Comparison of post-COVID-19 symptoms in patients infected with the SARS-CoV-2 variants delta and omicron-results of the Cross-Sectoral Platform of the German National Pandemic Cohort Network (NAPKON-SUEP).

Health-related quality of life Multicenter prospective cohort study Post-covid-19 condition SARS-CoV-2 variants

Journal

Infection
ISSN: 1439-0973
Titre abrégé: Infection
Pays: Germany
ID NLM: 0365307

Informations de publication

Date de publication:
03 May 2024
Historique:
received: 08 01 2024
accepted: 13 04 2024
medline: 3 5 2024
pubmed: 3 5 2024
entrez: 3 5 2024
Statut: aheadofprint

Résumé

The influence of new SARS-CoV-2 variants on the post-COVID-19 condition (PCC) remains unanswered. Therefore, we examined the prevalence and predictors of PCC-related symptoms in patients infected with the SARS-CoV-2 variants delta or omicron. We compared prevalences and risk factors of acute and PCC-related symptoms three months after primary infection (3MFU) between delta- and omicron-infected patients from the Cross-Sectoral Platform of the German National Pandemic Cohort Network. Health-related quality of life (HrQoL) was determined by the EQ-5D-5L index score and trend groups were calculated to describe changes of HrQoL between different time points. We considered 758 patients for our analysis (delta: n = 341; omicron: n = 417). Compared with omicron patients, delta patients had a similar prevalence of PCC at the 3MFU (p = 0.354), whereby fatigue occurred most frequently (n = 256, 34%). HrQoL was comparable between the groups with the lowest EQ-5D-5L index score (0.75, 95% CI 0.73-0.78) at disease onset. While most patients (69%, n = 348) never showed a declined HrQoL, it deteriorated substantially in 37 patients (7%) from the acute phase to the 3MFU of which 27 were infected with omicron. With quality-controlled data from a multicenter cohort, we showed that PCC is an equally common challenge for patients infected with the SARS-CoV-2 variants delta and omicron at least for the German population. Developing the EQ-5D-5L index score trend groups showed that over two thirds of patients did not experience any restrictions in their HrQoL due to or after the SARS-CoV-2 infection at the 3MFU. The cohort is registered at ClinicalTrials.gov since February 24, 2021 (Identifier: NCT04768998).

Identifiants

pubmed: 38700656
doi: 10.1007/s15010-024-02270-5
pii: 10.1007/s15010-024-02270-5
doi:

Banques de données

ClinicalTrials.gov
['NCT04768998']

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s).

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Auteurs

Sina M Hopff (SM)

Faculty of Medicine, Department I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf, University of Cologne, University Hospital Cologne, Weißhausstraße 24, 50939, Cologne, Germany. sina.hopff@uk-koeln.de.

Katharina S Appel (KS)

Center for Internal Medicine, Medical Department 2 (Hematology/Oncology and Infectious Diseases), Goethe University Frankfurt, University Hospital, Frankfurt, Germany.
Faculty of Medicine, Department I of Internal Medicine, University of Cologne, University Hospital Cologne, Cologne, Germany.

Olga Miljukov (O)

Faculty of Medicine, Institute for Clinical Epidemiology and Biometry, University of Wuerzburg, Wuerzburg, Germany.
Institute for Medical Data Sciences, University Hospital Wuerzburg, Wuerzburg, Germany.

Johannes Schneider (J)

Center for Internal Medicine, Medical Department 2 (Hematology/Oncology and Infectious Diseases), Goethe University Frankfurt, University Hospital, Frankfurt, Germany.

Marylyn M Addo (MM)

Institute for Infection Research and Vaccine Development (IIRVD), Center for Internal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
1St Department of Medicine, Division of Infectious Diseases, Center for Internal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
German Centre for Infection Research (DZIF), Partner Site Hamburg-Lübeck-Borstel-Riems, Hamburg, Germany.

Robert Bals (R)

Department of Internal Medicine V, Saarland University Medical Center, Homburg, Germany.
Helmholtz-Institute for Phamaceutic Research Saarland (HIPS), Saarbrücken, Germany.

Sven Bercker (S)

Department of Anesthesiology and Intensive Care Medicine, University of Leipzig Medical Faculty, Leipzig, Germany.

Sabine Blaschke (S)

Emergency Department, University Medical Center Goettingen, Goettingen, Germany.

Isabel Bröhl (I)

Faculty of Medicine, Department I of Internal Medicine, University of Cologne, University Hospital Cologne, Cologne, Germany.

Nikolaus Büchner (N)

Department of Respiratory and Sleep Medicine, Helios Hospital Duisburg, , Duisburg, Germany.

Hiwa Dashti (H)

BAG Hausarztpraxis Dashti, Eberswalde, Germany.

Johanna Erber (J)

TUM School of Medicine and Health, Department of Clinical Medicine, Clinical Department for Internal Medicine II, University Medical Center, Technical University of Munich, Munich, Germany.

Anette Friedrichs (A)

Department of Internal Medicine I, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.

