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Risk of Pulmonary Fibrosis and Persistent Symptoms Post-COVID-19 in a Cohort of Outpatient Health Workers

Background: Infection by SARS-CoV-2 has been associated with multiple symptoms; however, still, little is known about persistent symptoms and their probable association with the risk of developing pulmonary fibrosis in patients post-COVID-19. Methods: A longitudinal prospective study on health worke...

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Autores principales: Fernández-Plata, Rosario, Higuera-Iglesias, Anjarath-Lorena, Torres-Espíndola, Luz María, Aquino-Gálvez, Arnoldo, Velázquez Cruz, Rafael, Camarena, Ángel, Chávez Alderete, Jaime, Romo García, Javier, Alvarado-Vásquez, Noé, Martínez Briseño, David, Castillejos-López, Manuel, Group, Research Working
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9504101/
https://www.ncbi.nlm.nih.gov/pubmed/36146648
http://dx.doi.org/10.3390/v14091843
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author Fernández-Plata, Rosario
Higuera-Iglesias, Anjarath-Lorena
Torres-Espíndola, Luz María
Aquino-Gálvez, Arnoldo
Velázquez Cruz, Rafael
Camarena, Ángel
Chávez Alderete, Jaime
Romo García, Javier
Alvarado-Vásquez, Noé
Martínez Briseño, David
Castillejos-López, Manuel
Group, Research Working
author_facet Fernández-Plata, Rosario
Higuera-Iglesias, Anjarath-Lorena
Torres-Espíndola, Luz María
Aquino-Gálvez, Arnoldo
Velázquez Cruz, Rafael
Camarena, Ángel
Chávez Alderete, Jaime
Romo García, Javier
Alvarado-Vásquez, Noé
Martínez Briseño, David
Castillejos-López, Manuel
Group, Research Working
author_sort Fernández-Plata, Rosario
collection PubMed
description Background: Infection by SARS-CoV-2 has been associated with multiple symptoms; however, still, little is known about persistent symptoms and their probable association with the risk of developing pulmonary fibrosis in patients post-COVID-19. Methods: A longitudinal prospective study on health workers infected by SARS-CoV-2 was conducted. In this work, signs and symptoms were recorded of 149 health workers with a positive PCR test for SARS-CoV-2 at the beginning of the diagnosis, during the active infection, and during post-COVID-19 follow-up. The McNemar chi-square test was used to compare the proportions and percentages of symptoms between the baseline and each follow-up period. Results: The signs and symptoms after follow-up were cardiorespiratory, neurological, and inflammatory. Gastrointestinal symptoms were unusual at the disease onset, but unexpectedly, their frequency was higher in the post-infection stage. The multivariate analysis showed that pneumonia (HR 2.4, IC95%: 1.5–3.8, p < 0.001) and positive PCR tests still after four weeks (HR 5.3, IC95%: 2.3-12.3, p < 0.001) were factors associated with the diagnosis of post-COVID-19 pulmonary fibrosis in this study group. Conclusions: Our results showed that pneumonia and virus infection persistence were risk factors for developing pulmonary fibrosis post-COVID-19, after months of initial infection.
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spelling pubmed-95041012022-09-24 Risk of Pulmonary Fibrosis and Persistent Symptoms Post-COVID-19 in a Cohort of Outpatient Health Workers Fernández-Plata, Rosario Higuera-Iglesias, Anjarath-Lorena Torres-Espíndola, Luz María Aquino-Gálvez, Arnoldo Velázquez Cruz, Rafael Camarena, Ángel Chávez Alderete, Jaime Romo García, Javier Alvarado-Vásquez, Noé Martínez Briseño, David Castillejos-López, Manuel Group, Research Working Viruses Article Background: Infection by SARS-CoV-2 has been associated with multiple symptoms; however, still, little is known about persistent symptoms and their probable association with the risk of developing pulmonary fibrosis in patients post-COVID-19. Methods: A longitudinal prospective study on health workers infected by SARS-CoV-2 was conducted. In this work, signs and symptoms were recorded of 149 health workers with a positive PCR test for SARS-CoV-2 at the beginning of the diagnosis, during the active infection, and during post-COVID-19 follow-up. The McNemar chi-square test was used to compare the proportions and percentages of symptoms between the baseline and each follow-up period. Results: The signs and symptoms after follow-up were cardiorespiratory, neurological, and inflammatory. Gastrointestinal symptoms were unusual at the disease onset, but unexpectedly, their frequency was higher in the post-infection stage. The multivariate analysis showed that pneumonia (HR 2.4, IC95%: 1.5–3.8, p < 0.001) and positive PCR tests still after four weeks (HR 5.3, IC95%: 2.3-12.3, p < 0.001) were factors associated with the diagnosis of post-COVID-19 pulmonary fibrosis in this study group. Conclusions: Our results showed that pneumonia and virus infection persistence were risk factors for developing pulmonary fibrosis post-COVID-19, after months of initial infection. MDPI 2022-08-23 /pmc/articles/PMC9504101/ /pubmed/36146648 http://dx.doi.org/10.3390/v14091843 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Fernández-Plata, Rosario
Higuera-Iglesias, Anjarath-Lorena
Torres-Espíndola, Luz María
Aquino-Gálvez, Arnoldo
Velázquez Cruz, Rafael
Camarena, Ángel
Chávez Alderete, Jaime
Romo García, Javier
Alvarado-Vásquez, Noé
Martínez Briseño, David
Castillejos-López, Manuel
Group, Research Working
Risk of Pulmonary Fibrosis and Persistent Symptoms Post-COVID-19 in a Cohort of Outpatient Health Workers
title Risk of Pulmonary Fibrosis and Persistent Symptoms Post-COVID-19 in a Cohort of Outpatient Health Workers
title_full Risk of Pulmonary Fibrosis and Persistent Symptoms Post-COVID-19 in a Cohort of Outpatient Health Workers
title_fullStr Risk of Pulmonary Fibrosis and Persistent Symptoms Post-COVID-19 in a Cohort of Outpatient Health Workers
title_full_unstemmed Risk of Pulmonary Fibrosis and Persistent Symptoms Post-COVID-19 in a Cohort of Outpatient Health Workers
title_short Risk of Pulmonary Fibrosis and Persistent Symptoms Post-COVID-19 in a Cohort of Outpatient Health Workers
title_sort risk of pulmonary fibrosis and persistent symptoms post-covid-19 in a cohort of outpatient health workers
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9504101/
https://www.ncbi.nlm.nih.gov/pubmed/36146648
http://dx.doi.org/10.3390/v14091843
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