
Jazyk: angličtina
Zdroj: Cadernos de saude publica [Cad Saude Publica] 2023 Dec 11; Vol. 39 (12), pp. e00098023. Date of Electronic Publication: 2023 Dec 11 (Print Publication: 2023).
DOI: 10.1590/0102-311XEN098023
Abstrakt: Most COVID-19 survivors have reported experiencing persistent symptoms after the infection - these types of cases are known as long COVID. Since Brazil was an epicenter of the COVID-19 pandemic, a high burden of long COVID is expected. This study aimed to identify the prevalence and factors associated with long COVID in adults in Southern Brazil, analyzing data from the PAMPA cohort. Participants filled out a self-reported online questionnaire in June 2022. This study only included subjects who tested positive for COVID-19. Long COVID was defined by any symptoms that persisted for at least three months after the SARS-CoV-2 infection. Poisson's regression models with robust variance were used to identify factors associated with long COVID; and results were reported as prevalence ratios (PR) and respective 95% confidence intervals (95%CI). A total of 1,001 participants (77.4% women, mean age [SD] = 38.3 [11.9] years) were analyzed. The prevalence of long COVID among these patients was 77.4% (95%CI: 74.7; 79.9). The likelihood of long COVID was higher in unvaccinated participants (PR = 1.23, 95%CI: 1.06; 1.42), in those with chronic conditions (PR = 1.13, 95%CI: 1.04; 1.24), and in those who were hospitalized due to the COVID-19 infection (PR = 1.24, 95%CI: 1.16; 1.32). This prevalence was also higher in women (PR = 1.21, 95%CI: 1.09; 1.33) than in men. Physical activity was associated with a reduced likelihood of fatigue, neurological complications, coughing, and headaches as persistent symptoms after a COVID-19 infection. It was found that three out of four adults in Southern Brazil experienced long COVID. Public policies aiming to reduce the burden of long COVID must be prioritized, especially in groups that are at higher risk of developing this harmful condition.
Databáze: MEDLINE