Symptoms, symptom severity, and contact with primary health care among nonhospitalized COVID-19 patients: a Norwegian web-based survey

AbstractObjective Dependent on clinical setting, geography and timing during the pandemic, variable symptoms of COVID-19 have been reported. Our aim was to describe self-reported symptom intensity and contact with primary health care among nonhospitalized COVID-19 patients.Design Web-based survey.Se...

Full description

Bibliographic Details
Main Authors: Guro H. Fossum, Anja Maria Brænd, Silje Rebekka Heltveit-Olsen, Guri Rørtveit, Sigurd Høye, Jørund Straand
Format: Article
Language:English
Published: Taylor & Francis Group 2023-10-01
Series:Scandinavian Journal of Primary Health Care
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/02813432.2023.2266477
_version_ 1797447919000879104
author Guro H. Fossum
Anja Maria Brænd
Silje Rebekka Heltveit-Olsen
Guri Rørtveit
Sigurd Høye
Jørund Straand
author_facet Guro H. Fossum
Anja Maria Brænd
Silje Rebekka Heltveit-Olsen
Guri Rørtveit
Sigurd Høye
Jørund Straand
author_sort Guro H. Fossum
collection DOAJ
description AbstractObjective Dependent on clinical setting, geography and timing during the pandemic, variable symptoms of COVID-19 have been reported. Our aim was to describe self-reported symptom intensity and contact with primary health care among nonhospitalized COVID-19 patients.Design Web-based survey.Setting Norway between March 2020 and July 2021.Subjects Adults in home isolation.Main outcome measures Participants reported possible COVID-19 symptoms, duration of symptoms, score of symptom severity (Likert scale 0–3), risk factors, comorbidity, and questions regarding follow-up and information from primary health care.Results Of 477 participants, 379 (79%) had PCR-confirmed COVID-19, 324 (68%) were females, and 90% were younger than 60 years. Most common symptoms were “fatigue and/or muscle ache” (80%), nasal symptoms (79%), and headache (73%). The mean severity of symptoms was generally low. Symptoms with the highest mean scores were “fatigue and/or muscle ache” (1.51, SD 1.02) and headache (1.27 (SD 1.00). Mean scores for severity ranged from 0.28 (nausea) to 1.51 (fatigue and/or muscle ache). Women reported higher symptom scores than men. For “affected sense of smell and/or taste”, patients either reported a high symptom score (24%) or no affliction at all (49%). A third of the participants (32%) were followed-up by primary care health personnel, and almost 40% had sought or received information about COVID-19 from general practitioners.Conclusion The mean severity of symptoms among nonhospitalized adult COVID-19 patients was generally low. We found large variations in the occurrence and severity of symptoms between patients.
first_indexed 2024-03-09T14:02:53Z
format Article
id doaj.art-58abab3c520a49a5aab8e2748e921161
institution Directory Open Access Journal
issn 0281-3432
1502-7724
language English
last_indexed 2024-03-09T14:02:53Z
publishDate 2023-10-01
publisher Taylor & Francis Group
record_format Article
series Scandinavian Journal of Primary Health Care
spelling doaj.art-58abab3c520a49a5aab8e2748e9211612023-11-30T05:39:19ZengTaylor & Francis GroupScandinavian Journal of Primary Health Care0281-34321502-77242023-10-0141442743410.1080/02813432.2023.2266477Symptoms, symptom severity, and contact with primary health care among nonhospitalized COVID-19 patients: a Norwegian web-based surveyGuro H. Fossum0Anja Maria Brænd1Silje Rebekka Heltveit-Olsen2Guri Rørtveit3Sigurd Høye4Jørund Straand5The Antibiotic Centre for Primary Care, Department of General Practice, University of Oslo, Oslo, NorwayThe Antibiotic Centre for Primary Care, Department of General Practice, University of Oslo, Oslo, NorwayThe Antibiotic Centre for Primary Care, Department of General Practice, University of Oslo, Oslo, NorwayDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, NorwayThe Antibiotic Centre for Primary Care, Department of General Practice, University of Oslo, Oslo, NorwayGeneral Practice Research Unit (AFE), Department