Characteristics of COVID-19 Recurrence: A Systematic Review and Meta-Analysis

Background: Previous studies reported the recurrence of coronavirus disease 2019 (COVID-19) among discharge patients. This study aimed to examine the characteristic of COVID-19 recurrence cases by performing a systematic review and meta-analysis. Methods: A systematic search was performed in PubMed...

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Autor principal: Tung Hoang
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Lenguaje:EN
Publicado: Ubiquity Press 2021
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Acceso en línea:https://doaj.org/article/b9f2f0e7dc864facb16bb7eaa2f04467
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spelling oai:doaj.org-article:b9f2f0e7dc864facb16bb7eaa2f044672021-12-02T13:40:23ZCharacteristics of COVID-19 Recurrence: A Systematic Review and Meta-Analysis2214-999610.5334/aogh.3163https://doaj.org/article/b9f2f0e7dc864facb16bb7eaa2f044672021-03-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/3163https://doaj.org/toc/2214-9996Background: Previous studies reported the recurrence of coronavirus disease 2019 (COVID-19) among discharge patients. This study aimed to examine the characteristic of COVID-19 recurrence cases by performing a systematic review and meta-analysis. Methods: A systematic search was performed in PubMed and Embase and gray literature up to September 19, 2020. A random-effects model was applied to obtain the pooled prevalence of disease recurrence among recovered patients and the prevalence of subjects underlying comorbidity among recurrence cases. The other characteristics were calculated based on the summary data of individual studies. Results: A total of 41 studies were included in the final analysis, we have described the epidemiological characteristics of COVID-19 recurrence cases. Of 3,644 patients recovering from COVID-19 and being discharged, an estimate of 15% (95% CI, 12% to 19%) patients was re-positive with SARS-CoV-2 during the follow-up. This proportion was 14% (95% CI, 11% to 17%) for China and 31% (95% CI, 26% to 37%) for Korea. Among recurrence cases, it was estimated 39% (95% CI, 31% to 48%) subjects underlying at least one comorbidity. The estimates for times from disease onset to admission, from admission to discharge, and from discharge to RNA positive conversion were 4.8, 16.4, and 10.4 days, respectively. Conclusion: This study summarized up-to-date evidence from case reports, case series, and observational studies for the characteristic of COVID-19 recurrence cases after discharge. It is recommended to pay attention to follow-up patients after discharge, even if they have been in discharge quarantine.Tung HoangUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 87, Iss 1 (2021)
institution DOAJ
collection DOAJ
language EN
topic Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
spellingShingle Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
Tung Hoang
Characteristics of COVID-19 Recurrence: A Systematic Review and Meta-Analysis
description Background: Previous studies reported the recurrence of coronavirus disease 2019 (COVID-19) among discharge patients. This study aimed to examine the characteristic of COVID-19 recurrence cases by performing a systematic review and meta-analysis. Methods: A systematic search was performed in PubMed and Embase and gray literature up to September 19, 2020. A random-effects model was applied to obtain the pooled prevalence of disease recurrence among recovered patients and the prevalence of subjects underlying comorbidity among recurrence cases. The other characteristics were calculated based on the summary data of individual studies. Results: A total of 41 studies were included in the final analysis, we have described the epidemiological characteristics of COVID-19 recurrence cases. Of 3,644 patients recovering from COVID-19 and being discharged, an estimate of 15% (95% CI, 12% to 19%) patients was re-positive with SARS-CoV-2 during the follow-up. This proportion was 14% (95% CI, 11% to 17%) for China and 31% (95% CI, 26% to 37%) for Korea. Among recurrence cases, it was estimated 39% (95% CI, 31% to 48%) subjects underlying at least one comorbidity. The estimates for times from disease onset to admission, from admission to discharge, and from discharge to RNA positive conversion were 4.8, 16.4, and 10.4 days, respectively. Conclusion: This study summarized up-to-date evidence from case reports, case series, and observational studies for the characteristic of COVID-19 recurrence cases after discharge. It is recommended to pay attention to follow-up patients after discharge, even if they have been in discharge quarantine.
format article
author Tung Hoang
author_facet Tung Hoang
author_sort Tung Hoang
title Characteristics of COVID-19 Recurrence: A Systematic Review and Meta-Analysis
title_short Characteristics of COVID-19 Recurrence: A Systematic Review and Meta-Analysis
title_full Characteristics of COVID-19 Recurrence: A Systematic Review and Meta-Analysis
title_fullStr Characteristics of COVID-19 Recurrence: A Systematic Review and Meta-Analysis
title_full_unstemmed Characteristics of COVID-19 Recurrence: A Systematic Review and Meta-Analysis
title_sort characteristics of covid-19 recurrence: a systematic review and meta-analysis
publisher Ubiquity Press
publishDate 2021
url https://doaj.org/article/b9f2f0e7dc864facb16bb7eaa2f04467
work_keys_str_mv AT tunghoang characteristicsofcovid19recurrenceasystematicreviewandmetaanalysis
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