Post-COVID-19 Syndrome: Nine Months after SARS-CoV-2 Infection in a Cohort of 354 Patients: Data from the First Wave of COVID-19 in Nord Franche-Comté Hospital, France

(1) Background. Post-COVID-19 syndrome is defined as the persistence of symptoms after confirmed SARS-CoV-2 infection. (2) Methods. ANOSVID is an observational retrospective study in <i>Nord Franche-Comté</i> Hospital in France that included adult COVID-19 patients confirmed by RT-PCR fr...

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Main Authors: Souheil Zayet, Hajer Zahra, Pierre-Yves Royer, Can Tipirdamaz, Julien Mercier, Vincent Gendrin, Quentin Lepiller, Solène Marty-Quinternet, Molka Osman, Nabil Belfeki, Lynda Toko, Pauline Garnier, Alix Pierron, Julie Plantin, Louise Messin, Marc Villemain, Kevin Bouiller, Timothée Klopfenstein
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Microorganisms
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Online Access:https://www.mdpi.com/2076-2607/9/8/1719
Description
Summary:(1) Background. Post-COVID-19 syndrome is defined as the persistence of symptoms after confirmed SARS-CoV-2 infection. (2) Methods. ANOSVID is an observational retrospective study in <i>Nord Franche-Comté</i> Hospital in France that included adult COVID-19 patients confirmed by RT-PCR from 1 March 2020 to 31 May 2020. The aim was to describe patients with post-COVID-19 syndrome with persistent symptoms (PS group) and to compare them with the patients without persistent symptoms (no-PS group). (3) Results. Of the 354 COVID-19 patients, 35.9% (<i>n</i> = 127) reported persistence of at least one symptom after a mean of 289.1 ± 24.5 days after symptom onset. Moreover, 115 patients reported a recurrence of symptoms after recovery, and only 12 patients reported continuous symptoms. The mean age of patients was 48.6 years (19–93) ± 19.4, and 81 patients (63.8%) were female. Patients in the PS group had a longer duration of symptoms of initial acute SARS-CoV-2 infection than patients in the no-PS group (respectively, 57.1 ± 82.1 days versus 29.7 ± 42.1 days, <i>p</i> < 0.001). A majority of patients (<i>n</i> = 104, 81.9%) reported three or more symptoms. The most prevalent persistent symptoms were loss of smell (74.0%, <i>n</i> = 94), fatigue (53.5%, <i>n</i> = 68), loss of taste (31.5%, <i>n</i> = 40), and dyspnea (30.7%, <i>n</i> = 39). These were followed by pain symptoms (26.8% (<i>n</i> = 34), 26.0% (<i>n</i> = 33), 24.4% (<i>n</i> = 31); headache, arthralgia, and myalgia, respectively). More than half of patients reporting persistent symptoms (58%, <i>n</i> = 73) were healthcare workers (HCWs). Among outpatients, this population was more present in the PS group than the no-PS group ((86.6%) <i>n</i> = 71/82 versus (72.2%) <i>n</i> = 109/151, <i>p</i> = 0.012). Post-COVID-19 syndrome was more frequent in patients with a past history of chronic rhinosinusitis (8.7% (<i>n</i> = 11%) versus 1.3% (<i>n</i> = 3), <i>p</i> < 0.001). No significant difference was found regarding clinical characteristics and outcome, laboratory, imaging findings, and treatment received in the two groups. (4) Conclusions. More than a third of our COVID-19 patients presented persistent symptoms after SARS-CoV-2 infection, particularly through loss of smell, loss of taste, fatigue, and dyspnea, with a high prevalence in HCWs among COVID-19 outpatients.
ISSN:2076-2607