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Reported long-term effects of COVID-19 patients after hospital discharge in Jordan
Reema Karasneh1, Sarah Al Sharie2, Sayer Al-Azzam3
1Department of Basic Medical Sciences, Faculty of Medicine, Yarmouk University, Irbid, Jordan.
Insights
Long COVID effects persist after infection, impacting recovered patients. Critical or severe cases are more prone to symptoms, comorbidities like diabetes, and reduced quality of life.
Area of Science:
- Pulmonology
- Infectious Diseases
- Public Health
Background:
- Coronavirus Disease 2019 (COVID-19) presents long-term challenges for healthcare.
- Understanding post-infection sequelae is crucial for patient management.
Purpose of the Study:
- To characterize long-term consequences of COVID-19 in recovered patients.
- To identify patterns of persistent symptoms and comorbidities.
Main Methods:
- Retrospective analysis of hospital records for baseline data.
- Self-reported symptom questionnaires for recovered patients.
- Follow-up chest X-rays (CXRs) scored for lung abnormalities.
Main Results:
- 694 patients analyzed; critical/severe cases had higher symptom incidence.
- Newly diagnosed comorbidities included diabetes (40.9%), cardiovascular diseases (18.6%), and hypertension (11.9%).
- Persistent lung abnormalities on CXR were infrequent; quality of life significantly decreased in symptomatic patients.
Conclusions:
- COVID-19 effects can persist long after acute infection resolution.
- Long-term sequelae contribute to disease burden and necessitate improved management strategies.
Abstract:
Coronavirus Disease 2019 (COVID-19) long-term effect is the new challenge facing healthcare providers that should be further assessed. We aim to describe the characteristics and patterns of long-term consequences of COVID-19 among recovered patients. COVID-19 patients baseline data was extracted from hospital records and alive patients filled self-reported symptoms questionnaires. A follow-up chest X-ray (CXR) was then scored based on lung abnormalities and compared with baseline CXR images. Six hundred ninety-four patients were included for the questionnaire and final analysis. Patients who were categorized as critical or severe were more prone to develop at least one symptom than those who were categorized as moderate. The most newly diagnosed comorbidities after discharge were diabetes (40.9%), cardiovascular diseases (18.6%), and hypertension (11.9%). Most patients with prolonged symptoms after discharge had a significant decrease in the quality of life. Small number of CXR showed persistent abnormalities in the middle right, the lower right, and lower left zones with an average overall score during admission 13.8 ± 4.9 and 0.3 ± 1.01 for the follow-up images. Effects of COVID-19 were found to persist even after the end of the infection. This would add on to the disease burden and would foster better management.
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