Insights into the epidemiology and clinical aspects of post-COVID-19 conditions in adult.

IF 1.8 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Chronic Illness Pub Date : 2023-11-13 DOI:10.1177/17423953231209377
Dieu Hien T Huynh, Dat T Nguyen, Thu Suong T Nguyen, Bao An H Nguyen, Anh T T Huynh, Vy N N Nguyen, Dat Q Tran, Thi N N Hoang, Huy Dung Tran, Dao Thanh Liem, Giau V Vo, Minh Nam Nguyen
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Abstract

Objectives: While most individuals infected with COVID-19 recover completely within a few weeks, some continue to experience lingering symptoms. This study was conducted to identify and describe the clinical and subclinical manifestations of adult patients from the long-term effects of COVID-19.

Methods: The study analyzed 205 medical records of inpatients (age ≥ 16 years, ≥ 4 weeks post-COVID-19 recovery, and a negative SARS-CoV-2 status at enrollment) at Thong Nhat Hospital, Vietnam, from 6 September 2021 to 26 August 2022, using R language software.

Results: The majority of patients hospitalized with long COVID-19 symptoms (92.68%) had normal consciousness. The most common symptoms on admission were fatigue (59.02%), dyspnea (52.68%), and cough (42.93%). In total, 80% of patients observed respiratory symptoms, primarily dyspnea, while 42.44% reported neurological symptoms, with sleep disturbance being the most common. Noticeably, 42.93% of patients experienced respiratory failure in the post-COVID-19 period, resembling acute respiratory distress syndrome.

Discussion: These findings provide crucial insights into the epidemiology, clinical, and subclinical aspects of post-COVID-19 conditions, shedding light on the prevalence of common symptoms and the demographic distribution of affected patients. Understanding these manifestations is vital for patient well-being, improved clinical practice, and targeted healthcare planning, potentially leading to better patient care, management, and future interventions.

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成人covid -19后疾病的流行病学和临床方面的见解。
虽然大多数感染COVID-19的人在几周内完全康复,但有些人仍然会出现持续的症状。本研究旨在从COVID-19的长期影响中识别和描述成年患者的临床和亚临床表现。方法:使用R语言软件分析2021年9月6日至2022年8月26日越南通芽医院住院患者(年龄≥16岁,covid -19康复后≥4周,入组时SARS-CoV-2阴性)的205份医疗记录。结果:新冠肺炎症状长期住院患者中,绝大多数(92.68%)意识正常。入院时最常见的症状为疲劳(59.02%)、呼吸困难(52.68%)和咳嗽(42.93%)。总的来说,80%的患者出现呼吸系统症状,主要是呼吸困难,42.44%的患者出现神经系统症状,以睡眠障碍最为常见。值得注意的是,42.93%的患者在新冠肺炎后出现呼吸衰竭,类似于急性呼吸窘迫综合征。讨论:这些发现为covid -19后疾病的流行病学、临床和亚临床方面提供了重要见解,揭示了常见症状的患病率和受影响患者的人口分布。了解这些表现对于患者健康、改善临床实践和有针对性的医疗保健计划至关重要,可能会导致更好的患者护理、管理和未来的干预措施。
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来源期刊
Chronic Illness
Chronic Illness Multiple-
CiteScore
3.80
自引率
0.00%
发文量
38
期刊介绍: Chronic illnesses are prolonged, do not resolve spontaneously, and are rarely completely cured. The most common are cardiovascular diseases (hypertension, coronary artery disease, stroke and heart failure), the arthritides, asthma and chronic obstructive pulmonary disease, diabetes and epilepsy. There is increasing evidence that mental illnesses such as depression are best understood as chronic health problems. HIV/AIDS has become a chronic condition in those countries where effective medication is available.
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