1887
Volume 2023, Issue 1
  • EISSN:

Abstract

Many patients continue to have symptoms for a prolonged period following COVID-19. In some cases, these symptoms manifest immediately after the acute phase of infection, while in others, they fall within the definition of post-COVID syndrome, persisting beyond 12 weeks. As a result, patients are in a state of anxiety as no established mechanism is available to identify and guide such patients for follow-up. Understanding the persistence of symptoms beyond the acute phase is crucial for providing appropriate care and support to these individuals.

This descriptive cohort study was conducted at the Colombo South Teaching Hospital, Sri Lanka, among patients who had laboratory-confirmed COVID-19 and were discharged from the hospital but experienced persistent symptoms after four weeks. Data collection was carried out through telephone interviews conducted by the investigators.

A total of 500 patients were included in the study with a mean age of 48 years, of which 346 (69.2%) had not required supplemental oxygen during the acute infection, while 142 patients (28.4%) required supplemental oxygen, 10 (2%) required ICU care and 2 (0.4%) required intubation. Of the symptoms reported by these patients one month after the acute infection, the most frequently reported symptom was fatigue (63.6%), followed by breathlessness (32.6%) and musculoskeletal pain/discomfort (28.2%).

In conclusion, our study sheds light on the persistence of symptoms among discharged COVID-19 patients in a tertiary care hospital in Sri Lanka. We found that many individuals continue to experience symptoms beyond the acute phase of infection. This highlights the urgent need for a systematic approach to identify and provide appropriate care for these patients, as they face uncertainty and anxiety without established mechanisms for follow-up.

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/content/journals/10.5339/qjph.2023.4
2023-06-22
2024-05-18
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References

  1. Post COVID-19 condition (Long COVID) [Internet]. [cited 2023 May 21]. Available from: https://www.who.int/europe/news-room/fact-sheets/item/post-covid-19-condition
  2. The prevalence of long COVID symptoms and COVID-19 complications - Office for National Statistics [Internet]. [cited 2023 May 21]. Available from: https://www.ons.gov.uk/news/statementsandletters/theprevalenceoflongcovidsymptomsandcovid19complications
  3. Augustin M, Schommers P, Stecher M, Dewald F, Gieselmann L, Gruell H, et al. Post-COVID syndrome in non-hospitalized patients with COVID-19: a longitudinal prospective cohort study. The Lancet Regional Health - Europe. 2021;6:1–8.
    [Google Scholar]
  4. Madewell ZJ, Yang Y, Longini IM, Halloran ME, Dean NE. Household Transmission of SARS-CoV-2: A Systematic Review and Meta-analysis. JAMA Netw Open [Internet]. 2020 Dec 1 [cited 2023 May 21];3(12):e2031756–e2031756. Available from: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2774102
    [Google Scholar]
  5. Hirschtick JL, Titus AR, Slocum E, Power LE, Hirschtick RE, Elliott MR, et al. Population-based estimates of post-acute sequelae of SARS-CoV-2 infection (PASC) prevalence and characteristics: A cross-sectional study. Clinical Infectious Diseases. 2021;
    [Google Scholar]
  6. Thompson EJ, Williams DM, Walker AJ, Mitchell RE, Niedzwiedz CL, Yang TC et al. Risk factors for long COVID: analyses of 10 longitudinal studies and electronic health records in the UK. medRxiv [Internet]. 2021;2021.06.24.21259277. Available from: http://medrxiv.org/content/early/2021/07/10/2021.06.24.21259277.abstract
    [Google Scholar]
  7. Kamal M, Abo Omirah M, Hussein A, Saeed H. Assessment and characterization of post-COVID-19 manifestations. Int J Clin Pract. 2021; 75:(3):0–2.
    [Google Scholar]
  8. Sudre CH, Murray B, Varsavsky T, Graham MS, Penfold RS, Bowyer RC et al.Attributes and predictors of long COVID. Nat Med. 2021; 27:(4):626–31.
  9. Taylor RR, Trivedi B, Patel N, Singh R, Ricketts WM, Elliott K, et al.Post-COVID symptoms were reported at asynchronous virtual review and stratified follow-up after COVID-19 pneumonia. Clinical Medicine, Journal of the Royal College of Physicians of London. 2021; 21:(4):384–91.
  10. Carvalho-Schneider C, Laurent E, Lemaignen A, Beaufils E, Bourbao-Tournois C, Laribi S, et al. Follow-up of adults with noncritical COVID-19 two months after symptom onset. Clinical Microbiology and Infection. 2021; 27:(2):258–63.
    [Google Scholar]
  11. Abeysuriya V, Seneviratne SL, De Silva AP, Mowjood R, Mowjood S, de Silva T, et al. Postdischarge outcomes of COVID-19 patients from South Asia: a prospective study. Trans R Soc Trop Med Hyg. 2022 Apr 28;trac039.
    [Google Scholar]
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  • Article Type: Research Article
Keyword(s): COVID-19healthcare utilizationpersistent symptoms and vaccination status
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