Long-term outcomes in COVID-19 patients who recovered from the first wave of the pandemic

Author:

Cui Dan12ORCID,Chen Simiao34ORCID,Feng Luzhao4,Jia Mengmeng4ORCID,Wang Yeming2,Xiao Weijun4,Sun Yanxia4,Huang Qiangru4,Ma Libing45,Leng Zhiwei4,Wang Hao4,Cao Bin26,Yang Weizhong4,Yang Juntao7,Wang Chen1246

Affiliation:

1. Department of Pulmonary and Critical Care Medicine, The Second Affiliated Hospital of Harbin Medical University, Harbin Medical University , Harbin 150086 , China

2. Department of Pulmonary and Critical Care Medicine, National Center for Respiratory Medicine, Center of Respiratory Medicine, National Clinical Research Center for Respiratory Diseases , China-Japan Friendship Hospital, Beijing 100029 , China

3. Heidelberg Institute of Global Health, Faculty of Medicine and University Hospital, Heidelberg University , Heidelberg 69120 , Germany

4. School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College , Beijing 100005 , China

5. Department of Respiratory and Critical Care Medicine, the Affiliated Hospital of Guilin Medical University , Guilin , 541001 , China

6. Institute of Respiratory Medicine , Chinese Academy of Medical Science, Beijing 100730 , China

7. State Key Laboratory of Medical Molecular Biology, Department of Biochemistry and Molecular Biology, Institute of Basic Medical Sciences , Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100005 , China

Abstract

Abstract This cross-sectional study evaluated the long-term health effects of coronavirus disease 2019 (COVID-19) in Jianghan District (Wuhan, China). The results showed that 61.4% of COVID-19 patients reported at least one symptom and 8.8% had depressive symptoms at the 17-month follow-up. The proportion of patients with chest radiographic abnormalities in Fangcang shelter hospitals and designated COVID-19 hospitals was 31.6% and 41.1%, respectively, and the proportion of patients with impaired pulmonary diffusion capacity in these hospitals was 52.8% and 60.9%, respectively. Female sex (odds ratio [OR] = 1.48, 95% confidence interval [CI]: 1.16–1.88), severe disease (OR = 1.46, 95% CI: 1.01–2.10) and a higher number of initial symptoms (OR = 1.31, 95% CI: 1.23–1.40) were associated with the development of sequelae symptoms at 17 months. This study involving community-dwelling COVID-19 adults may help determine the long-term effects of COVID-19 during the first pandemic wave. Nonetheless, larger follow-up studies are needed to characterize the post-COVID-19 condition.

Funder

Chinese Academy of Medical Sciences

National Natural Science Foundation of China

Publisher

Oxford University Press (OUP)

Subject

Multidisciplinary

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