Post-discharge follow-up of patients with COVID-19: A Brazilian experience
Objective: The objective of this study is to evaluate post-acute symptoms in patients with confirmed severe and critical coronavirus disease 2019 infections. Methods: We evaluated patients with confirmed severe and critical coronavirus disease 2019 infections. Post-acute symptoms were defined as sym...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2022-05-01
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| Series: | SAGE Open Medicine |
| Online Access: | https://doi.org/10.1177/20503121221096602 |
| _version_ | 1818005663505186816 |
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| author | Luis Filipe Nakayama Müller Gonçalves Urias Arthur Sevalho Gonçalves Rafael Amorim Ribeiro Tiago de Almeida Macruz Rafael Baptista Pardo |
| author_facet | Luis Filipe Nakayama Müller Gonçalves Urias Arthur Sevalho Gonçalves Rafael Amorim Ribeiro Tiago de Almeida Macruz Rafael Baptista Pardo |
| author_sort | Luis Filipe Nakayama |
| collection | DOAJ |
| description | Objective: The objective of this study is to evaluate post-acute symptoms in patients with confirmed severe and critical coronavirus disease 2019 infections. Methods: We evaluated patients with confirmed severe and critical coronavirus disease 2019 infections. Post-acute symptoms were defined as symptoms persisting 4 weeks after the onset of the symptoms and classified as pulmonary, muscular, hematologic, neuropsychiatric, renal, and dermatological. Results: We recovered data from 565 patients (43.7% female) with a mean age of 61.1 years. In 18.2%, at least one hospital readmission was necessary and 11.1% died. In 62.6%, there was at least one persistent symptom, and 28.8% had more than one. Among associated factors, obesity, intensive care support, and mechanical ventilation were related to persistent symptoms. Conclusion: The most prevalent symptoms were pulmonary and neuropsychiatric sequelae, as reported in previous studies. This finding underscores the severity of the coronavirus disease 2019 infection and the need for follow-up after recovery from the initial illness. Obese patients, those requiring mechanical ventilation, female patients, and increased hospital length are at greater chance of having persistent symptoms. |
| first_indexed | 2024-04-14T04:48:06Z |
| format | Article |
| id | doaj.art-22878e21d8794e3586792ebe7330e762 |
| institution | Directory Open Access Journal |
| issn | 2050-3121 |
| language | English |
| last_indexed | 2024-04-14T04:48:06Z |
| publishDate | 2022-05-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medicine |
| spelling | doaj.art-22878e21d8794e3586792ebe7330e7622022-12-22T02:11:23ZengSAGE PublishingSAGE Open Medicine2050-31212022-05-011010.1177/20503121221096602Post-discharge follow-up of patients with COVID-19: A Brazilian experienceLuis Filipe Nakayama0Müller Gonçalves Urias1Arthur Sevalho Gonçalves2Rafael Amorim Ribeiro3Tiago de Almeida Macruz4Rafael Baptista Pardo5“Josanias Castanha Braga” Municipal Hospital—“Hospital Municipal de Parelheiros,” Sao Paulo, BrazilFederal University of Sao Paulo (UNIFESP), Sao Paulo, BrazilFederal University of Sao Paulo (UNIFESP), Sao Paulo, BrazilFederal University of Sao Paulo (UNIFESP), Sao Paulo, BrazilFederal University of Sao Paulo (UNIFESP), Sao Paulo, BrazilFederal University of Sao Paulo (UNIFESP), Sao Paulo, BrazilObjective: The objective of this study is to evaluate post-acute symptoms in patients with confirmed severe and critical coronavirus disease 2019 infections. Methods: We evaluated patients with confirmed severe and critical coronavirus disease 2019 infections. Post-acute symptoms were defined as symptoms persisting 4 weeks after the onset of the symptoms and classified as pulmonary, muscular, hematologic, neuropsychiatric, renal, and dermatological. Results: We recovered data from 565 patients (43.7% female) with a mean age of 61.1 years. In 18.2%, at least one hospital readmission was necessary and 11.1% died. In 62.6%, there was at least one persistent symptom, and 28.8% had more than one. Among associated factors, obesity, intensive care support, and mechanical ventilation were related to persistent symptoms. Conclusion: The most prevalent symptoms were pulmonary and neuropsychiatric sequelae, as reported in previous studies. This finding underscores the severity of the coronavirus disease 2019 infection and the need for follow-up after recovery from the initial illness. Obese patients, those requiring mechanical ventilation, female patients, and increased hospital length are at greater chance of having persistent symptoms.https://doi.org/10.1177/20503121221096602 |
| spellingShingle | Luis Filipe Nakayama Müller Gonçalves Urias Arthur Sevalho Gonçalves Rafael Amorim Ribeiro Tiago de Almeida Macruz Rafael Baptista Pardo Post-discharge follow-up of patients with COVID-19: A Brazilian experience SAGE Open Medicine |
| title | Post-discharge follow-up of patients with COVID-19: A Brazilian experience |
| title_full | Post-discharge follow-up of patients with COVID-19: A Brazilian experience |
| title_fullStr | Post-discharge follow-up of patients with COVID-19: A Brazilian experience |
| title_full_unstemmed | Post-discharge follow-up of patients with COVID-19: A Brazilian experience |
| title_short | Post-discharge follow-up of patients with COVID-19: A Brazilian experience |
| title_sort | post discharge follow up of patients with covid 19 a brazilian experience |
| url | https://doi.org/10.1177/20503121221096602 |
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