On the single and multiple associations of COVID-19 post-acute sequelae: 6-month prospective cohort study.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
01 03 2022
Historique:
received: 06 08 2021
accepted: 15 02 2022
entrez: 2 3 2022
pubmed: 3 3 2022
medline: 9 3 2022
Statut: epublish

Résumé

Medical research is progressing to clarify the full spectrum of sub-acute and long-term effects of the post-COVID-19 syndrome. However, most manuscripts published to date only analyze the effects of post-COVID-19 in patients discharged from hospital, which may induce significant bias. Here, we propose a pioneering study to analyze the single and multiple associations between post-COVID-19 characteristics with up to 6-months of follow-up in hospitalized and non-hospitalized COVID-19 patients. The cohort study was conducted from May to October 2020 at the University Hospital Virgen de la Nieves, the leading hospital assigned for patients with COVID-19 in Granada, Spain. A total of 372 and 217 patients-with 217 and 207 included in the first and second follow-up visits-were referred 2 and 6 months after diagnosing COVID-19, respectively. We find out that post-COVID-19 clinical and mental health impairment symptoms are correlated with patient gender. Logistic adjustments showed strong statistically robust single and multiple associations of demographic, clinical, mental health, X-ray, laboratory indices, and pulmonary function variables. The functional lung tests are good predictors of chest CT imaging abnormalities in elderly patients. Bilateral lung involvement, subpleural reticulum, ground-glass opacity, peripheral lung lesions, and bronchiectasis were the most common findings of the high-resolution computed tomography images. Non-hospitalized patients suffer more severe thromboembolic events and fatigue than those hospitalized.

Identifiants

pubmed: 35233062
doi: 10.1038/s41598-022-07433-8
pii: 10.1038/s41598-022-07433-8
pmc: PMC8888754
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

3402

Informations de copyright

© 2022. The Author(s).

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Auteurs

Beatriz María Jiménez-Rodríguez (BM)

Department of Pneumology, University Hospital Virgen de Las Nieves, Granada, Spain. beajirod@gmail.com.
Department of Microbiology, School of Medicine and PhD Program in Clinical Medicine and Public Health, University of Granada-IBS, 18010, Granada, Spain. beajirod@gmail.com.

José Gutiérrez-Fernández (J)

Department of Microbiology, School of Medicine and PhD Program in Clinical Medicine and Public Health, University of Granada-IBS, 18010, Granada, Spain.
Department of Microbiology, University Hospital Virgen de Las Nieves, Granada, Spain.
Biosanitary Research Institute of Granada-Ibs, Granada, Spain.

Eldis Maria Ramos-Urbina (EM)

Department of Pneumology, University Hospital Virgen de Las Nieves, Granada, Spain.

Ana Dolores Romero-Ortiz (AD)

Department of Pneumology, University Hospital Virgen de Las Nieves, Granada, Spain.
Biosanitary Research Institute of Granada-Ibs, Granada, Spain.

Paula Isabel García-Flores (PI)

Department of Pneumology, University Hospital Virgen de Las Nieves, Granada, Spain.

Maria Inmaculada Santiago-Puertas (MI)

Department of Pneumology, University Hospital Virgen de Las Nieves, Granada, Spain.

Maria José Martín-López (MJ)

Department of Pneumology, University Hospital Virgen de Las Nieves, Granada, Spain.

Genaro López-Milena (G)

Department of Radiodiagnosis, University Hospital Virgen de Las Nieves, Granada, Spain.

Rene Fabregas (R)

Department of Applied Mathematics and Research Unit "Modeling Nature" (MNat), Faculty of Sciences, University of Granada, 18071, Granada, Spain. rfabregas@ugr.es.
Department of Physics and Astronomy, University of Manchester, Manchester, M13 9PL, UK. rfabregas@ugr.es.

Concepción Morales-García (C)

Department of Pneumology, University Hospital Virgen de Las Nieves, Granada, Spain. concepcion.morales.sspa@juntadeandalucia.es.
Biosanitary Research Institute of Granada-Ibs, Granada, Spain. concepcion.morales.sspa@juntadeandalucia.es.

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