Internal Medicine Service, University General Hospital of Castellon, Castellón de la Plana, Spain.
Internal Medicine Service, Hospital of Vinaroz, Vinaroz, Spain.
Sci Rep. 2024 Nov 4;14(1):26575. doi: 10.1038/s41598-024-78017-x.
The long-term effects of SARS-CoV-2 infection, and their determinants, are still unknown. This study aimed to assess symptoms one year after admission for COVID-19, according to the organ/system involved, and to identify factors. Cross-sectional study with retrospective data collection from March 2020 to February 2021. Inclusion criteria: aged ≥ 18 years and admitted for COVID-19. Exclusion criteria: death, not localized, refusal to participate, cognitive impairment or language barrier. A telephone survey was conducted on long COVID-related symptoms one year after hospital discharge. n = 486. The most frequent symptom groups were neurological (n = 225; 46.3%) and respiratory (n = 201; 41.4%). Multivariable analysis showed that a history of anxiety was significantly associated with psychiatric symptoms (ORa = 2.04, 95%CI = 1.02-4.06), fibromyalgia/chronic fatigue with general symptoms (ORa = 11.59, 95%CI = 1.47-9.34) and obesity with respiratory (ORa 1.90, 95%CI = 1.27-2.83) and musculoskeletal symptoms (ORa 1.96, 95%CI = 1.30-2.96). Male sex was associated with a significantly lower risk of neurological (ORa 0.64, 95%CI = 0.44-0.93), respiratory (ORa 0.45, 95%CI = 0.31-0.67), general (ORa 0.43, 95%CI = 0.29-0.63), psychiatric (ORa 0.34, 95%CI = 0.22-0.51), musculoskeletal (ORa 0.47, 95%CI = 0.32-0.70), dermatological (ORa 0.24, 95%CI = 0.14-0.42) and digestive (ORa 0.38, 95%CI = 0.20-0.73) symptoms. Advanced age (≥ 71 years) also had a protective effect against general (ORa 0.60, 95%CI = 0.39-0.95), psychiatric (ORa 0.39, 95%CI = 0.23-0.64), and dermatological (ORa 0.47, 95%CI = 0.24-0.92) symptoms. Patients admitted for SARS-CoV-2 infection frequently experience symptoms at one year, especially neurological and respiratory symptoms. Female sex, obesity, a history of anxiety and fibromyalgia/chronic fatigue were independent risk factors for presenting symptoms. Advanced age acted as a protective factor.
SARS-CoV-2 感染的长期影响及其决定因素尚不清楚。本研究旨在根据涉及的器官/系统评估 COVID-19 入院一年后的症状,并确定相关因素。这是一项回顾性数据收集的横断面研究,时间为 2020 年 3 月至 2021 年 2 月。纳入标准:年龄≥18 岁并因 COVID-19 住院。排除标准:死亡、非局部、拒绝参与、认知障碍或语言障碍。出院一年后,通过电话调查与长 COVID 相关的症状。n=486。最常见的症状群为神经系统(n=225;46.3%)和呼吸系统(n=201;41.4%)。多变量分析显示,焦虑史与精神症状显著相关(ORa=2.04,95%CI=1.02-4.06),纤维肌痛/慢性疲劳与全身症状相关(ORa=11.59,95%CI=1.47-9.34),肥胖与呼吸系统(ORa=1.90,95%CI=1.27-2.83)和肌肉骨骼症状(ORa=1.96,95%CI=1.30-2.96)相关。男性与神经系统(ORa=0.64,95%CI=0.44-0.93)、呼吸系统(ORa=0.45,95%CI=0.31-0.67)、全身(ORa=0.43,95%CI=0.29-0.63)、精神(ORa=0.34,95%CI=0.22-0.51)、肌肉骨骼(ORa=0.47,95%CI=0.32-0.70)、皮肤(ORa=0.24,95%CI=0.14-0.42)和消化系统(ORa=0.38,95%CI=0.20-0.73)症状的低风险显著相关。高龄(≥71 岁)也对全身(ORa=0.60,95%CI=0.39-0.95)、精神(ORa=0.39,95%CI=0.23-0.64)和皮肤(ORa=0.47,95%CI=0.24-0.92)症状具有保护作用。因 SARS-CoV-2 感染而住院的患者在一年后经常出现症状,尤其是神经系统和呼吸系统症状。女性、肥胖、焦虑和纤维肌痛/慢性疲劳病史是出现症状的独立危险因素。高龄是保护因素。