Non-hospitalised COVID-19 patients have more frequent long COVID-19 symptoms

BACKGROUND: Long COVID-19 syndrome refers to the persistence of symptoms for more than 12 weeks after the start of acute symptoms. The pathophysiology of this syndrome is not yet clear.OBJECTIVE: To assess long COVID-19 symptoms in hospitalised and non-hospitalised patients.METHODS: A cross-sectiona...

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Bibliographic Details
Published in:The international journal of tuberculosis and lung disease 2021-09, Vol.25 (9), p.732-737
Main Authors: Mohamed-Hussein, A. A. R., Amin, M. T., Makhlouf, H. A., Makhlouf, N. A., Galal, I., Abd-Elaal, H. K., Abdeltawab, D., Kholief, K. M. S., Hashem, M. K.
Format: Article
Language:English
Subjects:
Coronaviruses
COVID-19
COVID-19 - complications
COVID-19 - epidemiology
Cross-Sectional Studies
Hospitalised
Hospitalization
Humans
Long COVID
Long Covid-19
Non-Hospitalised
Patients
Post-Covid-19
Psychotherapy
Rehabilitation
Retrospective Studies
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Summary:BACKGROUND: Long COVID-19 syndrome refers to the persistence of symptoms for more than 12 weeks after the start of acute symptoms. The pathophysiology of this syndrome is not yet clear.OBJECTIVE: To assess long COVID-19 symptoms in hospitalised and non-hospitalised patients.METHODS: A cross-sectional survey was used. The study included 262 patients who were divided into two groups based on their hospital admission history: 167 (63.7%) were not hospitalised, while 95 (36.3%) were hospitalised.RESULTS: Long-COVID was reported in 157 out of 262 patients (59.9%), and was significantly more frequent in non-hospitalised patients (68.3% vs. 45.3%; P < 0.001). During the acute phase, hospitalised patients had more respiratory symptoms (95.9% vs. 85.6%), while non-hospitalised patients had more neuropsychiatric symptoms (84.4% vs. 69.5%; P < 0.05). Constitutional and neuropsychiatric symptoms were the most frequently reported persistent symptoms in both groups, but all persistent symptoms were more frequent in the non-hospitalised group (P < 0.005).CONCLUSION: Long COVID-19 symptoms affect both hospitalised and non-hospitalised patients. Neuropsychiatric manifestations were the most common persistent COVID-19 symptoms. Rehabilitation and psychotherapy could be advised for all recovered COVID-19 patients. Non-hospitalised COVID-19 patients should be counselled to contact healthcare providers whenever needed.
ISSN:1027-3719
1815-7920
DOI:10.5588/ijtld.21.0135