Risk Factors Associated with Long COVID Syndrome: A Retrospective Study

Background: Recently, people have recognized the post-acute phase symptoms of the COVID-19. We investigated the long-term symptoms associated with COVID-19, (Long COVID Syndrome), and the risk factors associated with it. Methods: This was a retrospective observational study. All the consecutive adul...

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Autores principales: Ali Akbar Asadi-Pooya, Ali Akbari, Amir Emami, Mehrzad Lotfi, Mahtab Rostamihosseinkhani, Hamid Nemati, Zohreh Barzegar, Maryam Kabiri, Zahra Zeraatpisheh, Mohsen Farjoud-Kouhanjani, Anahita Jafari, Fateme Sasannia, Shayan Ashrafi, Masoume Nazeri, Sara Nasiri, Mina Shahisavandi
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Publicado: Shiraz University of Medical Sciences 2021
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spelling oai:doaj.org-article:9d12c1a090fc450c9a792415d113ef6f2021-11-09T06:23:38ZRisk Factors Associated with Long COVID Syndrome: A Retrospective Study0253-07161735-368810.30476/ijms.2021.92080.2326https://doaj.org/article/9d12c1a090fc450c9a792415d113ef6f2021-11-01T00:00:00Zhttps://ijms.sums.ac.ir/article_47880_b6264772e51079a008f5485692ba5ad6.pdfhttps://doaj.org/toc/0253-0716https://doaj.org/toc/1735-3688Background: Recently, people have recognized the post-acute phase symptoms of the COVID-19. We investigated the long-term symptoms associated with COVID-19, (Long COVID Syndrome), and the risk factors associated with it. Methods: This was a retrospective observational study. All the consecutive adult patients referred to the healthcare facilities anywhere in Fars province from 19 February 2020 until 20 November 2020 were included. All the patients had a confirmed COVID-19 diagnosis. In a phone call to the patients, at least three months after their discharge from the hospital, we obtained their current information. The IBM SPSS Statistics (version 25.0) was used. Pearson Chi square, Fisher’s exact test, t test, and binary logistic regression analysis model were employed. A P value of less than 0.05 was considered to be significant.Results: In total, 4,681 patients were studied, 2915 of whom (62.3%) reported symptoms. The most common symptoms of long COVID syndrome were fatigue, exercise intolerance, walking intolerance, muscle pain, and shortness of breath. Women were more likely to experience long-term COVID syndrome than men (Odds Ratio: 1,268; 95% Confidence Interval: 1,122-1,432; P=0.0001), which was significant. Presentation with respiratory problems at the onset of illness was also significantly associated with long COVID syndrome (Odds Ratio: 1.425; 95% Confidence Interval: 1.177-1.724; P=0.0001). A shorter length of hospital stay was inversely associated with long COVID syndrome (Odds Ratio: 0.953; 95% Confidence Interval: 0.941-0.965; P=0.0001). Conclusion: Long COVID syndrome is a frequent and disabling condition and has significant associations with sex (female), respiratory symptoms at the onset, and the severity of the illness.Ali Akbar Asadi-PooyaAli AkbariAmir EmamiMehrzad LotfiMahtab RostamihosseinkhaniHamid NematiZohreh BarzegarMaryam KabiriZahra ZeraatpishehMohsen Farjoud-KouhanjaniAnahita JafariFateme SasanniaShayan AshrafiMasoume NazeriSara NasiriMina ShahisavandiShiraz University of Medical Sciencesarticlecovid-19medicinesars-cov-2virusesMedicine (General)R5-920ENIranian Journal of Medical Sciences, Vol 46, Iss 6, Pp 428-436 (2021)
institution DOAJ
collection DOAJ
language EN
topic covid-19
medicine
sars-cov-2
viruses
Medicine (General)
R5-920
spellingShingle covid-19
medicine
sars-cov-2
viruses
Medicine (General)
R5-920
Ali Akbar Asadi-Pooya
Ali Akbari
Amir Emami
Mehrzad Lotfi
Mahtab Rostamihosseinkhani
Hamid Nemati
Zohreh Barzegar
Maryam Kabiri
Zahra Zeraatpisheh
Mohsen Farjoud-Kouhanjani
Anahita Jafari
Fateme Sasannia
Shayan Ashrafi
Masoume Nazeri
Sara Nasiri
Mina Shahisavandi
Risk Factors Associated with Long COVID Syndrome: A Retrospective Study
description Background: Recently, people have recognized the post-acute phase symptoms of the COVID-19. We investigated the long-term symptoms associated with COVID-19, (Long COVID Syndrome), and the risk factors associated with it. Methods: This was a retrospective observational study. All the consecutive adult patients referred to the healthcare facilities anywhere in Fars province from 19 February 2020 until 20 November 2020 were included. All the patients had a confirmed COVID-19 diagnosis. In a phone call to the patients, at least three months after their discharge from the hospital, we obtained their current information. The IBM SPSS Statistics (version 25.0) was used. Pearson Chi square, Fisher’s exact test, t test, and binary logistic regression analysis model were employed. A P value of less than 0.05 was considered to be significant.Results: In total, 4,681 patients were studied, 2915 of whom (62.3%) reported symptoms. The most common symptoms of long COVID syndrome were fatigue, exercise intolerance, walking intolerance, muscle pain, and shortness of breath. Women were more likely to experience long-term COVID syndrome than men (Odds Ratio: 1,268; 95% Confidence Interval: 1,122-1,432; P=0.0001), which was significant. Presentation with respiratory problems at the onset of illness was also significantly associated with long COVID syndrome (Odds Ratio: 1.425; 95% Confidence Interval: 1.177-1.724; P=0.0001). A shorter length of hospital stay was inversely associated with long COVID syndrome (Odds Ratio: 0.953; 95% Confidence Interval: 0.941-0.965; P=0.0001). Conclusion: Long COVID syndrome is a frequent and disabling condition and has significant associations with sex (female), respiratory symptoms at the onset, and the severity of the illness.
format article
author Ali Akbar Asadi-Pooya
Ali Akbari
Amir Emami
Mehrzad Lotfi
Mahtab Rostamihosseinkhani
Hamid Nemati
Zohreh Barzegar
Maryam Kabiri
Zahra Zeraatpisheh
Mohsen Farjoud-Kouhanjani
Anahita Jafari
Fateme Sasannia
Shayan Ashrafi
Masoume Nazeri
Sara Nasiri
Mina Shahisavandi
author_facet Ali Akbar Asadi-Pooya
Ali Akbari
Amir Emami
Mehrzad Lotfi
Mahtab Rostamihosseinkhani
Hamid Nemati
Zohreh Barzegar
Maryam Kabiri
Zahra Zeraatpisheh
Mohsen Farjoud-Kouhanjani
Anahita Jafari
Fateme Sasannia
Shayan Ashrafi
Masoume Nazeri
Sara Nasiri
Mina Shahisavandi
author_sort Ali Akbar Asadi-Pooya
title Risk Factors Associated with Long COVID Syndrome: A Retrospective Study
title_short Risk Factors Associated with Long COVID Syndrome: A Retrospective Study
title_full Risk Factors Associated with Long COVID Syndrome: A Retrospective Study
title_fullStr Risk Factors Associated with Long COVID Syndrome: A Retrospective Study
title_full_unstemmed Risk Factors Associated with Long COVID Syndrome: A Retrospective Study
title_sort risk factors associated with long covid syndrome: a retrospective study
publisher Shiraz University of Medical Sciences
publishDate 2021
url https://doaj.org/article/9d12c1a090fc450c9a792415d113ef6f
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