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The Greek Collaborative Long COVID Study: Non-Hospitalized and Hospitalized Patients Share Similar Symptom Patterns
Martha-Spyridoula Katsarou1,2,3, Eleni Iasonidou2, Alexander Osarogue4
1Research Group of Clinical Pharmacology and Pharmacogenomics, Faculty of Pharmacy, School of Health Sciences, National and Kapodistrian University of Athens, 15771 Zografou, Greece.
Insights
Long COVID-19 syndrome, affecting 3-12% globally, causes persistent symptoms over 12 weeks. This study highlights the diverse symptoms and challenges faced by patients, regardless of initial hospitalization severity.
Area of Science:
- Public Health
- Infectious Diseases
- Epidemiology
Background:
- Long COVID-19 syndrome is defined as persistent symptoms exceeding 12 weeks post-coronavirus infection.
- Estimates suggest 3% to 12% of global COVID-19 patients experience Long COVID.
- The syndrome's characteristics, symptoms, and patient challenges require further investigation.
Purpose of the Study:
- To estimate the characteristics, symptoms, and challenges faced by Long COVID patients in Greece.
- To collaborate with a Long COVID patient organization for data collection.
Main Methods:
- A qualitative study utilizing anonymized online questionnaires with free-text entries.
- Data collected from 208 Long COVID patients.
Main Results:
- 68.8% of respondents were not hospitalized.
- 66.8% reported lingering symptoms for over six months.
- Eighteen distinct symptoms were reported, including fatigue, palpitations, shortness of breath, and parosmia, in both hospitalized and non-hospitalized patients.
- Low awareness of Long COVID sequelae among medical professionals was noted.
- Targeted rehabilitation programs are largely unavailable or not integrated into patient management plans.
Conclusions:
- Long COVID patients with initially mild symptoms experience similar persistent symptoms to those who were hospitalized.
- Long COVID syndrome is a multi-systemic condition.
- A multidisciplinary medical approach is essential for accurate diagnosis and effective management of Long COVID patients.
Abstract:
Long COVID-19 syndrome refers to persisting symptoms (>12 weeks) after the initial coronavirus infection and is estimated to affect 3% to 12% of people diagnosed with the disease globally. Aim: We conducted a collaborative study with the Long COVID patient organization in Greece, in order to estimate the characteristics, symptoms, and challenges these patients confront. Methods: Data were collected from 208 patients using unstructured qualitative free-text entries in an anonymized online questionnaire. Results: The majority of respondents (68.8%) were not hospitalized and reported lingering symptoms (66.8%) for more than six months. Eighteen different symptoms (fatigue, palpitations, shortness of breath, parosmia, etc.) were mentioned in both hospitalized and community patients. Awareness of Long COVID sequelae seems to be low even among medical doctors. Treatment options incorporating targeted rehabilitation programs are either not available or still not included inthe management plan of Long COVID patients. Conclusions: Patients infected with coronavirus with initial mild symptoms suffer from the same persistent symptoms as those who were hospitalized. Long COVID syndrome appears to be a multi-systemic entity and a multidisciplinary medical approach should be adopted in order to correctly diagnose and successfully manage these patients.
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