Associated-Onset Symptoms and Post-COVID-19 Symptoms in Hospitalized COVID-19 Survivors Infected with Wuhan, Alpha or Delta SARS-CoV-2 Variant

This study compared associated-symptoms at the acute phase of infection and post-COVID-19 symptoms between individuals hospitalized with the Wuhan, Alpha or Delta SARS-CoV-2 variant. Non-vaccinated individuals hospitalized because of SARS-CoV-2 infection in one hospital during three different waves...

Full description

Bibliographic Details
Main Authors: César Fernández-de-las-Peñas, Ignacio Cancela-Cilleruelo, Jorge Rodríguez-Jiménez, Victor Gómez-Mayordomo, Oscar J. Pellicer-Valero, José D. Martín-Guerrero, Valentín Hernández-Barrera, Lars Arendt-Nielsen, Juan Torres-Macho
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Pathogens
Subjects:
Online Access:https://www.mdpi.com/2076-0817/11/7/725
_version_ 1797444589041221632
author César Fernández-de-las-Peñas
Ignacio Cancela-Cilleruelo
Jorge Rodríguez-Jiménez
Victor Gómez-Mayordomo
Oscar J. Pellicer-Valero
José D. Martín-Guerrero
Valentín Hernández-Barrera
Lars Arendt-Nielsen
Juan Torres-Macho
author_facet César Fernández-de-las-Peñas
Ignacio Cancela-Cilleruelo
Jorge Rodríguez-Jiménez
Victor Gómez-Mayordomo
Oscar J. Pellicer-Valero
José D. Martín-Guerrero
Valentín Hernández-Barrera
Lars Arendt-Nielsen
Juan Torres-Macho
author_sort César Fernández-de-las-Peñas
collection DOAJ
description This study compared associated-symptoms at the acute phase of infection and post-COVID-19 symptoms between individuals hospitalized with the Wuhan, Alpha or Delta SARS-CoV-2 variant. Non-vaccinated individuals hospitalized because of SARS-CoV-2 infection in one hospital during three different waves of the pandemic (Wuhan, Alpha or Delta) were scheduled for a telephone interview. The presence of post-COVID-19 symptoms was systematically assessed. Hospitalization and clinical data were collected from medical records. A total of 201 patients infected with the Wuhan variant, 211 with the Alpha variant and 202 with Delta variant were assessed six months after hospitalization. Patients infected with the Wuhan variant had a greater number of symptoms at hospital admission (higher prevalence of fever, dyspnea or gastrointestinal problems) than those infected with Alpha or Delta variant (<i>p</i> < 0.01). A greater proportion of patients infected with the Delta variant reported headache, anosmia or ageusia as onset symptoms (<i>p</i> < 0.01). The mean number of post-COVID-19 symptoms was higher (<i>p</i> < 0.001) in individuals infected with the Wuhan variant (mean: 2.7 ± 1.3) than in those infected with the Alpha (mean: 1.8 ± 1.1) or Delta (mean: 2.1 ± 1.5) variant. Post-COVID-19 dyspnea was more prevalent (<i>p</i> < 0.001) in people infected with the Wuhan variant, whereas hair loss was higher in those infected with the Delta variant (<i>p</i> = 0.002). No differences in post-COVID-19 fatigue by SARS-CoV-2 variant were found (<i>p</i> = 0.594). Differences in COVID-19 associated onset symptoms and post-COVID-19 dyspnea were observed depending on the SARS-CoV-2 variant. The presence of fatigue was a common post-COVID-19 symptom to all SARS-CoV-2 variants.
first_indexed 2024-03-09T13:13:29Z
format Article
id doaj.art-a6338b222556405886d23a6ca1d45929
institution Directory Open Access Journal
issn 2076-0817
language English
last_indexed 2024-03-09T13:13:29Z
publishDate 2022-06-01
publisher MDPI AG
record_format Article
series Pathogens
spelling doaj.art-a6338b222556405886d23a6ca1d459292023-11-30T21:38:53ZengMDPI AGPathogens2076-08172022-06-0111772510.3390/pathogens11070725Associated-Onset Symptoms and Post-COVID-19 Symptoms in Hospitalized COVID-19 Survivors Infected with Wuhan, Alpha or Delta SARS-CoV-2 VariantCésar Fernández-de-las-Peñas0Ignacio Cancela-Cilleruelo1Jorge Rodríguez-Jiménez2Victor Gómez-Mayordomo3Oscar J. Pellicer-Valero4José D. Martín-Guerrero5Valentín Hernández-Barrera6Lars Arendt-Nielsen7Juan Torres-Macho8Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos (URJC), 28922 Madrid, SpainDepartment of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos (URJC), 28922 Madrid, SpainDepartment of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos (URJC), 28922 Madrid, SpainDepartment of Neurology, Hospital Clínico San Carlos, 28040 Madrid, SpainIntelligent Data Analysis Laboratory, Department of Electronic Engineering, ETSE (Engineering School), Universitat de València (UV), 46010 Valencia, SpainIntelligent Data Analysis Laboratory, Department of Electronic Engineering, ETSE (Engineering School), Universitat de València (UV), 46010 Valencia, SpainDepartment of Public Health, Universidad Rey Juan Carlos (URJC), 28922 Madrid, SpainCNAP, Center for Sensory-Motor Interaction (SMI), Department of Health Science and Technology, Faculty