Persistent Symptoms in Patients Recovering From COVID-19 in Denmark

被引:43
作者
Leth, Steffen [1 ]
Gunst, Jesper Damsgaard [1 ,2 ]
Mathiasen, Victor [1 ]
Hansen, Kristoffer [1 ]
Sogaard, Ole [1 ,2 ]
Ostergaard, Lars [1 ,2 ]
Jensen-Fangel, Soren [1 ]
Storgaard, Merete [1 ]
Agergaard, Jane [1 ]
机构
[1] Aarhus Univ Hosp, Dept Infect Dis, Palle Juul Jensens Blvd 99, DK-8200 Aarhus N, Denmark
[2] Aarhus Univ, Inst Clin Med, Aarhus, Denmark
来源
OPEN FORUM INFECTIOUS DISEASES | 2021年 / 8卷 / 04期
关键词
COVID-19; post-COVID-19; SARS-CoV-2; SURVIVORS;
D O I
10.1093/ofid/ofab042
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
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. 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. 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. 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.
引用
收藏
页数:7
相关论文
共 35 条
[1]   Pulmonary Vascular Endothelialitis, Thrombosis, and Angiogenesis in Covid-19 [J].
Ackermann, Maximilian ;
Verleden, Stijn E. ;
Kuehnel, Mark ;
Haverich, Axel ;
Welte, Tobias ;
Laenger, Florian ;
Vanstapel, Arno ;
Werlein, Christopher ;
Stark, Helge ;
Tzankov, Alexandar ;
Li, William W. ;
Li, Vincent W. ;
Mentzer, Steven J. ;
Jonigk, Danny .
NEW ENGLAND JOURNAL OF MEDICINE, 2020, 383 (02) :120-128
[2]   LONG-TERM CLINICAL OUTCOMES IN SURVIVORS OF SEVERE ACUTE RESPIRATORY SYNDROME (SARS) AND MIDDLE EAST RESPIRATORY SYNDROME (MERS) CORONAVIRUS OUTBREAKS AFTER HOSPITALISATION OR ICU ADMISSION: A SYSTEMATIC REVIEW AND META-ANALYSIS [J].
Ahmed, Hassaan ;
Patel, Kajal ;
Greenwood, Darren C. ;
Halpin, Stephen ;
Lewthwaite, Penny ;
Salawu, Abayomi ;
Eyre, Lorna ;
Breen, Andrew ;
O'Connor, Rory ;
Jones, Anthony ;
Sivan, Manoj .
JOURNAL OF REHABILITATION MEDICINE, 2020, 52 (05)
[3]   Evidence of the COVID-19 Virus Targeting the CNS: Tissue Distribution, Host-Virus Interaction, and Proposed Neurotropic Mechanisms [J].
Baig, Abdul Mannan ;
Khaleeq, Areeba ;
Ali, Usman ;
Syeda, Hira .
ACS CHEMICAL NEUROSCIENCE, 2020, 11 (07) :995-998
[4]   Histopathology and ultrastructural findings of fatal COVID-19 infections in Washington State: a case series [J].
Bradley, Benjamin T. ;
Maioli, Heather ;
Johnston, Robert ;
Chaudhry, Irfan ;
Fink, Susan L. ;
Xu, Haodong ;
Najafian, Behzad ;
Deutsch, Gail ;
Lacy, J. Matthew ;
Williams, Timothy ;
Yarid, Nicole ;
Marshall, Desiree A. .
LANCET, 2020, 396 (10247) :320-332
[5]   Persistent Symptoms in Patients After Acute COVID-19 [J].
Carfi, Angelo ;
Bernabei, Roberto ;
Landi, Francesco .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2020, 324 (06) :603-605
[6]   Follow-up of adults with noncritical COVID-19 two months after symptom onset [J].
Carvalho-Schneider, Claudia ;
Laurent, Emeline ;
Lemaignen, Adrien ;
Beaufils, Emilie ;
Bourbao-Tournois, Celine ;
Laribi, Said ;
Flament, Thomas ;
Ferreira-Maldent, Nicole ;
Bruyere, Franck ;
Stefic, Karl ;
Gaudy-Graffin, Catherine ;
Grammatico-Guillon, Leslie ;
Bernard, Louis .
CLINICAL MICROBIOLOGY AND INFECTION, 2021, 27 (02) :258-263
[7]   Virology, transmission, and pathogenesis of SARS-CoV-2 [J].
Cevik, Muge ;
Kuppalli, Krutika ;
Kindrachuk, Jason ;
Peiris, Malik .
BMJ-BRITISH MEDICAL JOURNAL, 2020, 371
[8]   Neurotropism of SARS-CoV 2: Mechanisms and manifestations [J].
Conde Cardona, Giancarlos ;
Quintana Pajaro, Loraine D. ;
Quintero Marzola, Ivan D. ;
Ramos Villegas, Yancarlos ;
Moscote Salazar, Luis R. .
JOURNAL OF THE NEUROLOGICAL SCIENCES, 2020, 412
[9]   The Association of Obesity, Type 2 Diabetes, and Hypertension with Severe Coronavirus Disease 2019 on Admission Among Mexican Patients [J].
Denova-Gutierrez, Edgar ;
Lopez-Gatell, Hugo ;
Alomia-Zegarra, Jose L. ;
Lopez-Ridaura, Ruy ;
Zaragoza-Jimenez, Christian A. ;
Dyer-Leal, Dwigth D. ;
Cortes-Alcala, Ricardo ;
Villa-Reyes, Tania ;
Gutierrez-Vargas, Rosaura ;
Rodriguez-Gonzalez, Kathia ;
Escondrillas-Maya, Carlos ;
Barrientos-Gutierrez, Tonatiuh ;
Rivera, Juan A. ;
Barquera, Simon .
OBESITY, 2020, 28 (10) :1826-1832
[10]   Human coronaviruses: Viral and cellular factors involved in neuroinvasiveness and neuropathogenesis [J].
Desforges, Marc ;
Le Coupanec, Alain ;
Stodola, Jenny K. ;
Meessen-Pinard, Mathieu ;
Talbot, Pierre J. .
VIRUS RESEARCH, 2014, 194 :145-158