A Systematic Review of the Frequency of Persistent Constitutional and Respiratory Symptoms Related to COVID-19: A New Long COVID Syndrome?

Rationale: The long-term consequences of COVID-19 infection on hospitalized patients remains unknown. We sought to conduct a systematic review to summarize what is known about long term sequelae among patients who were hospitalized for severe COVID-19 pneumonia. Methods: We conducted a search in MED...

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Autores principales: A.N. Soriano-Moreno, David R. Soriano‐Moreno, Niels Pacheco‐Barrios, Aimé Lescano, William Checkley
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Publicado: 2021
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author A.N. Soriano-Moreno
David R. Soriano‐Moreno
Niels Pacheco‐Barrios
Aimé Lescano
William Checkley
author_browse A.N. Soriano-Moreno
Aimé Lescano
David R. Soriano‐Moreno
Niels Pacheco‐Barrios
William Checkley
author_facet A.N. Soriano-Moreno
David R. Soriano‐Moreno
Niels Pacheco‐Barrios
Aimé Lescano
William Checkley
author_sort A.N. Soriano-Moreno
collection Producción científica
description Rationale: The long-term consequences of COVID-19 infection on hospitalized patients remains unknown. We sought to conduct a systematic review to summarize what is known about long term sequelae among patients who were hospitalized for severe COVID-19 pneumonia. Methods: We conducted a search in MEDLINE and MedRxiv through December 15, 2020, using the search terms: “COVID-19”, “Constitutional symptoms”, “COVID- 19 Sequelae”, “Long-term COVID-19” and “Respiratory symptoms.” Articles were evaluated independently by two authors. We then extracted to perform a quantitative synthesis of available evidence and scored studies for quality using the NIH quality assessment Tool for Observational Cohort and Cross-Sectional Studies. Results: We identified 12 studies: nine published articles and three preprints. We obtained data for 4693 patients: 11 studies included hospitalized patients, 8 included ICU patients and 5 included outpatients. Follow-up time ranged from 16 days to 122 days post-hospitalization. The pooled prevalence of persistent constitutional and respiratory symptoms was: (45.6%), dyspnea (35.5%), cough (26.4%), joint pain (26.8%), myalgia (23.3%), headache (22.2%), and chest pain (20.5%). Heterogeneity across studies was high (I2>90%). Chinese studies reported a lower frequency of persistent symptoms compared with studies carried out in Western countries (e.g., France, Italy, USA, UK). There were no significant differences in long-term sequelae between ICU and non-ICU patients. Conclusion: The prevalence of persistent constitutional and respiratory symptoms in patients infected with COVID-19 is high. Addressing the burden of symptoms that reduce the quality of life is critical in COVID-19 patients.
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spelling oai:cris.upeu.edu.pe:20.500.15037/10552026-10-30T16:15:08ZA Systematic Review of the Frequency of Persistent Constitutional and Respiratory Symptoms Related to COVID-19: A New Long COVID Syndrome?A.N. Soriano-MorenoDavid R. Soriano‐MorenoNiels Pacheco‐BarriosAimé LescanoWilliam CheckleyCoronavirus disease 2019 (COVID-19)Medicine2019-20 coronavirus outbreakSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)BetacoronavirusPandemicMEDLINEIntensive care medicineVirologyInternal medicineDiseaseOutbreakLawPolitical scienceInfectious disease (medical specialty)Coronavirus disease 2019 (COVID-19)Medicine2019-20 coronavirus outbreakSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)BetacoronavirusPandemicMEDLINEIntensive care medicineVirologyInternal medicineDiseaseOutbreakLawHealth Sciences Medicine Neurology Long-Term Effects of COVID-19Health Sciences Medicine Psychiatry and Mental health Psychosomatic Disorders and Their TreatmentsLife Sciences Biochemistry, Genetics and Molecular Biology Molecular Biology Pharmacological Receptor Mechanisms and EffectsRationale: The long-term consequences of COVID-19 infection on hospitalized patients remains unknown. We sought to conduct a systematic review to summarize what is known about long term sequelae among patients who were hospitalized for severe COVID-19 pneumonia. Methods: We conducted a search in MEDLINE and MedRxiv through December 15, 2020, using the search terms: “COVID-19”, “Constitutional symptoms”, “COVID- 19 Sequelae”, “Long-term COVID-19” and “Respiratory symptoms.” Articles were evaluated independently by two authors. We then extracted to perform a quantitative synthesis of available evidence and scored studies for quality using the NIH quality assessment Tool for Observational Cohort and Cross-Sectional Studies. Results: We identified 12 studies: nine published articles and three