of Medicine, Aalborg University, 9220 Aalborg, DenmarkDepartment of Internal Medicine, Hospital Universitario Infanta Leonor-Virgen de la Torre, 28031 Madrid, SpainThis study compared associated-symptoms at the acute phase of infection and post-COVID-19 symptoms between individuals hospitalized with the Wuhan, Alpha or Delta SARS-CoV-2 variant. Non-vaccinated individuals hospitalized because of SARS-CoV-2 infection in one hospital during three different waves of the pandemic (Wuhan, Alpha or Delta) were scheduled for a telephone interview. The presence of post-COVID-19 symptoms was systematically assessed. Hospitalization and clinical data were collected from medical records. A total of 201 patients infected with the Wuhan variant, 211 with the Alpha variant and 202 with Delta variant were assessed six months after hospitalization. Patients infected with the Wuhan variant had a greater number of symptoms at hospital admission (higher prevalence of fever, dyspnea or gastrointestinal problems) than those infected with Alpha or Delta variant (<i>p</i> < 0.01). A greater proportion of patients infected with the Delta variant reported headache, anosmia or ageusia as onset symptoms (<i>p</i> < 0.01). The mean number of post-COVID-19 symptoms was higher (<i>p</i> < 0.001) in individuals infected with the Wuhan variant (mean: 2.7 ± 1.3) than in those infected with the Alpha (mean: 1.8 ± 1.1) or Delta (mean: 2.1 ± 1.5) variant. Post-COVID-19 dyspnea was more prevalent (<i>p</i> < 0.001) in people infected with the Wuhan variant, whereas hair loss was higher in those infected with the Delta variant (<i>p</i> = 0.002). No differences in post-COVID-19 fatigue by SARS-CoV-2 variant were found (<i>p</i> = 0.594). Differences in COVID-19 associated onset symptoms and post-COVID-19 dyspnea were observed depending on the SARS-CoV-2 variant. The presence of fatigue was a common post-COVID-19 symptom to all SARS-CoV-2 variants.https://www.mdpi.com/2076-0817/11/7/725COVID-19post-COVID-19variantdeltaalphaWuhan
spellingShingle César Fernández-de-las-Peñas
Ignacio Cancela-Cilleruelo
Jorge Rodríguez-Jiménez
Victor Gómez-Mayordomo
Oscar J. Pellicer-Valero
José D. Martín-Guerrero
Valentín Hernández-Barrera
Lars Arendt-Nielsen
Juan Torres-Macho
Associated-Onset Symptoms and Post-COVID-19 Symptoms in Hospitalized COVID-19 Survivors Infected with Wuhan, Alpha or Delta SARS-CoV-2 Variant
Pathogens
COVID-19
post-COVID-19
variant
delta
alpha
Wuhan
title Associated-Onset Symptoms and Post-COVID-19 Symptoms in Hospitalized COVID-19 Survivors Infected with Wuhan, Alpha or Delta SARS-CoV-2 Variant
title_full Associated-Onset Symptoms and Post-COVID-19 Symptoms in Hospitalized COVID-19 Survivors Infected with Wuhan, Alpha or Delta SARS-CoV-2 Variant
title_fullStr Associated-Onset Symptoms and Post-COVID-19 Symptoms in Hospitalized COVID-19 Survivors Infected with Wuhan, Alpha or Delta SARS-CoV-2 Variant
title_full_unstemmed Associated-Onset Symptoms and Post-COVID-19 Symptoms in Hospitalized COVID-19 Survivors Infected with Wuhan, Alpha or Delta SARS-CoV-2 Variant
title_short Associated-Onset Symptoms and Post-COVID-19 Symptoms in Hospitalized COVID-19 Survivors Infected with Wuhan, Alpha or Delta SARS-CoV-2 Variant
title_sort associated onset symptoms and post covid 19 symptoms in hospitalized covid 19 survivors infected with wuhan alpha or delta sars cov 2 variant
topic COVID-19
post-COVID-19
variant
delta
alpha
Wuhan
url https://www.mdpi.com/2076-0817/11/7/725
work_keys_str_mv AT cesarfernandezdelaspenas associatedonsetsymptomsandpostcovid19symptomsinhospitalizedcovid19survivorsinfectedwithwuhanalphaordeltasarscov2variant
AT ignaciocancelacilleruelo associatedonsetsymptomsandpostcovid19symptomsinhospitalizedcovid19survivorsinfectedwithwuhanalphaordeltasarscov2variant
AT jorgerodriguezjimenez associatedonsetsymptomsandpostcovid19symptomsinhospitalizedcovid19survivorsinfectedwithwuhanalphaordeltasarscov2variant
AT victorgomezmayordomo associatedonsetsymptomsandpostcovid19symptomsinhospitalizedcovid19survivorsinfectedwithwuhanalphaordeltasarscov2variant
AT oscarjpellicervalero associatedonsetsymptomsandpostcovid19symptomsinhospitalizedcovid19survivorsinfectedwithwuhanalphaordeltasarscov2variant
AT josedmartinguerrero associatedonsetsymptomsandpostcovid19symptomsinhospitalizedcovid19survivorsinfectedwithwuhanalphaordeltasarscov2variant
AT valentinhernandezbarrera associatedonsetsymptomsandpostcovid19symptomsinhospitalizedcovid19survivorsinfectedwithwuhanalphaordeltasarscov2variant
AT larsarendtnielsen associatedonsetsymptomsandpostcovid19symptomsinhospitalizedcovid19survivorsinfectedwithwuhanalphaordeltasarscov2variant
AT juantorresmacho associatedonsetsymptomsandpostcovid19symptomsinhospitalizedcovid19survivorsinfectedwithwuhanalphaordeltasarscov2variant