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Post-COVID-19 Syndrome Clinical Manifestations: A Systematic Review
Muhammad Abdel-Gawad1, Mariam S Zaghloul2, Sherief Abd-Elsalam3
1Department of Hepatology, Gastroenterology and Infectious Diseases, Al-Azhar University, Assiut, Egypt.
Insights
Many COVID-19 survivors experience long-term health issues, with 35% to 90.5% reporting persistent symptoms. Common post-COVID conditions include fatigue, shortness of breath, and neuropsychological disorders.
Area of Science:
- Infectious Diseases
- Public Health
- Clinical Medicine
Background:
- Coronavirus disease-2019 (COVID-19) is a global pandemic with significant mortality.
- Recovered patients frequently report persistent multisystem manifestations.
- These long-term effects impact various organs and systems.
Approach:
- A systematic review was conducted to determine the prevalence of post-COVID-19 manifestations.
- Extensive literature searches were performed across multiple major databases.
- Data were extracted and synthesized by two independent reviewers following established protocols.
Key Points:
- The overall prevalence of post-COVID-19 manifestations ranged widely from 35% to 90.5%.
- Fatigue, dyspnea (shortness of breath), neuropsychological disorders, and pain were the most frequently reported symptoms.
- The findings highlight the significant burden of long COVID on patient recovery.
Conclusions:
- A substantial percentage of COVID-19 survivors experience a diverse array of persistent clinical symptoms.
- Fatigue, dyspnea, neuropsychological issues, and pain are the most common sequelae.
- This underscores the need for ongoing research and clinical management strategies for post-COVID conditions.
Background:
Coronavirus disease-2019 (COVID-19) is a global pandemic health problem that causes a wide spectrum of clinical manifestations and considerable mortality rates. Unfortunately, recovered patients who survive COVID-19 may continue to report a wide variety of clinical manifestations of multisystem affection such as pulmonary embolism, deep vein thrombosis, acute myocardial infarction, depression, anxiety, myalgia, dyspnea, and fatigue.
Objective:
We aimed to summarize the current literature regarding the prevalence of post-COVID- 19 manifestations.
Methods:
We conducted a systematic review of post-COVID-19 manifestations by searching MEDLINE via PubMed, Scopus, Web of Science (WOS), EBSCO, Wily, and World health organization (WHO) databases. Screening, study selection, data extraction, data synthesis, and quality assessment were made by two independent reviewers.
Results:
Of 1,371 references, 817 references remained after removing duplicates. Reviews, case reports, commentaries, and any article containing non-original information were excluded. According to the eligibility criteria for this systematic review, 12 studies were included for qualitative synthesis. The overall prevalence of post-COVID-19 manifestations ranged from 35% to 90.5%. Fatigue, dyspnea, neuropsychological disorders, and pain were the most frequent post-COVID-19 symptoms.
Conclusion:
This systematic review showed that 35% to 90.5% of recovered patients who survive COVID-19 continue to have a wide variety of clinical manifestations, including fatigue, dyspnea, neuropsychological disorders, and pain as the most frequent post-COVID-19 symptoms.
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