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Persistent/Late-Onset Complications of COVID-19 in General Population: A Cross-Sectional Study in Tehran, Iran

BACKGROUND: After recovery from acute phase of the COVID-19, some patients suffer from persistent/late-onset complications. The main objective of this study was to investigate the prevalence of such complications in a large scale of COVID-19 patients in Tehran, Iran. METHODS: In this cross-sectional...

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Autores principales: Saberian, Peyman, Pazooki, Behshad, Hasani-Sharamin, Parisa, Garjani, Khazar, Ahmadi Hatam, Zohreh, Dadashi, Fatemeh, Baratloo, Alireza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Shiraz University of Medical Sciences 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9287568/
https://www.ncbi.nlm.nih.gov/pubmed/35855388
http://dx.doi.org/10.30476/IJCBNM.2022.93302.1917
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author Saberian, Peyman
Pazooki, Behshad
Hasani-Sharamin, Parisa
Garjani, Khazar
Ahmadi Hatam, Zohreh
Dadashi, Fatemeh
Baratloo, Alireza
author_facet Saberian, Peyman
Pazooki, Behshad
Hasani-Sharamin, Parisa
Garjani, Khazar
Ahmadi Hatam, Zohreh
Dadashi, Fatemeh
Baratloo, Alireza
author_sort Saberian, Peyman
collection PubMed
description BACKGROUND: After recovery from acute phase of the COVID-19, some patients suffer from persistent/late-onset complications. The main objective of this study was to investigate the prevalence of such complications in a large scale of COVID-19 patients in Tehran, Iran. METHODS: In this cross-sectional study, those patients who called Tehran emergency medical services center and were visited by the emergency medical technicians from 20 March 2020 until 21 September 2020 and diagnosed as a confirmed COVID-19 case were enrolled. The minimum required sample size was estimated 385 cases, and they were selected randomly. The patients were interviewed by phone at least 4 weeks since initiation of their symptoms. Using a pre-prepared checklist, made by an expert panel who were involved in management of COVID-19 patients, data were collected on the types and duration of the complications, clinical information, and factors which could interfere with developing the complications. All analyses were performed using STATA 16 software. The association of the prevalence of each complication with independent factor was assessed using Chi-square test (or Fisher’s exact test) for categorical variable, and the mean difference of numerical variables in the two groups (with and without complication) was assessed using independent t-test. Statistical significance was accepted at P value<0.05. RESULTS: Four-hundred forty-seven patients participated in the study. Among our total population, 345 (77.2%) patients experienced at least one of the persistent/late-onset complications. Cardiopulmonary and then skin-related symptom categories were reported in 179 (40.0%) and 173 (38.7%) patients, respectively, and were the most prevalent persistent/late-onset complications. The associations of long term persistent/late-onset complications with older ages (P=0.04), female (P<0.001), psychological stress (P=0.01), and inadequate rest after illness (P<0.001) were significant. CONCLUSION: The findings of this study indicate that a significant number of patients will experience persistent/late-onset complications, both physically and mentally, after recovering from acute phase of COVID-19. Thus, physicians should have adequate resources and support to care for the patients to help them cope with the condition.
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spelling pubmed-92875682022-07-18 Persistent/Late-Onset Complications of COVID-19 in General Population: A Cross-Sectional Study in Tehran, Iran Saberian, Peyman Pazooki, Behshad Hasani-Sharamin, Parisa Garjani, Khazar Ahmadi Hatam, Zohreh Dadashi, Fatemeh Baratloo, Alireza Int J Community Based Nurs Midwifery Original Article BACKGROUND: After recovery from acute phase of the COVID-19, some patients suffer from persistent/late-onset complications. The main objective of this study was to investigate the prevalence of such complications in a large scale of COVID-19 patients in Tehran, Iran. METHODS: In this cross-sectional study, those patients who called Tehran emergency medical services center and were visited by the emergency medical technicians from 20 March 2020 until 21 September 2020 and diagnosed as a confirmed COVID-19 case were enrolled. The minimum required sample size was estimated 385 cases, and they were selected randomly. The patients were interviewed by phone at least 4 weeks since initiation of their symptoms. Using a pre-prepared checklist, made by an expert panel who were involved in management of COVID-19 patients, data were collected on the types and duration of the complications, clinical information, and factors which could interfere with developing the complications. All analyses were performed using STATA 16 software. The association of the prevalence of each complication with independent factor was assessed using Chi-square test (or Fisher’s exact test) for categorical variable, and the mean difference of numerical variables in the two groups (with and without complication) was assessed using independent t-test. Statistical significance was accepted at P value<0.05. RESULTS: Four-hundred forty-seven patients participated in the study. Among our total population, 345 (77.2%) patients experienced at least one of the persistent/late-onset complications. Cardiopulmonary and then skin-related symptom categories were reported in 179 (40.0%) and 173 (38.7%) patients, respectively, and were the most prevalent persistent/late-onset complications. The associations of long term persistent/late-onset complications with older ages (P=0.04), female (P<0.001), psychological stress (P=0.01), and inadequate rest after illness (P<0.001) were significant. CONCLUSION: The findings of this study indicate that a significant number of patients will experience persistent/late-onset complications, both physically and mentally, after recovering from acute phase of COVID-19. Thus, physicians should have adequate resources and support to care for the patients to help them cope with the condition. Shiraz University of Medical Sciences 2022-07 /pmc/articles/PMC9287568/ /pubmed/35855388 http://dx.doi.org/10.30476/IJCBNM.2022.93302.1917 Text en Copyright: © International Journal of Community Based Nursing and Midwifery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 4.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Saberian, Peyman
Pazooki, Behshad
Hasani-Sharamin, Parisa
Garjani, Khazar
Ahmadi Hatam, Zohreh
Dadashi, Fatemeh
Baratloo, Alireza
Persistent/Late-Onset Complications of COVID-19 in General Population: A Cross-Sectional Study in Tehran, Iran
title Persistent/Late-Onset Complications of COVID-19 in General Population: A Cross-Sectional Study in Tehran, Iran
title_full Persistent/Late-Onset Complications of COVID-19 in General Population: A Cross-Sectional Study in Tehran, Iran
title_fullStr Persistent/Late-Onset Complications of COVID-19 in General Population: A Cross-Sectional Study in Tehran, Iran
title_full_unstemmed Persistent/Late-Onset Complications of COVID-19 in General Population: A Cross-Sectional Study in Tehran, Iran
title_short Persistent/Late-Onset Complications of COVID-19 in General Population: A Cross-Sectional Study in Tehran, Iran
title_sort persistent/late-onset complications of covid-19 in general population: a cross-sectional study in tehran, iran
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9287568/
https://www.ncbi.nlm.nih.gov/pubmed/35855388
http://dx.doi.org/10.30476/IJCBNM.2022.93302.1917
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