COVEVOL: Natural Evolution at 6 Months of COVID-19
Many studies have investigated post-COVID symptoms, but the predictors of symptom persistence remain unknown. The objective was to describe the natural course of the disease at 6 months and to identify possible factors favoring the resurgence or persistence of these symptoms. COVEVOL is a retrospect...
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| Autores principales: | , , , , , , , , , |
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| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
MDPI AG
2021
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| Materias: | |
| Acceso en línea: | https://doaj.org/article/65f43acba6b64558a3a7668759d0a6f1 |
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| Sumario: | Many studies have investigated post-COVID symptoms, but the predictors of symptom persistence remain unknown. The objective was to describe the natural course of the disease at 6 months and to identify possible factors favoring the resurgence or persistence of these symptoms. COVEVOL is a retrospective observational descriptive study of 74 patients. All patients with positive SARS-CoV-2 PCR from March 2020 were included. We compared a group with symptom persistence (PS group) with another group without symptom persistence (no-PS group). Fifty-three out of seventy-four patients (71.62%) described at least one persistent symptom at 6 months of SARS-CoV-2 infection. In the PS group, 56.6% were women and the average age was 54.7 years old [21–89.2] ± 16.9. The main symptoms were asthenia (56.6%, <i>n</i> = 30), dyspnea (34%, <i>n</i> = 18), anxiety (32.1% <i>n</i> = 17), anosmia (24.5%, <i>n</i> = 13) and agueusia (15.1% <i>n</i> = 8). Ten patients (13.51%) presented a resurgence in symptoms. Patients in the PS group were older (<i>p</i> = 0.0048), had a higher BMI (<i>p</i> = 0.0071), and were more frequently hospitalized (<i>p</i> = 0.0359) compared to the no-PS group. Odynophagia and nasal obstruction were less present in the inaugural symptoms of COVID-19 in the PS group (<i>p</i> = 0.0202 and <i>p</i> = 0.0332). Persistent post-COVID syndromes are common and identification of contributing factors is necessary for understanding this phenomenon and appropriate management. |
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