What are the 2-year health outcomes among patients hospitalized for COVID-19 in China?

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What are the 2-year health outcomes among patients hospitalized for COVID-19 in China? JAMANetworkOpen LondonU health COVID19 coronavirus covid

By Dr. Priyom Bose, Ph.D.Sep 20 2022Reviewed by Danielle Ellis, B.Sc. The ongoing coronavirus disease 2019 pandemic, caused by the rapid outbreak of severe acute respiratory syndrome coronavirus-2 , has claimed more than 6.52 million lives worldwide. The emergence of SARS-CoV-2 variants due to genomic mutations has prolonged the pandemic. Some SARS-CoV-2 variants, such as the Omicron and Delta, are more transmissible and virulent than the ancestral strain.

A recent JAMA Network Open study assessed the dynamic trajectory of COVID-19 symptom burden as well as symptom persistence in those who survived SARS-CoV-2 infection for two years after being discharged from hospitals. Apart from the telephonic interview, all participants also provided a self-reported symptom questionnaire along with a chronic obstructive pulmonary disease assessment test . The symptoms of the participants were recorded as no problems, mild problems, moderate problems, or severe problems. Patients having at least one persistent COVID-19 symptom represented long COVID.

In this study, a higher risk of symptom persistence was linked with ICU admission. Additionally, COVID-19 infection in patients with cerebrovascular diseases was associated with the manifestation of the onset of new symptoms. 6.2% of participants exhibited CAT scores of at least 10. The current study observed a higher risk of symptom persistence in recovered COVID-19 patients who needed ICU care during their hospital stay or had chronic liver diseases.

 

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Lung function and radiological findings 1 year after COVID-19: a prospective follow-up - Respiratory ResearchBackground The coronavirus disease (COVID-19) pandemic has already affected more than 400 million people, with increasing numbers of survivors. These data indicate that a myriad of people may be affected by pulmonary sequelae of the infection. The aim of this study was to evaluate pulmonary sequelae in patients with bilateral COVID-19 pneumonia according to severity 1 year after hospital discharge. Methods COVID-FIBROTIC is a multicenter prospective observational cohort study for admitted patients with bilateral COVID-19 pneumonia. Pulmonary functional outcomes and chest computed tomography sequelae were analyzed 12 months after hospital discharge and we classified patients into three groups according to severity. A post hoc analysis model was designed to establish how functional test changed between groups and over time. A multivariable logistic regression model was created to study prognostic factors for lung diffusion impairment and radiological fibrotic-like changes at 12 months. Results Among 488 hospitalized patients with COVID-19 pneumonia, 284 patients had completed the entire evaluation at 12 months. Median age was 60.5 ± 11.9 and 55.3% were men. We found between-group differences in male sex, length of hospital stay, radiological involvement and inflammatory laboratory parameters. The functional evaluation of pulmonary sequelae showed that severe patients had statistically worse levels of lung diffusion at 2 months but no between group differences were found in subsequent controls. At 12-month follow up, however, we found impaired lung diffusion in 39.8% unrelated to severity. Radiological fibrotic-like changes at 12 months were reported in 22.7% of patients (102/448), only associated with radiological involvement at admission (OR: 1.55, 95% CI 1.06–2.38; p = 0.02) and LDH (OR: 0.99, 95% CI 0.98–0.99; p = 0.046). Conclusion Our data suggest that a significant percentage of individuals would develop pulmonary sequelae after COVID 19 pneumonia, regardless of
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