Cardiovascular, Renal, and Pulmonary Risks of Long COVID: A Retrospective Cohort Study Stratified by Age and Sex

Akash Pradeep1, Izola Ramalho1, Martha L Carvour1,2

  • 1Department of Internal Medicine University of Iowa Carver College of Medicine Iowa City IA USA.

Insights

Long COVID significantly increases the risk of cardiovascular, renal, and pulmonary issues, particularly in younger adults. Ongoing monitoring and risk reduction are crucial for managing these post-COVID conditions.

Area of Science:

  • Cardiovascular and Pulmonary Medicine
  • Infectious Diseases
  • Public Health

Background:

  • A significant number of COVID-19 survivors develop Long COVID, a condition with unclear cardiovascular risks.
  • The long-term impact of SARS-CoV-2 infection on cardiovascular, renal, and pulmonary health requires further investigation.

Purpose of the Study:

  • To investigate the association between Long COVID and adverse cardiovascular, renal, and pulmonary (CRP) outcomes.
  • To compare the risk of CRP outcomes in individuals with and without Long COVID.

Main Methods:

  • A retrospective cohort study utilizing the TriNetX network (>150 million patients).
  • Adults with COVID-19 were categorized by the presence or absence of clinically recognized Long COVID.
  • Propensity score matching was employed to control for confounders, analyzing 15 CRP outcomes across different age groups.

Main Results:

  • Long COVID was linked to an increased risk of most CRP outcomes across all age groups and sexes.
  • Younger adults, particularly young women (cardiovascular/renal) and young men (pulmonary), exhibited disproportionately higher relative risks.
  • Prior SARS-CoV-2 vaccination did not show a consistent association with reduced CRP risk.

Conclusions:

  • Clinically diagnosed Long COVID is associated with a higher incidence of CRP outcomes.
  • Younger adults face relatively higher risks, underscoring the need for targeted surveillance and risk mitigation strategies for Long COVID patients.
Abstract

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