Ramsia Geisler (R)

Center for Internal Medicine, Medical Department 2 (Hematology/Oncology and Infectious Diseases), Goethe University Frankfurt, University Hospital, Frankfurt, Germany.
Faculty of Medicine, Department I of Internal Medicine, University of Cologne, University Hospital Cologne, Cologne, Germany.

Siri Göpel (S)

Department of Internal Medicine 1, University Hospital Tübingen, Tübingen, Germany.
German Centre for Infection Research (DZIF) Clinical Research Unit for Healthcare Associated and Antibiotic Resistant Bacterial Infections, Tübingen, Germany.

Marina Hagen (M)

Center for Internal Medicine, Medical Department 2 (Hematology/Oncology and Infectious Diseases), Goethe University Frankfurt, University Hospital, Frankfurt, Germany.

Frank Hanses (F)

Emergency Department and Department for Infection Control and Infectious Diseases, University Hospital Regensburg, Regensburg, Germany.

Björn-Erik Ole Jensen (BO)

Department of Gastroenterology, Hepatology and Infectious Diseases, Medical Faculty, University Hospital Duesseldorf, Heinrich-Heine-University, Duesseldorf, Germany.

Maria Keul (M)

MVZ Altstadt-Carree Fulda GmbH, Fulda, Germany.

Adalbert Krawczyk (A)

Department of Infectious Diseases, West German Centre of Infectious Diseases, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
Institute for Virology, University Hospital Essen, University Duisburg-Essen, Essen, Germany.

Bettina Lorenz-Depiereux (B)

Institute of Epidemiology, Helmholtz Zentrum München, Munich, Germany.

Patrick Meybohm (P)

Department of Anaesthesiology, Intensive Care, Emergency and Pain Medicine, University Hospital Würzburg, Würzburg, Germany.

Milena Milovanovic (M)

Malteser Krankenhaus St. Franziskus Hospital Flensburg, Flensburg, Germany.

Lazar Mitrov (L)

Faculty of Medicine, Department I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf, University of Cologne, University Hospital Cologne, Weißhausstraße 24, 50939, Cologne, Germany.

Carolin Nürnberger (C)

Faculty of Medicine, Institute for Clinical Epidemiology and Biometry, University of Wuerzburg, Wuerzburg, Germany.
Institute for Medical Data Sciences, University Hospital Wuerzburg, Wuerzburg, Germany.

Wilfried Obst (W)

Department of Gastroenterology, Hepatology and Infectious Diseases, University Hospital Magdeburg, Medical Faculty of Otto-Von-Guericke University Magdeburg, Magdeburg, Germany.

Christoph Römmele (C)

Clinic for Internal Medicine III, Gastroenterology and Infectious Diseases, University Hospital of Augsburg, Stenglinstraße 2, 86156, Augsburg, Germany.

Christian Schäfer (C)

Institute of Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, Greifswald, Germany.

Christian Scheer (C)

Department of Anesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Medicine, University Medicine Greifswald, Greifswald, Germany.

Margarete Scherer (M)

Center for Internal Medicine, Medical Department 2 (Hematology/Oncology and Infectious Diseases), Goethe University Frankfurt, University Hospital, Frankfurt, Germany.

Julia Schmidt (J)

Faculty of Medicine, Institute for Clinical Epidemiology and Biometry, University of Wuerzburg, Wuerzburg, Germany.

Kristina Seibel (K)

Faculty of Medicine, Department I of Internal Medicine, University of Cologne, University Hospital Cologne, Cologne, Germany.

Shimita Sikdar (S)

Center for Internal Medicine, Medical Department 2 (Hematology/Oncology and Infectious Diseases), Goethe University Frankfurt, University Hospital, Frankfurt, Germany.

Johannes Josef Tebbe (JJ)

Klinikum Lippe Department of Gastroenterology and Infectious Diseases, Bielefeld University, Medical School OWL, Bielefeld, Germany.

Phil-Robin Tepasse (PR)

Department of Medicine B for Gastroenterology, Hepatology, Endocrinology and Clinical Infectiology, University Hospital Muenster, Münster, Germany.

Philipp Thelen (P)

Institute of Medical Microbiology and Virology, Carl Von Ossietzky University of Oldenburg, Oldenburg, Germany.

Maria J G T Vehreschild (MJGT)

Department of Internal Medicine, Infectious Diseases, Goethe University, University Hospital Frankfurt, Frankfurt Am Main, Germany.

Christina Weismantel (C)

Center for Internal Medicine, Medical Department 2 (Hematology/Oncology and Infectious Diseases), Goethe University Frankfurt, University Hospital, Frankfurt, Germany.

J Janne Vehreschild (JJ)

Center for Internal Medicine, Medical Department 2 (Hematology/Oncology and Infectious Diseases), Goethe University Frankfurt, University Hospital, Frankfurt, Germany.
Faculty of Medicine, Department I of Internal Medicine, University of Cologne, University Hospital Cologne, Cologne, Germany.
German Centre for Infection Research (DZIF), Partner Site Bonn-Cologne, Cologne, Germany.

Classifications MeSH