Correlation between Acute Phase Symptoms with Neurological Long Covid Symptoms on COVID-19 Survivors

Objective: To investigate prolonged neurological impacts of COVID-19 and establish a connection between initial COVID-19 symptom severity and chronic fatigue syndrome (CFS) development, poor sleep quality (PSQ), and cognitive impairment (CI) in individuals recovered from COVID-19. Methods:  This cr...

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Main Authors: Ahmad Rizal Ganiem, Siuliyanty Siuliyanty, Anam Ong, Uni Gamayani, Lisda Amalia, Yusuf Wibisono
Format: Article
Language:English
Published: Universitas Padjadjaran 2023-09-01
Series:International Journal of Integrated Health Sciences
Subjects:
Online Access:https://journal.fk.unpad.ac.id/index.php/ijihs/article/view/3215
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author Ahmad Rizal Ganiem
Siuliyanty Siuliyanty
Anam Ong
Uni Gamayani
Lisda Amalia
Yusuf Wibisono
author_facet Ahmad Rizal Ganiem
Siuliyanty Siuliyanty
Anam Ong
Uni Gamayani
Lisda Amalia
Yusuf Wibisono
author_sort Ahmad Rizal Ganiem
collection DOAJ
description Objective: To investigate prolonged neurological impacts of COVID-19 and establish a connection between initial COVID-19 symptom severity and chronic fatigue syndrome (CFS) development, poor sleep quality (PSQ), and cognitive impairment (CI) in individuals recovered from COVID-19. Methods:  This cross-sectional study recruited COVID-19 survivors at Dr. Hasan Sadikin General Hospital Bandung, Indonesia, between June and December 2021. All participants gave informed consent and underwent interviews on demography, clinical features, long-COVID questionnaire, and neurological examination. Participants underwent cognitive examination (MOCA-INA), Chalder Fatigue Scale and Pittsburgh Sleep Quality Index (PSQI) to assess CI, CFS, and PSQ variables. Chi-Square analysis was performed to determine the probability of neurological long COVID-19 syndrome manifestations using SPSS 24.0. Results: Of the 127 participants recruited, 67.7% were women, median (IQR) age of 33 (21-65) years, and time from hospitalization to examination of nine months (1-13). The most common neurological Long COVID symptoms were PSQ (59.8. %), CFS (51.2%), and CI (33.9%). Participants with more than five acute phase COVID-19 symptoms had a higher probability of CFS and CI (OR 2.38 (1, 16-4.9, CI 95%); OR 2.20 (1.01-4.79, CI 95%)) than those with less than five symptoms. The study did not find a significant correlation between sleep quality and number of acute-phase COVID-19 symptoms (OR 1.56 (0.76-3.20, CI 95%)). Conclusion: Almost two-thirds of the COVID-19 survivors experienced PSQ, more than half had CFS, and almost one-third had CI. The study revealed an increasing likelihood of CFS and CI in COVID-19 survivors as the number of acute COVID-19 symptoms increases.
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spelling doaj.art-ae81ad87e5294475bd5acebbff7cae362023-11-28T09:18:09ZengUniversitas PadjadjaranInternational Journal of Integrated Health Sciences2302-13812338-45062023-09-0111211211910.15850/ijihs.v11n2.32151637Correlation between Acute Phase Symptoms with Neurological Long Covid Symptoms on COVID-19 SurvivorsAhmad Rizal Ganiem0Siuliyanty Siuliyanty1Anam Ong2Uni Gamayani3Lisda Amalia4Yusuf Wibisono5Department of Neurology Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital BandungDepartment of Neurology Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital BandungDepartment of Neurology Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital BandungDepartment of Neurology Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital BandungDepartment of Neurology Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital BandungDepartment of Neurology Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital BandungObjective: To investigate prolonged neurological impacts of COVID-19 and establish a connection between initial COVID-19 symptom severity and chronic fatigue syndrome (CFS) development, poor sleep quality (PSQ), and cognitive impairment (CI) in individuals recovered from COVID-19. Methods:  This cross-sectional study recruited COVID-19 survivors at Dr. Hasan Sadikin General Hospital Bandung, Indonesia, between June and December 2021. All participants gave informed consent and underwent interviews on demography, clinical features, long-COVID questionnaire, and neurological examination. Participants underwent cognitive examination (MOCA-INA), Chalder Fatigue Scale and Pittsburgh Sleep Quality Index (PSQI) to assess CI, CFS, and PSQ variables. Chi-Square analysis was performed to determine the probability of neurological long COVID-19 syndrome manifestations using SPSS 24.0. Results: Of the 127 participants recruited, 67.7% were women, median (IQR) age of 33 (21-65) years, and time from hospitalization to examination of nine months (1-13). The most common neurological Long COVID symptoms were PSQ (59.8. %), CFS (51.2%), and CI (33.9%). Participants with more than five acute phase COVID-19 symptoms had a higher probability of CFS and CI (OR 2.38 (1, 16-4.9, CI 95%); OR 2.20 (1.01-4.79, CI 95%)) than those with less than five symptoms. The study did not find a significant correlation between sleep quality and number of acute-phase COVID-19 symptoms (OR 1.56 (0.76-3.20, CI 95%)). Conclusion: Almost two-thirds of the COVID-19 survivors experienced PSQ, more than half had CFS, and almost one-third had CI. The study revealed an increasing likelihood of CFS and CI in COVID-19 survivors as the number of acute COVID-19 symptoms increases.https://journal.fk.unpad.ac.id/index.php/ijihs/article/view/3215chronic fatigue syndromecognitive impairmentlong covidpoor sleep quality
spellingShingle Ahmad Rizal Ganiem
Siuliyanty Siuliyanty
Anam Ong
Uni Gamayani
Lisda Amalia
Yusuf Wibisono
Correlation between Acute Phase Symptoms with Neurological Long Covid Symptoms on COVID-19 Survivors
International Journal of Integrated Health Sciences
chronic fatigue syndrome
cognitive impairment
long covid
poor sleep quality
title Correlation between Acute Phase Symptoms with Neurological Long Covid Symptoms on COVID-19 Survivors
title_full Correlation between Acute Phase Symptoms with Neurological Long Covid Symptoms on COVID-19 Survivors
title_fullStr Correlation between Acute Phase Symptoms with Neurological Long Covid Symptoms on COVID-19 Survivors
title_full_unstemmed Correlation between Acute Phase Symptoms with Neurological Long Covid Symptoms on COVID-19 Survivors
title_short Correlation between Acute Phase Symptoms with Neurological Long Covid Symptoms on COVID-19 Survivors
title_sort correlation between acute phase symptoms with neurological long covid symptoms on covid 19 survivors
topic chronic fatigue syndrome
cognitive impairment
long covid
poor sleep quality
url https://journal.fk.unpad.ac.id/index.php/ijihs/article/view/3215
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