Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences Bhubaneswar, Bhubaneswar, India.
College of Nursing, All India Institute of Medical Sciences Bhubaneswar, Bhubaneswar, India.
J Med Virol. 2023 Jan;95(1):e28214. doi: 10.1002/jmv.28214. Epub 2022 Oct 25.
Long coronavirus disease (COVID) or postacute sequelae of coronavirus disease of 2019 (COVID-19) is widely reported but the data of long COVID after infection with the Omicron variant is limited. This study was conducted to estimate the incidence, characteristics of symptoms, and predictors of long COVID among COVID-19 patients diagnosed during the Omicron wave in Eastern India. The cohort of COVID-19 patients included were adults (≥18 years) diagnosed as severe acute respiratory syndrome coronavirus 2 positive with Reverse Transcription Polymerase Chain Reaction. After 28 days of diagnosis; participants were followed up with a telephonic interview to capture data on sociodemographic, clinical history, anthropometry, substance use, COVID-19 vaccination status, acute COVID-19 symptoms, and long COVID symptoms. The long COVID symptoms were self-reported by the participants. Logistic regression was used to determine the predictors of long COVID. The median follow-up of participants was 73 days (Interquartile range; 67-83). The final analysis had 524 participants' data; among them 8.2% (95% Confidence Interval [CI]: 6%-10.9%) self-reported long COVID symptoms. Fatigue (34.9%) was the most common reported symptom followed by cough (27.9%). In multivariable logistic regression only two predictors were statistically significant-number of acute COVID-19 symptoms ≥ five (Adjusted odds ratio (aOR) = 2.95, 95% CI: 1.30-6.71) and past history of COVID-19 (aOR = 2.66, 95% CI: 1.14-6.22). The proportion of self-reported long COVID is considerably low among COVID-19 patients diagnosed during the Omicron wave in Eastern India when compared with estimates during Delta wave in the same setting.
长期冠状病毒病(COVID)或 2019 年冠状病毒病的急性后期(COVID-19)广泛报道,但关于感染奥密克戎变异株后的长期 COVID 的数据有限。本研究旨在评估印度东部奥密克戎波期间诊断的 COVID-19 患者中,长期 COVID 的发生率、症状特征和预测因素。纳入的 COVID-19 患者队列为成年人(≥18 岁),经逆转录聚合酶链反应检测为严重急性呼吸综合征冠状病毒 2 阳性。诊断后 28 天,通过电话访谈对患者进行随访,以收集社会人口统计学、临床病史、人体测量学、物质使用、COVID-19 疫苗接种状况、急性 COVID-19 症状和长期 COVID 症状的数据。参与者自行报告长期 COVID 症状。采用逻辑回归确定长期 COVID 的预测因素。参与者的中位随访时间为 73 天(四分位距:67-83)。最终分析纳入 524 名参与者的数据;其中 8.2%(95%置信区间:6%-10.9%)自我报告有长期 COVID 症状。疲劳(34.9%)是最常见的报告症状,其次是咳嗽(27.9%)。在多变量逻辑回归中,只有两个预测因素具有统计学意义——急性 COVID-19 症状数≥5(调整优势比[aOR]:2.95,95%置信区间:1.30-6.71)和既往 COVID-19 病史(aOR:2.66,95%置信区间:1.14-6.22)。与同一地区德尔塔波期间的估计相比,印度东部奥密克戎波期间诊断的 COVID-19 患者中自我报告的长期 COVID 比例相当低。