https://observatorio.fm.usp.br/handle/OPI/49261
Title: | Clinical, sociodemographic and environmental factors impact post-COVID-19 syndrome |
Authors: | FERREIRA, Juliana Carvalho; MOREIRA, Tiana C. Lopes; ARAUJO, Adriana Ladeira de; IMAMURA, Marta; DAMIANO, Rodolfo F.; GARCIA, Michelle L.; SAWAMURA, Marcio V. Y.; PINNA, Fabio R.; GUEDES, Bruno F.; GONCALVES, Fabio A. Rodrigues; MANCINI, Marcio; BURDMANN, Emmanuel A.; SILVA FILHO, Demostenes Ferreira da; POLIZEL, Jefferson Lordello; BENTO, Ricardo F.; ROCHA, Vanderson; NITRINI, Ricardo; SOUZA, Heraldo Possolo de; LEVIN, Anna S.; KALLAS, Esper G.; FORLENZA, Orestes V.; BUSATTO, Geraldo F.; BATISTELLA, Linamara R.; CARVALHO, Carlos R. Ribeiro de; MAUAD, Thais; GOUVEIA, Nelson |
Citation: | JOURNAL OF GLOBAL HEALTH, v.12, article ID 5029, 12p, 2022 |
Abstract: | Background Sociodemographic and environmental factors are associat-ed with incidence, severity, and mortality of COVID-19. However, little is known about the role of such factors in persisting symptoms among re-covering patients. We designed a cohort study of hospitalized COVID-19 survivors to describe persistent symptoms and identify factors associated with post-COVID-19 syndrome. Methods We included patients hospitalized between March to August 2020 who were alive six months after hospitalization. We collected indi-vidual and clinical characteristics during hospitalization and at follow-up assessed ten symptoms with standardized scales, 19 yes/no symptoms, a functional status and a quality-of-life scale and performed four clinical tests. We examined individual exposure to greenspace and air pollution and considered neighbourhood acute accent s population density and socioeconomic conditions as contextual factors in multilevel regression analysis. Results We included 749 patients with a median follow-up of 200 (IQR = 185-235) days, and 618 (83%) had at least one of the ten symptoms measured with scales. Pain (41%), fatigue (38%) and posttraumatic stress disorder (35%) were the most frequent. COVID-19 severity, comorbidities, BMI, female sex, younger age, and low socioeconomic position were associ-ated with different symptoms. Exposure to ambient air pollution was asso-ciated with higher dyspnoea and fatigue scores and lower functional status. Conclusions We identified a high frequency of persistent symptoms among COVID-19 survivors that were associated with clinical, sociodemographic, and environmental variables. These findings indicate that most patients re-covering from COVID-19 will need post-discharge care, and an additional burden to health care systems, especially in LMICs, should be expected. |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - COVID-19 Artigos e Materiais de Revistas Científicas - FM/MCM Artigos e Materiais de Revistas Científicas - FM/MCP Artigos e Materiais de Revistas Científicas - FM/MIP Artigos e Materiais de Revistas Científicas - FM/MLS Artigos e Materiais de Revistas Científicas - FM/MNE Artigos e Materiais de Revistas Científicas - FM/MOF Artigos e Materiais de Revistas Científicas - FM/MPR Artigos e Materiais de Revistas Científicas - FM/MPS Artigos e Materiais de Revistas Científicas - FM/MPT Artigos e Materiais de Revistas Científicas - HC/ICHC Artigos e Materiais de Revistas Científicas - HC/IMREA Artigos e Materiais de Revistas Científicas - HC/InCor Artigos e Materiais de Revistas Científicas - HC/InRad Artigos e Materiais de Revistas Científicas - LIM/05 Artigos e Materiais de Revistas Científicas - LIM/09 Artigos e Materiais de Revistas Científicas - LIM/11 Artigos e Materiais de Revistas Científicas - LIM/12 Artigos e Materiais de Revistas Científicas - LIM/15 Artigos e Materiais de Revistas Científicas - LIM/18 Artigos e Materiais de Revistas Científicas - LIM/21 Artigos e Materiais de Revistas Científicas - LIM/23 Artigos e Materiais de Revistas Científicas - LIM/26 Artigos e Materiais de Revistas Científicas - LIM/27 Artigos e Materiais de Revistas Científicas - LIM/31 Artigos e Materiais de Revistas Científicas - LIM/32 Artigos e Materiais de Revistas Científicas - LIM/39 Artigos e Materiais de Revistas Científicas - LIM/41 Artigos e Materiais de Revistas Científicas - LIM/49 Artigos e Materiais de Revistas Científicas - LIM/51 Artigos e Materiais de Revistas Científicas - LIM/60 Artigos e Materiais de Revistas Científicas - ODS/03 |
File | Description | Size | Format | |
---|---|---|---|---|
art_FERREIRA_Clinical_sociodemographic_and_environmental_factors_impact_postCOVID19_syndrome_2022.PDF | publishedVersion (English) | 1.86 MB | Adobe PDF | View/Open |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.