FamilyCoviDD19: results of a cross-sectional study—long-term outcomes of infected and uninfected household members

Objective In this study, we aimed to compare long-term physical and mental health outcome between SARS-CoV-2 infected and uninfected household members to differentiate between infection-related and pandemic-related outcomes after about two and a half years of the pandemic. Furthermore, possible diff...

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Main Authors: Reinhard Berner, Alexander Dalpke, Christian Lück, Jakob P Armann, Theresa S Horst, Maren Doenhardt, Svenja Dreßen, Paula Czyborra, Josephine Schneider, Christin Gano, Annet Bluschke, Magdalena Wekenborg, Judith Blankenburg
Format: Article
Language:English
Published: BMJ Publishing Group 2023-08-01
Series:Family Medicine and Community Health
Online Access:https://fmch.bmj.com/content/11/3/e002057.full
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author Reinhard Berner
Alexander Dalpke
Christian Lück
Jakob P Armann
Theresa S Horst
Maren Doenhardt
Svenja Dreßen
Paula Czyborra
Josephine Schneider
Christin Gano
Annet Bluschke
Magdalena Wekenborg
Judith Blankenburg
author_facet Reinhard Berner
Alexander Dalpke
Christian Lück
Jakob P Armann
Theresa S Horst
Maren Doenhardt
Svenja Dreßen
Paula Czyborra
Josephine Schneider
Christin Gano
Annet Bluschke
Magdalena Wekenborg
Judith Blankenburg
author_sort Reinhard Berner
collection DOAJ
description Objective In this study, we aimed to compare long-term physical and mental health outcome between SARS-CoV-2 infected and uninfected household members to differentiate between infection-related and pandemic-related outcomes after about two and a half years of the pandemic. Furthermore, possible differences in the outcome of adults and children and young people (CYP) were of interest.Design In a cross-sectional study design, we compared the long-term physical and mental health outcome of between infected and uninfected as well as between adult and CYP (household members).Setting The FamilyCoviDD19 study—a serology study in households—was initially conducted to evaluate virus transmission in a close contact setting focusing on households with children and adolescents in Germany. At least 1 year after initial infection in the respective households, a follow-up took place in which the prevalence and type of possible long-term consequences were surveyed on the basis of self-reported information on physical and mental health.Participant In this study, a total of 533 household members of 146 families participated and responded to our survey, including 296 (55.5%) adults and 237 (44.5%) CYP.Result The difference in frequency of reported symptoms between infected and uninfected individuals was very moderate, suggesting that the vast majority of reported symptoms were not attributable to a previous SARS-CoV-2 infection. However, regardless of age and infection status, this study showed overall high rates of self-reported symptoms with CYP having fewer long-term sequelae than adults one year after infection. Furthermore, over 50% of those reporting symptoms were not affected in their daily life, with CYPs reporting an even lower percentage compared with adults.Conclusion CYP are at reduced risk not only to develop symptomatic infection or severe disease courses (previous analyses) but also to develop infection-associated long-term sequelae (this study). Independent of infection CYP reported high rates of neurocognitive, pain, somatic and mood symptoms, which makes the influence of the pandemic itself—including pandemic control measures—decisive.
