Post-discharge follow-up of patients with COVID-19: A Brazilian experience

Autor: Luis Filipe Nakayama, Müller Gonçalves Urias, Arthur Sevalho Gonçalves, Rafael Amorim Ribeiro, Tiago de Almeida Macruz, Rafael Baptista Pardo
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: SAGE Open Medicine, Vol 10 (2022)
Druh dokumentu: article
ISSN: 2050-3121
20503121
DOI: 10.1177/20503121221096602
Popis: Objective: The objective of this study is to evaluate post-acute symptoms in patients with confirmed severe and critical coronavirus disease 2019 infections. Methods: We evaluated patients with confirmed severe and critical coronavirus disease 2019 infections. Post-acute symptoms were defined as symptoms persisting 4 weeks after the onset of the symptoms and classified as pulmonary, muscular, hematologic, neuropsychiatric, renal, and dermatological. Results: We recovered data from 565 patients (43.7% female) with a mean age of 61.1 years. In 18.2%, at least one hospital readmission was necessary and 11.1% died. In 62.6%, there was at least one persistent symptom, and 28.8% had more than one. Among associated factors, obesity, intensive care support, and mechanical ventilation were related to persistent symptoms. Conclusion: The most prevalent symptoms were pulmonary and neuropsychiatric sequelae, as reported in previous studies. This finding underscores the severity of the coronavirus disease 2019 infection and the need for follow-up after recovery from the initial illness. Obese patients, those requiring mechanical ventilation, female patients, and increased hospital length are at greater chance of having persistent symptoms.
Databáze: Directory of Open Access Journals