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Published on: December 19, 2020
Descriptive Study to Assess Post-acute COVID-19 Complications in Patients Presenting at a Teaching Hospital in North
Vikas Chandra Vidyarthi1, Harish Gupta1, Ajay Verma2
1Medicine, King George's Medical University, Lucknow, IND.
Insights
Post-COVID-19 complications, including persistent fatigue, were observed in patients even if they were asymptomatic. Clinical evaluation with 2D Echo and pulmonary function tests revealed significant findings, necessitating long-term follow-up for all cases.
Area of Science:
- Medicine
- Infectious Diseases
- Cardiology
Background:
- Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, emerged in late 2019.
- The pandemic led to a Public Health Emergency of International Concern.
- Patients present with new or persistent health complications post-COVID-19 infection.
Purpose of the Study:
- To quantify and assess management strategies for post-COVID-19 complications.
- To investigate the spectrum of sequelae in patients after COVID-19 infection.
Main Methods:
- Patient enrollment in Outpatient Department (OPD) and Inpatient Department (IPD).
- Detailed history, clinical examination, routine investigations.
- 2D echocardiography (2D Echo) and pulmonary function tests (PFT) were performed.
Main Results:
- Majority of cases were male, with many being asymptomatic.
- Fatigue was the most common persistent post-COVID-19 symptom.
- 2D Echo and spirometry showed changes even in asymptomatic individuals.
Conclusions:
- Significant clinical findings, 2D Echo, and PFT results indicate the need for comprehensive assessment.
- Long-term follow-up is essential for all confirmed and presumed COVID-19 cases to monitor sequelae.
Abstract:
Introduction Coronavirus disease 2019 (COVID-19) caused by a novel coronavirus named severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), was first reported at the end of 2019 in Wuhan, Hubei Province, People's Republic of China, at a cluster of unusual pneumonia patients. The outbreak was declared a Public Health Emergency of International Concern on 30 January 2020 by World Health Organization. We are receiving patients in our OPD (Out Patient Department) with a new set of health complications having been infected with COVID-19. We planned to collect our data and try to find by various statistical methods, quantify the complications, and assess how we can deal with the new set of complications we are witnessing in this post-acute COVID-19 group of patients. Materials and methods The study was conducted by enrolling the patients at OPD/IPD (In Patient Department) by conducting a detailed history and clinical examination, routine investigations, 2D echocardiography (2D Echo), and pulmonary function test (PFT). The study assessed the worsening of symptoms, new onset symptoms, or the symptoms that continued even in the post-COVID-19 status as post-COVID-19 sequelae. Results Maximum cases were male and most of them were asymptomatic. The most common post-COVID-19 symptom that persisted was fatigue. 2D Echo and spirometry were done and changes were noticed even in those subjects who were asymptomatic. Conclusion Since significant findings were seen on clinical evaluation accompanied by 2D Echo and spirometry, it is essential to screen all presumed and microbiologically proven cases for long-term follow-up.
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