preprints. We obtained data for 4693 patients: 11 studies included hospitalized patients, 8 included ICU patients and 5 included outpatients. Follow-up time ranged from 16 days to 122 days post-hospitalization. The pooled prevalence of persistent constitutional and respiratory symptoms was: (45.6%), dyspnea (35.5%), cough (26.4%), joint pain (26.8%), myalgia (23.3%), headache (22.2%), and chest pain (20.5%). Heterogeneity across studies was high (I2>90%). Chinese studies reported a lower frequency of persistent symptoms compared with studies carried out in Western countries (e.g., France, Italy, USA, UK). There were no significant differences in long-term sequelae between ICU and non-ICU patients. Conclusion: The prevalence of persistent constitutional and respiratory symptoms in patients infected with COVID-19 is high. Addressing the burden of symptoms that reduce the quality of life is critical in COVID-19 patients.Other10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3795https://hdl.handle.net/20.500.15037/1055W3174509440en2021-05-012026-06-13T09:44:51Z2026-06-13T09:44:51Z
spellingShingle Coronavirus disease 2019 (COVID-19)
Medicine
2019-20 coronavirus outbreak
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Betacoronavirus
Pandemic
MEDLINE
Intensive care medicine
Virology
Internal medicine
Disease
Outbreak
Law
Political science
Infectious disease (medical specialty)
Coronavirus disease 2019 (COVID-19)
Medicine
2019-20 coronavirus outbreak
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Betacoronavirus
Pandemic
MEDLINE
Intensive care medicine
Virology
Internal medicine
Disease
Outbreak
Law
Health Sciences Medicine Neurology Long-Term Effects of COVID-19
Health Sciences Medicine Psychiatry and Mental health Psychosomatic Disorders and Their Treatments
Life Sciences Biochemistry, Genetics and Molecular Biology Molecular Biology Pharmacological Receptor Mechanisms and Effects
A.N. Soriano-Moreno
David R. Soriano‐Moreno
Niels Pacheco‐Barrios
Aimé Lescano
William Checkley
A Systematic Review of the Frequency of Persistent Constitutional and Respiratory Symptoms Related to COVID-19: A New Long COVID Syndrome?
title A Systematic Review of the Frequency of Persistent Constitutional and Respiratory Symptoms Related to COVID-19: A New Long COVID Syndrome?
title_full A Systematic Review of the Frequency of Persistent Constitutional and Respiratory Symptoms Related to COVID-19: A New Long COVID Syndrome?
title_fullStr A Systematic Review of the Frequency of Persistent Constitutional and Respiratory Symptoms Related to COVID-19: A New Long COVID Syndrome?
title_full_unstemmed A Systematic Review of the Frequency of Persistent Constitutional and Respiratory Symptoms Related to COVID-19: A New Long COVID Syndrome?
title_short A Systematic Review of the Frequency of Persistent Constitutional and Respiratory Symptoms Related to COVID-19: A New Long COVID Syndrome?
title_sort systematic review of the frequency of persistent constitutional and respiratory symptoms related to covid 19 a new long covid syndrome
topic Coronavirus disease 2019 (COVID-19)
Medicine
2019-20 coronavirus outbreak
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Betacoronavirus
Pandemic
MEDLINE
Intensive care medicine
Virology
Internal medicine
Disease
Outbreak
Law
Political science
Infectious disease (medical specialty)
Coronavirus disease 2019 (COVID-19)
Medicine
2019-20 coronavirus outbreak
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Betacoronavirus
Pandemic
MEDLINE
Intensive care medicine
Virology
Internal medicine
Disease
Outbreak
Law
Health Sciences Medicine Neurology Long-Term Effects of COVID-19
Health Sciences Medicine Psychiatry and Mental health Psychosomatic Disorders and Their Treatments
Life Sciences Biochemistry, Genetics and Molecular Biology Molecular Biology Pharmacological Receptor Mechanisms and Effects
topic_facet Coronavirus disease 2019 (COVID-19)
Medicine
2019-20 coronavirus outbreak
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Betacoronavirus
Pandemic
MEDLINE
Intensive care medicine
Virology
Internal medicine
Disease
Outbreak
Law
Political science
Infectious disease (medical specialty)
Coronavirus disease 2019 (COVID-19)
Medicine
2019-20 coronavirus outbreak
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Betacoronavirus
Pandemic
MEDLINE
Intensive care medicine
Virology
Internal medicine
Disease
Outbreak
Law
Health Sciences Medicine Neurology Long-Term Effects of COVID-19
Health Sciences Medicine Psychiatry and Mental health Psychosomatic Disorders and Their Treatments
Life Sciences Biochemistry, Genetics and Molecular Biology Molecular Biology Pharmacological Receptor Mechanisms and Effects
url https://hdl.handle.net/20.500.15037/1055
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