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- Title
Long-Term Clinical Consequences of Patients Hospitalized for COVID-19 Infection.
- Authors
Özcan, Sevgi; İnce, Orhan; Güner, Ahmet; Katkat, Fahrettin; Dönmez, Esra; Tuğrul, Sevil; Şahin, İrfan; Okuyan, Ertuğrul; Kayıkçıoğlu, Meral
- Abstract
Background: Coronavirus disease 2019, putatively caused by infection with severe acute respiratory coronavirus 2, often involves injury to multiple organs and there are limited data regarding the mid- to long-term consequences of coronavirus disease 2019 after discharge from the hospital. The study aimed to describe the mid- to long-term consequences of coronavirus disease 2019 in hospitalized patients after discharge. Methods: This single-center, prospective study enrolled coronavirus disease 2019 patients who were discharged uneventfully from our center. All participants underwent face-toface interviews by trained physicians and were asked to complete a series of questionnaires on third and sixth months' follow-up visits. Results: A total of 406 consecutive discharged coronavirus disease 2019 patients were enrolled in this study. Patients were divided into 3 groups according to World Health Organization classification as follows: World Health Organization-3 (n = 83); World Health Organization-4 (n = 291); and World Health Organization-5,6 (n = 32). Length of hospital stay was highly, significantly increased in the higher World Health Organization groups (World Health Organization-3 vs. World Health Organization-4, P < .0001; World Health Organization-3 vs. World Health Organization-5,6, P < .0001; World Health Organization-4 vs. World Health Organization-5,6, P < .0001), whereas the length of intensive care unit stay was highly, significantly increased only in World Health Organization-5,6 group compared to other groups (World Health Organization-3 vs. World Health Organization-5,6, P < .0001; World Health Organization-4 vs. World Health Organization-5,6, P < .0001). The most frequent complaints were chest pain (39%), and the frequency of complaints decreased during the 3-6 months follow-up period. Multiple logistic regression analysis indicated that age, coronary artery disease, fibrinogen, C-reactive protein, troponin I, D-dimer, use of steroid and/or low molecular weight heparin, and World Health Organization class were found to be independent predictors of ongoing cardiovascular symptoms. Conclusions: The current data demonstrated that persistent symptoms were common after coronavirus disease 2019 among hospitalized patients. This should raise awareness among healthcare professionals regarding coronavirus disease 2019 aftercare.
- Subjects
WORLD Health Organization; CORONAVIRUS diseases; COVID-19; LOW-molecular-weight heparin; HOSPITAL admission &; discharge; MULTIPLE regression analysis; MEDICAL personnel
- Publication
Anatolian Journal of Cardiology / Anadolu Kardiyoloji Dergisi, 2022, Vol 26, Issue 4, p305
- ISSN
2149-2263
- Publication type
Article
- DOI
10.5152/AnatolJCardiol.2022.924