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Acute and persistent symptoms in non-hospitalized PCR-confirmed COVID-19 patients

Title: Acute and persistent symptoms in non-hospitalized PCR-confirmed COVID-19 patients
Authors: Sofie Bliddal; Karina Banasik; Ole Birger Pedersen; Janna Nissen; Lisa Cantwell; Michael Schwinn; Morten Tulstrup; David Westergaard; Henrik Ullum; Søren Brunak; Niels Tommerup; Bjarke Feenstra; Frank Geller; Sisse Rye Ostrowski; Kirsten Grønbæk; Claus Henrik Nielsen; Susanne Dam Nielsen; Ulla Feldt-Rasmussen
Source: Scientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
Publisher Information: Nature Portfolio, 2021.
Publication Year: 2021
Collection: LCC:Medicine; LCC:Science
Subject Terms: Medicine; Science
Description: Abstract Reports of persistent symptoms after hospitalization with COVID-19 have raised concern of a “long COVID” syndrome. This study aimed at determining the prevalence of and risk factors for acute and persistent symptoms in non-hospitalized patients with polymerase chain reaction (PCR) confirmed COVID-19. We conducted a cohort study of non-hospitalized participants identified via the Danish Civil Registration System with a SARS-CoV-2-positive PCR-test and available biobank samples. Participants received a digital questionnaire on demographics and COVID-19-related symptoms. Persistent symptoms: symptoms > 4 weeks (in sensitivity analyses > 12 weeks). We included 445 participants, of whom 34% were asymptomatic. Most common acute symptoms were fatigue, headache, and sneezing, while fatigue and reduced smell and taste were most severe. Persistent symptoms, most commonly fatigue and memory and concentration difficulties, were reported by 36% of 198 symptomatic participants with follow-up > 4 weeks. Risk factors for persistent symptoms included female sex (women 44% vs. men 24%, odds ratio 2.7, 95% CI 1.4–5.1, p = 0.003) and BMI (odds ratio 1.1, 95% CI 1.0–1.2, p = 0.001). In conclusion, among non-hospitalized PCR-confirmed COVID-19 patients one third were asymptomatic while one third of symptomatic participants had persistent symptoms illustrating the heterogeneity of disease presentation. These findings should be considered in health care planning and policy making related to COVID-19.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2045-2322
Relation: https://doaj.org/toc/2045-2322
DOI: 10.1038/s41598-021-92045-x
Access URL: https://doaj.org/article/69bba33e7dcb4e0093a443f3d5dfbbdb
Accession Number: edsdoj.69bba33e7dcb4e0093a443f3d5dfbbdb
Database: Directory of Open Access Journals