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Clinical status of patients 1 year after hospital discharge following recovery from COVID-19: a prospective cohort study.


ABSTRACT:

Background

The long-term clinical status of coronavirus disease 2019 (COVID-19) in recovered patients remains largely unknown. This prospective cohort study evaluated clinical status of COVID-19 and explored the associated risk factors.

Methods

At the outpatient visit, patients underwent routine blood tests, physical examinations, pulmonary function tests, 6-min walk test, high-resolution computed tomography (CT) of the chest, and extrapulmonary organ function tests.

Results

230 patients were analyzed. Half (52.7%) reported at least one symptom, most commonly fatigue (20.3%) and sleep difficulties (15.8%). Anxiety (8.2%), depression (11.3%), post-traumatic symptoms (10.3%), and sleep disorders (26.3%) were also reported. Diffusion impairments were found in 35.4% of the patients. Abnormal chest CT scans were present in 63.5% of the patients, mainly reticulation and ground-glass opacities. Further, a persistent decline in kidney function was observed after discharge. SARS-CoV-2-specific antibodies of IgA, IgG, and IgM were positive in 56.4%, 96.3%, and 15.2% of patients, respectively. Multivariable logistic regression showed that disease severity, age, and sex were closely related to patient recovery.

Conclusions

One year after hospital discharge, patients recovered from COVID-19 continued to experience both pulmonary and extrapulmonary dysfunction. While paying attention to pulmonary manifestations of COVID-19, follow-up studies on extrapulmonary manifestations should be strengthened.

SUBMITTER: Li D 

PROVIDER: S-EPMC9272871 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature

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Clinical status of patients 1 year after hospital discharge following recovery from COVID-19: a prospective cohort study.

Li Dapeng D   Liao Xuejiao X   Ma Zhenghua Z   Zhang Lina L   Dong Jingke J   Zheng Guoqin G   Zi Mei M   Peng Wujian W   Wei Lanlan L   Li Zhiyan Z   Kong Yingjun Y   Wang Lifei L   Liu Dongjing D   Wang Fang F   He Qing Q   Li Guobao G   Zhang Zheng Z   Liu Lei L  

Annals of intensive care 20220710 1


<h4>Background</h4>The long-term clinical status of coronavirus disease 2019 (COVID-19) in recovered patients remains largely unknown. This prospective cohort study evaluated clinical status of COVID-19 and explored the associated risk factors.<h4>Methods</h4>At the outpatient visit, patients underwent routine blood tests, physical examinations, pulmonary function tests, 6-min walk test, high-resolution computed tomography (CT) of the chest, and extrapulmonary organ function tests.<h4>Results</h  ...[more]

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