tetano
Editor, Senior Moderator
BMJ Open
. 2025 Jun 17;15(6):e098344.
doi: 10.1136/bmjopen-2024-098344. Determinants of post COVID-19 clinic attendance among SARS-CoV-2-infected individuals in Stockholm, Sweden: a population-based cohort study
Pontus Hedberg[SUP] 1 [/SUP], Peder Af Geijerstam[SUP] 2 [/SUP], John Karlsson Valik[SUP] 3 4 [/SUP], Christer Almgren-Lidman[SUP] 5 4 [/SUP], Anders Ternhag[SUP] 3 4 [/SUP], Pontus Naucler[SUP] 3 4 [/SUP]
Affiliations
Objectives: Investigate determinants of post-COVID-19 condition (PCC) clinic attendance among participants not hospitalised versus hospitalised during the SARS-CoV-2 infection.
Design: Retrospective cohort study.
Setting: Six population-based registers with high coverage to cover all adults residing in Stockholm County, Sweden.
Participants: Adults residing in Stockholm County on 31 January 2020, with a SARS-CoV-2 infection through 30 November 2022, who did not die or move out of Stockholm County within 90 days.
Primary outcome measures: PCC clinic attendance from 90 days after the SARS-CoV-2 test until date of death, date of moving out, or 30 November 30,2023.
Results: Of non-hospitalised and hospitalised participants, 737 of 464 674 (0.2%) and 433 of 23 374 (1.9%), respectively, attended a PCC clinic. A total of 75 878 (16.3%) of non-hospitalised participants and 6190 (26.5%) of hospitalised participants presented with new-onset symptoms that could indicate PCC in primary care. The strongest determinants of attendance among non-hospitalised participants were mental health disorder (adjusted risk ratio (aRR) 2.57, 95% CI 2.21 to 2.98), asthma (2.39, 1.97-2.92) and >4 PCC symptoms in 2019 (2.27, 1.60-3.24), and among hospitalised participants were >31 sick days in 2019 (1.94, 1.47-2.56), 1-30 sick days in 2019 (1.56, 1.06-2.29) and obesity (1.51, 1.19-1.93). The most common clinical presentation was fatigue (n=526, 71.4%) among non-hospitalised and dyspnoea (n=148, 34.2%) among hospitalised participants.
Conclusions: PCC clinic attendance characteristics differed between non-hospitalised and hospitalised participants. Distinguishing PCC from conditions with overlapping symptoms and determining the appropriate level of care may be challenging, with risk of resource displacement effects and inappropriate care.
Keywords: COVID-19; Post-Acute COVID-19 Syndrome; SARS-CoV-2 Infection.
. 2025 Jun 17;15(6):e098344.
doi: 10.1136/bmjopen-2024-098344. Determinants of post COVID-19 clinic attendance among SARS-CoV-2-infected individuals in Stockholm, Sweden: a population-based cohort study
Pontus Hedberg[SUP] 1 [/SUP], Peder Af Geijerstam[SUP] 2 [/SUP], John Karlsson Valik[SUP] 3 4 [/SUP], Christer Almgren-Lidman[SUP] 5 4 [/SUP], Anders Ternhag[SUP] 3 4 [/SUP], Pontus Naucler[SUP] 3 4 [/SUP]
Affiliations
- PMID: 40527555
- DOI: 10.1136/bmjopen-2024-098344
Objectives: Investigate determinants of post-COVID-19 condition (PCC) clinic attendance among participants not hospitalised versus hospitalised during the SARS-CoV-2 infection.
Design: Retrospective cohort study.
Setting: Six population-based registers with high coverage to cover all adults residing in Stockholm County, Sweden.
Participants: Adults residing in Stockholm County on 31 January 2020, with a SARS-CoV-2 infection through 30 November 2022, who did not die or move out of Stockholm County within 90 days.
Primary outcome measures: PCC clinic attendance from 90 days after the SARS-CoV-2 test until date of death, date of moving out, or 30 November 30,2023.
Results: Of non-hospitalised and hospitalised participants, 737 of 464 674 (0.2%) and 433 of 23 374 (1.9%), respectively, attended a PCC clinic. A total of 75 878 (16.3%) of non-hospitalised participants and 6190 (26.5%) of hospitalised participants presented with new-onset symptoms that could indicate PCC in primary care. The strongest determinants of attendance among non-hospitalised participants were mental health disorder (adjusted risk ratio (aRR) 2.57, 95% CI 2.21 to 2.98), asthma (2.39, 1.97-2.92) and >4 PCC symptoms in 2019 (2.27, 1.60-3.24), and among hospitalised participants were >31 sick days in 2019 (1.94, 1.47-2.56), 1-30 sick days in 2019 (1.56, 1.06-2.29) and obesity (1.51, 1.19-1.93). The most common clinical presentation was fatigue (n=526, 71.4%) among non-hospitalised and dyspnoea (n=148, 34.2%) among hospitalised participants.
Conclusions: PCC clinic attendance characteristics differed between non-hospitalised and hospitalised participants. Distinguishing PCC from conditions with overlapping symptoms and determining the appropriate level of care may be challenging, with risk of resource displacement effects and inappropriate care.
Keywords: COVID-19; Post-Acute COVID-19 Syndrome; SARS-CoV-2 Infection.