of General Practice, University of Oslo, Oslo, NorwayAbstractObjective Dependent on clinical setting, geography and timing during the pandemic, variable symptoms of COVID-19 have been reported. Our aim was to describe self-reported symptom intensity and contact with primary health care among nonhospitalized COVID-19 patients.Design Web-based survey.Setting Norway between March 2020 and July 2021.Subjects Adults in home isolation.Main outcome measures Participants reported possible COVID-19 symptoms, duration of symptoms, score of symptom severity (Likert scale 0–3), risk factors, comorbidity, and questions regarding follow-up and information from primary health care.Results Of 477 participants, 379 (79%) had PCR-confirmed COVID-19, 324 (68%) were females, and 90% were younger than 60 years. Most common symptoms were “fatigue and/or muscle ache” (80%), nasal symptoms (79%), and headache (73%). The mean severity of symptoms was generally low. Symptoms with the highest mean scores were “fatigue and/or muscle ache” (1.51, SD 1.02) and headache (1.27 (SD 1.00). Mean scores for severity ranged from 0.28 (nausea) to 1.51 (fatigue and/or muscle ache). Women reported higher symptom scores than men. For “affected sense of smell and/or taste”, patients either reported a high symptom score (24%) or no affliction at all (49%). A third of the participants (32%) were followed-up by primary care health personnel, and almost 40% had sought or received information about COVID-19 from general practitioners.Conclusion The mean severity of symptoms among nonhospitalized adult COVID-19 patients was generally low. We found large variations in the occurrence and severity of symptoms between patients.https://www.tandfonline.com/doi/10.1080/02813432.2023.2266477SARS-CoV-2COVID-19primary health caresigns and symptomssurveys and questionnaires
spellingShingle Guro H. Fossum
Anja Maria Brænd
Silje Rebekka Heltveit-Olsen
Guri Rørtveit
Sigurd Høye
Jørund Straand
Symptoms, symptom severity, and contact with primary health care among nonhospitalized COVID-19 patients: a Norwegian web-based survey
Scandinavian Journal of Primary Health Care
SARS-CoV-2
COVID-19
primary health care
signs and symptoms
surveys and questionnaires
title Symptoms, symptom severity, and contact with primary health care among nonhospitalized COVID-19 patients: a Norwegian web-based survey
title_full Symptoms, symptom severity, and contact with primary health care among nonhospitalized COVID-19 patients: a Norwegian web-based survey
title_fullStr Symptoms, symptom severity, and contact with primary health care among nonhospitalized COVID-19 patients: a Norwegian web-based survey
title_full_unstemmed Symptoms, symptom severity, and contact with primary health care among nonhospitalized COVID-19 patients: a Norwegian web-based survey
title_short Symptoms, symptom severity, and contact with primary health care among nonhospitalized COVID-19 patients: a Norwegian web-based survey
title_sort symptoms symptom severity and contact with primary health care among nonhospitalized covid 19 patients a norwegian web based survey
topic SARS-CoV-2
COVID-19
primary health care
signs and symptoms
surveys and questionnaires
url https://www.tandfonline.com/doi/10.1080/02813432.2023.2266477
work_keys_str_mv AT gurohfossum symptomssymptomseverityandcontactwithprimaryhealthcareamongnonhospitalizedcovid19patientsanorwegianwebbasedsurvey
AT anjamariabrænd symptomssymptomseverityandcontactwithprimaryhealthcareamongnonhospitalizedcovid19patientsanorwegianwebbasedsurvey
AT siljerebekkaheltveitolsen symptomssymptomseverityandcontactwithprimaryhealthcareamongnonhospitalizedcovid19patientsanorwegianwebbasedsurvey
AT gurirørtveit symptomssymptomseverityandcontactwithprimaryhealthcareamongnonhospitalizedcovid19patientsanorwegianwebbasedsurvey
AT sigurdhøye symptomssymptomseverityandcontactwithprimaryhealthcareamongnonhospitalizedcovid19patientsanorwegianwebbasedsurvey
AT jørundstraand symptomssymptomseverityandcontactwithprimaryhealthcareamongnonhospitalizedcovid19patientsanorwegianwebbasedsurvey