COVID-19; SARS-CoV-2; cluster; long COVID; severity; symptoms; Oncology; Infectious Diseases
Abstract :
[en] [en] BACKGROUND: "Long COVID" is characterized by a variety of symptoms and an important burden for affected people. Our objective was to describe long COVID symptomatology according to initial coronavirus disease 2019 (COVID-19) severity.
METHODS: Predi-COVID cohort study participants, recruited at the time of acute COVID-19 infection, completed a detailed 12-month symptom and quality of life questionnaire. Frequencies and co-occurrences of symptoms were assessed.
RESULTS: Among the 289 participants who fully completed the 12-month questionnaire, 59.5% reported at least 1 symptom, with a median of 6 symptoms. Participants with an initial moderate or severe acute illness declared more frequently 1 or more symptoms (82.6% vs 38.6%, P < .001) and had on average 6.8 more symptoms (95% confidence interval, 4.18-9.38) than initially asymptomatic participants who developed symptoms after the acute infection. Overall, 12.5% of the participants could not envisage coping with their symptoms in the long term. Frequently reported symptoms, such as neurological and cardiovascular symptoms, but also less frequent ones such as gastrointestinal symptoms, tended to cluster.
CONCLUSIONS: Frequencies and burden of symptoms present 12 months after acute COVID-19 infection increased with the severity of the acute illness. Long COVID likely consists of multiple subcategories rather than a single entity. This work will contribute to the better understanding of long COVID and to the definition of precision health strategies.
CLINICAL TRIALS REGISTRATION: NCT04380987.
Disciplines :
Immunology & infectious disease
Author, co-author :
Fischer, Aurélie ; Deep Digital Phenotyping Research Unit, Department of Population Health, Luxembourg Institute of Health, Strassen, Luxembourg
Zhang, Lu; Bioinformatics Platform, Luxembourg Institute of Health, Strassen, Luxembourg
ELBEJI, Abir; Deep Digital Phenotyping Research Unit, Department of Population Health, Luxembourg Institute of Health, Strassen, Luxembourg
WILMES, Paul ; University of Luxembourg > Luxembourg Centre for Systems Biomedicine (LCSB) > Systems Ecology
Oustric, Pauline; Association "Après J20", Lucé, France
Staub, Therese; Service National des Maladies Infectieuses, Centre Hospitalier de Luxembourg, Luxembourg, Luxembourg
Nazarov, Petr V ; Bioinformatics Platform, Luxembourg Institute of Health, Strassen, Luxembourg
OLLERT, Markus ; University of Luxembourg ; Department of Infection and Immunity, Luxembourg Institute of Health, Esch-sur-Alzette, Luxembourg
FAGHERAZZI, Guy ; University of Luxembourg ; Deep Digital Phenotyping Research Unit, Department of Population Health, Luxembourg Institute of Health, Strassen, Luxembourg
External co-authors :
yes
Language :
English
Title :
Long COVID Symptomatology After 12 Months and Its Impact on Quality of Life According to Initial Coronavirus Disease 2019 Disease Severity.
Publication date :
August 2022
Journal title :
Open Forum Infectious Diseases
eISSN :
2328-8957
Publisher :
Oxford University Press, Cary, United States - North Carolina
FNR14716273 - 2020 (01/04/2020-30/06/2022) - Guy Fagherazzi
Funders :
Luxembourg National Research Fund André Losch Foundation Luxembourg Institute of Health European Union Horizon European Research Council Luxembourg government
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