November 27, 2022

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Continuing Covid – Interactive Physician

Two years after infection, at least half of those hospitalized with COVID-19 have at least one symptom

Two years after the Govt-19 infection, half of the patients admitted to the hospital still have at least one symptom, according to a long-running follow-up study to date. ‘The Lancet Respiratory Medicine’. In the first phase of the epidemic in 2020, 1,192 participants in China were infected with SARS-CoV-2.

Although physical and mental health generally improve over time, analysis shows that COVID-19 patients persist Poor health and quality of life than the general population. This is especially true for long-term cov- eral participants who usually have at least one symptom after two years of initial illness, such as fatigue, shortness of breath, and difficulty sleeping.

Chronic health effects of Govit-19

The long-term health impact of COVID-19 remains largely unknown, with long-term follow-up studies to date lasting approximately one year. In most studies, there is a lack of basic data on pre-Govt-19 health status and the general population. Made it difficult to determine the extent of patients’ recovery With Govit-19.

Leading author, Prof. Bin Kaw, The China-Japan Friendly Hospital (China), these findings indicate that “in a certain proportion of hospital-admitted COVID-19 survivors, it takes more than two years for them to fully recover from COVID-19, even if they have cleared the initial infection.”

As he notes, “continued monitoring of COVID-19 survivors, especially those with symptoms of chronic goiter, is essential for understanding the long-term course of the disease and further examining the benefits of prevention programs. Rehabilitation for recovery.

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“There is a clear need to continue to provide support to a significant segment of COVID-19 sufferers and to understand how vaccines, emerging therapies, and variations affect long-term health outcomes.”

The authors of the new study sought to analyze the long-term health effects of hospital-admitted COVID-19 survivors. Specific health effects of chronic COVID. They assessed the health of 1,192 participants treated with acute COVID-19 over a period of six months, 12 months and two years from January 7 to May 29, 2020 at Jin Yin-Tan Hospital in Wuhan, China.

The assessments consisted of a six-minute walk, laboratory tests and questionnaires on symptoms, quality of life related to mental health, return to work and health care use after discharge.

Study results

Prolonged adverse effects of Covid on quality of life, fitness, mental health and health care utilization were determined by comparing participants with and without symptoms of chronic COVID. Two-year health outcomes were determined using a general population control group with no history of COVID-19 infection compatible with age, gender, and comorbidity.

The average age of participants in the evacuation was 57 years and 54% were men. Six months after the initial onset of illness, at least 68% (777 / 1,149) of participants reported a persistent goiter symptom. Two years after infection, symptom reports dropped to 55% (650 / 1,190).

Fatigue or muscle weakness are the most frequently reported symptoms, decreasing from 52% (593/1151) in six months to 30% (357/1190) in two years. Regardless of the severity of the initial illness, 89% (438/494) of the participants returned to their original work within two years.

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Two years after the onset of the disease, Covid-19 patients are generally healthier than the general population, with 31% (351 / 1,127) reporting fatigue or muscle weakness and 31% (354 / 1,127) having difficulty sleeping. The proportion of non-Govt-19 participants reporting these symptoms was 5% (55/1127) and 14% (153/1127), respectively.

There were also Govit-19 patients More likely to report other symptoms, Joint pain, palpitations, dizziness, headache, etc. In Quality of Life questionnaires, Govit-19 patients also reported frequent pain or discomfort (23% [254/1.127]And anxiety or depression (12% [131/1.127]) (5%) more than non-participants in Govit-19 [57/1.127] And 5% [61/1.127]Respectively).

Half of the study participants (650 / 1,190) had symptoms of chronic goiter at two years of age and reported lower quality of life than those without long covid. Of the psychiatric questionnaires, 35% (228/650) reported pain or discomfort and 19% (123/650) reported anxiety or depression.

The proportion of patients with long covit without covit-19 was 10% (55/540) and 4% (19/540) at two years, respectively. Participants with chronic govt disease frequently reported movement-related problems (5% [33/650]Or functional levels (4% [24/540]Than those without long-term COVID (1%) [8/540] And 2% [10/540]Respectively).

Mental health ratings of long-term Govt participants were 13% (83/650) with symptoms of anxiety and 11% (70/649) with depressive symptoms, while the proportion of participants without long-term Govt was 3% (15/536). ) And 1% (5/540), respectively.

Often used by participants in the long-term Govt program Health services after discharge, And 26% (169/648) attended the outpatient clinic while 11% (57/538) attended the long-term Govt program. At 17% (107/648), hospitalization among participants with chronic govt disease was higher than the 10% (52/538) reported by participants without chronic covit.

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