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Long COVID in a prospective cohort of home-isolated patients

by Hansen, Bent-Are , Langeland, Nina , Onyango, Therese Bredholt , Lartey, Sarah , Blomberg, Bjørn , Sævik, Marianne , Tøndel, Camilla , Zhou, Fan , Linchausen, Dagrun Waag , Kittang, Bård Reiakvam , Kuwelker, Kanika , Cox, Rebecca Jane , Mohn, Kristin Greve-Isdahl , Bartsch, Hauke , Brokstad, Karl Albert

in 692/1807/1486 / 692/308/174 / 692/699/255/2514 / Adults / Antibodies / Biomedical and Life Sciences / Biomedicine / Cancer Research / Cognitive ability / Coronaviruses / COVID-19 / Demographic aspects / Dyspnea / Health aspects / Infectious Diseases / Isolation (Hospital care) / Long COVID / Lung diseases / Metabolic Diseases / Molecular Medicine / Neurosciences / Olfaction / Pandemics / Respiration / Severe acute respiratory syndrome coronavirus 2 / Signs and symptoms / Smell / Vaccination / Viral diseases / Young adults

2021

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Long COVID in a prospective cohort of home-isolated patients

2021

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2021

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Journal Article

Long COVID in a prospective cohort of home-isolated patients

Hansen, Bent-Are,

Langeland, Nina,

Onyango, Therese Bredholt,

Lartey, Sarah,

Blomberg, Bjørn,

Sævik, Marianne,

Tøndel, Camilla,

Zhou, Fan,

Linchausen, Dagrun Waag,

Kittang, Bård Reiakvam,

Kuwelker, Kanika,

Cox, Rebecca Jane,

Mohn, Kristin Greve-Isdahl,

Bartsch, Hauke,

Brokstad, Karl Albert

2021

Overview

Long-term complications after coronavirus disease 2019 (COVID-19) are common in hospitalized patients, but the spectrum of symptoms in milder cases needs further investigation. We conducted a long-term follow-up in a prospective cohort study of 312 patients—247 home-isolated and 65 hospitalized—comprising 82% of total cases in Bergen during the first pandemic wave in Norway. At 6 months, 61% (189/312) of all patients had persistent symptoms, which were independently associated with severity of initial illness, increased convalescent antibody titers and pre-existing chronic lung disease. We found that 52% (32/61) of home-isolated young adults, aged 16–30 years, had symptoms at 6 months, including loss of taste and/or smell (28%, 17/61), fatigue (21%, 13/61), dyspnea (13%, 8/61), impaired concentration (13%, 8/61) and memory problems (11%, 7/61). Our findings that young, home-isolated adults with mild COVID-19 are at risk of long-lasting dyspnea and cognitive symptoms highlight the importance of infection control measures, such as vaccination. Analysis of a prospectively enrolled cohort of patients with SARS-CoV-2 infections in Bergen, Norway, reveals a high proportion of patients who experienced long COVID symptoms at 6 months, despite being relatively young and having only mild to moderate acute COVID-19 symptoms.

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Publisher

Nature Publishing Group US,Nature Publishing Group

Subject

/ Adults

/ Biomedical and Life Sciences

/ Biomedicine