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spelling doaj.art-abd65bf360c841159d11a0ba460e63982023-10-03T16:00:07ZengBMJ Publishing GroupFamily Medicine and Community Health2305-69832009-87742023-08-0111310.1136/fmch-2022-002057FamilyCoviDD19: results of a cross-sectional study—long-term outcomes of infected and uninfected household membersReinhard Berner0Alexander Dalpke1Christian Lück2Jakob P Armann3Theresa S Horst4Maren Doenhardt5Svenja Dreßen6Paula Czyborra7Josephine Schneider8Christin Gano9Annet Bluschke10Magdalena Wekenborg11Judith Blankenburg12Department of Pediatrics, University Hospital and Medical Faculty Carl Gustav Carus, Technische Universität Dresden, Dresden, GermanyDepartment of Infectious Diseases, Medical Microbiology and Hygiene, University Hospital Heidelberg, Heidelberg, GermanyInstitute of Medical Microbiology and Virology, University Hospital and Medical Faculty Carl Gustav Carus, Technische Universität Dresden, Dresden, GermanyDepartment of Pediatrics, University Hospital and Medical Faculty Carl Gustav Carus, Technische Universität Dresden, Dresden, GermanyDepartment of Pediatrics, University Hospital and Medical Faculty Carl Gustav Carus, Technische Universität Dresden, Dresden, GermanyDepartment of Pediatrics, University Hospital and Medical Faculty Carl Gustav Carus, Technische Universität Dresden, Dresden, GermanyDepartment of Pediatrics, University Hospital and Medical Faculty Carl Gustav Carus, Technische Universität Dresden, Dresden, GermanyDepartment of Pediatrics, University Hospital and Medical Faculty Carl Gustav Carus, Technische Universität Dresden, Dresden, GermanyDepartment of Pediatrics, University Hospital and Medical Faculty Carl Gustav Carus, Technische Universität Dresden, Dresden, GermanyDepartment of Pediatrics, University Hospital and Medical Faculty Carl Gustav Carus, Technische Universität Dresden, Dresden, GermanyDepartment of Child and Adolescent Psychiatry, University Hospital and Medical Faculty Carl Gustav Carus, Technische Universität Dresden, Dresden, GermanyBiological Psychology, Technische Universität Dresden, Dresden, GermanyDepartment of Pediatrics, University Hospital and Medical Faculty Carl Gustav Carus, Technische Universität Dresden, Dresden, GermanyObjective In this study, we aimed to compare long-term physical and mental health outcome between SARS-CoV-2 infected and uninfected household members to differentiate between infection-related and pandemic-related outcomes after about two and a half years of the pandemic. Furthermore, possible differences in the outcome of adults and children and young people (CYP) were of interest.Design In a cross-sectional study design, we compared the long-term physical and mental health outcome of between infected and uninfected as well as between adult and CYP (household members).Setting The FamilyCoviDD19 study—a serology study in households—was initially conducted to evaluate virus transmission in a close contact setting focusing on households with children and adolescents in Germany. At least 1 year after initial infection in the respective households, a follow-up took place in which the prevalence and type of possible long-term consequences were surveyed on the basis of self-reported information on physical and mental health.Participant In this study, a total of 533 household members of 146 families participated and responded to our survey, including 296 (55.5%) adults and 237 (44.5%) CYP.Result The difference in frequency of reported symptoms between infected and uninfected individuals was very moderate, suggesting that the vast majority of reported symptoms were not attributable to a previous SARS-CoV-2 infection. However, regardless of age and infection status, this study showed overall high rates of self-reported symptoms with CYP having fewer long-term sequelae than adults one year after infection. Furthermore, over 50% of those reporting symptoms were not affected in their daily life, with CYPs reporting an even lower percentage compared with adults.Conclusion CYP are at reduced risk not only to develop symptomatic infection or severe disease courses (previous analyses) but also to develop infection-associated long-term sequelae (this study). Independent of infection CYP reported high rates of neurocognitive, pain, somatic and mood symptoms, which makes the influence of the pandemic itself—including pandemic control measures—decisive.https://fmch.bmj.com/content/11/3/e002057.full
spellingShingle Reinhard Berner
Alexander Dalpke
Christian Lück
Jakob P Armann
Theresa S Horst
Maren Doenhardt
Svenja Dreßen
Paula Czyborra
Josephine Schneider
Christin Gano
Annet Bluschke
Magdalena Wekenborg
Judith Blankenburg
FamilyCoviDD19: results of a cross-sectional study—long-term outcomes of infected and uninfected household members
Family Medicine and Community Health
title FamilyCoviDD19: results of a cross-sectional study—long-term outcomes of infected and uninfected household members
title_full FamilyCoviDD19: results of a cross-sectional study—long-term outcomes of infected and uninfected household members
title_fullStr FamilyCoviDD19: results of a cross-sectional study—long-term outcomes of infected and uninfected household members
title_full_unstemmed FamilyCoviDD19: results of a cross-sectional study—long-term outcomes of infected and uninfected household members
title_short FamilyCoviDD19: results of a cross-sectional study—long-term outcomes of infected and uninfected household members
title_sort familycovidd19 results of a cross sectional study long term outcomes of infected and uninfected household members
url https://fmch.bmj.com/content/11/3/e002057.full
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