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Post-discharge follow-up of patients with COVID-19: A Brazilian experience

OBJECTIVE: The objective of this study is to evaluate post-acute symptoms in patients with confirmed severe and critical coronavirus disease 2019 infections. METHODS: We evaluated patients with confirmed severe and critical coronavirus disease 2019 infections. Post-acute symptoms were defined as sym...

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Autores principales: Nakayama, Luis Filipe, Urias, Müller Gonçalves, Gonçalves, Arthur Sevalho, Ribeiro, Rafael Amorim, Macruz, Tiago de Almeida, Pardo, Rafael Baptista
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9118893/
https://www.ncbi.nlm.nih.gov/pubmed/35600705
http://dx.doi.org/10.1177/20503121221096602
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author Nakayama, Luis Filipe
Urias, Müller Gonçalves
Gonçalves, Arthur Sevalho
Ribeiro, Rafael Amorim
Macruz, Tiago de Almeida
Pardo, Rafael Baptista
author_facet Nakayama, Luis Filipe
Urias, Müller Gonçalves
Gonçalves, Arthur Sevalho
Ribeiro, Rafael Amorim
Macruz, Tiago de Almeida
Pardo, Rafael Baptista
author_sort Nakayama, Luis Filipe
collection PubMed
description OBJECTIVE: The objective of this study is to evaluate post-acute symptoms in patients with confirmed severe and critical coronavirus disease 2019 infections. METHODS: We evaluated patients with confirmed severe and critical coronavirus disease 2019 infections. Post-acute symptoms were defined as symptoms persisting 4 weeks after the onset of the symptoms and classified as pulmonary, muscular, hematologic, neuropsychiatric, renal, and dermatological. RESULTS: We recovered data from 565 patients (43.7% female) with a mean age of 61.1 years. In 18.2%, at least one hospital readmission was necessary and 11.1% died. In 62.6%, there was at least one persistent symptom, and 28.8% had more than one. Among associated factors, obesity, intensive care support, and mechanical ventilation were related to persistent symptoms. CONCLUSION: The most prevalent symptoms were pulmonary and neuropsychiatric sequelae, as reported in previous studies. This finding underscores the severity of the coronavirus disease 2019 infection and the need for follow-up after recovery from the initial illness. Obese patients, those requiring mechanical ventilation, female patients, and increased hospital length are at greater chance of having persistent symptoms.
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spelling pubmed-91188932022-05-20 Post-discharge follow-up of patients with COVID-19: A Brazilian experience Nakayama, Luis Filipe Urias, Müller Gonçalves Gonçalves, Arthur Sevalho Ribeiro, Rafael Amorim Macruz, Tiago de Almeida Pardo, Rafael Baptista SAGE Open Med Original Research Article OBJECTIVE: The objective of this study is to evaluate post-acute symptoms in patients with confirmed severe and critical coronavirus disease 2019 infections. METHODS: We evaluated patients with confirmed severe and critical coronavirus disease 2019 infections. Post-acute symptoms were defined as symptoms persisting 4 weeks after the onset of the symptoms and classified as pulmonary, muscular, hematologic, neuropsychiatric, renal, and dermatological. RESULTS: We recovered data from 565 patients (43.7% female) with a mean age of 61.1 years. In 18.2%, at least one hospital readmission was necessary and 11.1% died. In 62.6%, there was at least one persistent symptom, and 28.8% had more than one. Among associated factors, obesity, intensive care support, and mechanical ventilation were related to persistent symptoms. CONCLUSION: The most prevalent symptoms were pulmonary and neuropsychiatric sequelae, as reported in previous studies. This finding underscores the severity of the coronavirus disease 2019 infection and the need for follow-up after recovery from the initial illness. Obese patients, those requiring mechanical ventilation, female patients, and increased hospital length are at greater chance of having persistent symptoms. SAGE Publications 2022-05-12 /pmc/articles/PMC9118893/ /pubmed/35600705 http://dx.doi.org/10.1177/20503121221096602 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research Article
Nakayama, Luis Filipe
Urias, Müller Gonçalves
Gonçalves, Arthur Sevalho
Ribeiro, Rafael Amorim
Macruz, Tiago de Almeida
Pardo, Rafael Baptista
Post-discharge follow-up of patients with COVID-19: A Brazilian experience
title Post-discharge follow-up of patients with COVID-19: A Brazilian experience
title_full Post-discharge follow-up of patients with COVID-19: A Brazilian experience
title_fullStr Post-discharge follow-up of patients with COVID-19: A Brazilian experience
title_full_unstemmed Post-discharge follow-up of patients with COVID-19: A Brazilian experience
title_short Post-discharge follow-up of patients with COVID-19: A Brazilian experience
title_sort post-discharge follow-up of patients with covid-19: a brazilian experience
topic Original Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9118893/
https://www.ncbi.nlm.nih.gov/pubmed/35600705
http://dx.doi.org/10.1177/20503121221096602
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