Persistent Symptoms in Patients Recovering From COVID-19 in Denmark.

COVID-19 SARS-CoV-2 post-COVID-19

Journal

Open forum infectious diseases
ISSN: 2328-8957
Titre abrégé: Open Forum Infect Dis
Pays: United States
ID NLM: 101637045

Informations de publication

Date de publication:
Apr 2021
Historique:
received: 28 12 2020
accepted: 24 01 2021
entrez: 20 4 2021
pubmed: 21 4 2021
medline: 21 4 2021
Statut: epublish

Résumé

Although persistent symptoms after coronavirus disease 2019 (COVID-19) are emerging as a major complication to the infection, data on the diversity and duration of symptoms are needed. Patients aged ≥18 years with a positive polymerase chain reaction (PCR) test for severe acute respiratory syndrome coronavirus 2 who were hospitalized at the Department of Infectious Diseases, Aarhus University Hospital, Denmark, in the period from March 11 to May 15 were offered follow-up after hospitalization. On admission, a comprehensive symptom and medical history was collected, including demographic characteristics, duration of symptoms, comorbidities, and concomitant medications. At discharge, patients were offered follow-up consultations-either by telephone or at an in-person visit-at 6 and 12 weeks at our post-COVID-19 outpatient clinic to assess whether symptoms present at admission had resolved. During the inclusion period, 71 patients were admitted with COVID-19. Of these, 10 patients died, 3 were transferred to another region, 4 declined to participate, and 5 were lost to follow-up before the 12-week evaluation. Thus, 49 patients were included. Overall, 96% reported 1 or more persisting symptoms at 12-week follow-up. The main symptoms were fatigue, dyspnea, cough, chemosensory dysfunction, and headache. A wide range of persistent symptoms in patients recovering from COVID-19 were present 12 weeks after hospitalization, calling for larger descriptive studies and interdisciplinary research collaborations.

Sections du résumé

BACKGROUND BACKGROUND
Although persistent symptoms after coronavirus disease 2019 (COVID-19) are emerging as a major complication to the infection, data on the diversity and duration of symptoms are needed.
METHODS METHODS
Patients aged ≥18 years with a positive polymerase chain reaction (PCR) test for severe acute respiratory syndrome coronavirus 2 who were hospitalized at the Department of Infectious Diseases, Aarhus University Hospital, Denmark, in the period from March 11 to May 15 were offered follow-up after hospitalization. On admission, a comprehensive symptom and medical history was collected, including demographic characteristics, duration of symptoms, comorbidities, and concomitant medications. At discharge, patients were offered follow-up consultations-either by telephone or at an in-person visit-at 6 and 12 weeks at our post-COVID-19 outpatient clinic to assess whether symptoms present at admission had resolved.
RESULTS RESULTS
During the inclusion period, 71 patients were admitted with COVID-19. Of these, 10 patients died, 3 were transferred to another region, 4 declined to participate, and 5 were lost to follow-up before the 12-week evaluation. Thus, 49 patients were included. Overall, 96% reported 1 or more persisting symptoms at 12-week follow-up. The main symptoms were fatigue, dyspnea, cough, chemosensory dysfunction, and headache.
CONCLUSIONS CONCLUSIONS
A wide range of persistent symptoms in patients recovering from COVID-19 were present 12 weeks after hospitalization, calling for larger descriptive studies and interdisciplinary research collaborations.

Identifiants

pubmed: 33875970
doi: 10.1093/ofid/ofab042
pii: ofab042
pmc: PMC7928683
doi:

Types de publication

Journal Article

Langues

eng

Pagination

ofab042

Informations de copyright

© The Author(s) 2021. Published by Oxford University Press on behalf of Infectious Diseases Society of America.

Références

J Med Virol. 2021 Feb;93(2):1013-1022
pubmed: 32729939
JAMA Cardiol. 2020 Nov 1;5(11):1265-1273
pubmed: 32730619
Obesity (Silver Spring). 2020 Oct;28(10):1826-1832
pubmed: 32610364
ACS Chem Neurosci. 2020 Apr 1;11(7):995-998
pubmed: 32167747
EClinicalMedicine. 2020 Aug;25:100463
pubmed: 32838236
Dan Med J. 2020 Aug 1;67(8):
pubmed: 32741438
J Rehabil Med. 2020 May 25;52(5):jrm00063
pubmed: 32449782
JAMA. 2020 Aug 11;324(6):603-605
pubmed: 32644129
JAMA Cardiol. 2020 Nov 1;5(11):1281-1285
pubmed: 32730555
BMJ. 2020 May 22;369:m1966
pubmed: 32444366
BMJ. 2020 Oct 23;371:m3862
pubmed: 33097561
JAMA. 2016 Jun 28;315(24):2703-11
pubmed: 27367877
JAMA Neurol. 2020 Aug 1;77(8):1018-1027
pubmed: 32469387
Am J Psychiatry. 1983 Jun;140(6):734-9
pubmed: 6846631
MMWR Morb Mortal Wkly Rep. 2020 Jul 31;69(30):993-998
pubmed: 32730238
J Biomed Inform. 2009 Apr;42(2):377-81
pubmed: 18929686
JAMA. 2010 Oct 27;304(16):1787-94
pubmed: 20978258
Lancet. 2020 Aug 1;396(10247):320-332
pubmed: 32682491
JAMA. 2020 Aug 25;324(8):782-793
pubmed: 32648899
JAMA Cardiol. 2021 Jan 1;6(1):116-118
pubmed: 32915194
Int J Epidemiol. 2020 Oct 1;49(5):1468-1481
pubmed: 32887982
Am J Public Health. 2003 Jun;93(6):994-8
pubmed: 12773367
MMWR Morb Mortal Wkly Rep. 2020 Apr 17;69(15):458-464
pubmed: 32298251
Lancet. 2020 May 2;395(10234):1417-1418
pubmed: 32325026
N Engl J Med. 2020 Apr 30;382(18):1708-1720
pubmed: 32109013
J Neurol Sci. 2020 May 15;412:116824
pubmed: 32299010
JAMA. 2020 May 26;323(20):2052-2059
pubmed: 32320003
N Engl J Med. 2020 Jul 9;383(2):120-128
pubmed: 32437596
Virus Res. 2014 Dec 19;194:145-58
pubmed: 25281913
Clin Microbiol Infect. 2021 Feb;27(2):258-263
pubmed: 33031948
N Engl J Med. 2020 Jun 4;382(23):2268-2270
pubmed: 32294339
J Infect. 2020 Dec;81(6):e4-e6
pubmed: 32853602
Respir Res. 2020 Jun 29;21(1):163
pubmed: 32600344
J Intern Med. 2020 Sep;288(3):335-344
pubmed: 32352202

Auteurs

Steffen Leth (S)

Department of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark.

Jesper Damsgaard Gunst (JD)

Department of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark.
Institute of Clinical Medicine, Aarhus University, Aarhus, Denmark.

Victor Mathiasen (V)

Department of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark.

Kristoffer Hansen (K)

Department of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark.

Ole Søgaard (O)

Department of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark.
Institute of Clinical Medicine, Aarhus University, Aarhus, Denmark.

Lars Østergaard (L)

Department of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark.
Institute of Clinical Medicine, Aarhus University, Aarhus, Denmark.

Søren Jensen-Fangel (S)

Department of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark.

Merete Storgaard (M)

Department of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark.

Jane Agergaard (J)

Department of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark.

Classifications MeSH