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PLoS One . Long-COVID symptom monitoring: Insights from a two-year telemedicine study

tetano

Editor, Senior Moderator
PLoS One


. 2024 Jul 26;19(7):e0307834.
doi: 10.1371/journal.pone.0307834. eCollection 2024. Long-COVID symptom monitoring: Insights from a two-year telemedicine study

Andrea Foppiani[SUP] 1 2 [/SUP], Chiara Montanari[SUP] 3 4 [/SUP], Sara Zanelli[SUP] 4 [/SUP], Michele Davide Maria Lombardo[SUP] 5 [/SUP], Valeria Calcaterra[SUP] 4 6 [/SUP], Gianvincenzo Zuccotti[SUP] 3 4 [/SUP]



Affiliations
Abstract

Background: The diverse manifestations of Long-COVID have become increasingly important due to their significant impact on patients' lives. Telemedicine has emerged as an important tool for post COVID-19 follow-up. This study is part of a large cohort study involving COVID-positive patients monitored by the COD19 telemedicine platform operations center. We recontacted patients who were initially monitored from February 2020 to May 2020 to assess the presence of Long-COVID symptoms at a 2-year follow-up.
Methods: We conducted interviews to evaluate Long-COVID symptoms at the 2-year mark and investigated whether patients had contracted a second COVID-19 infection between the 1-year and 2-year follow-ups, and recorded their vaccination status.
Results: Out of 165 patients, 139 (84%) reported symptoms at the 1-year follow-up, while only 101 (61%) reported symptoms at the 2-year follow-up. Among patients with Long-COVID symptoms at the 2-year follow-up, the majority (80, 49%) had experienced Long-COVID at the 1-year follow-up, received the SARS-CoV-2 vaccine, and had not experienced a second infection between the two follow-ups. Both having Long-COVID at the 1-year follow-up and contracting a second infection were significant risk factors for presenting with Long-COVID at the 2-year follow-up.
Conclusions: To the best of our knowledge, this study stands out as one of the few that includes a 2-year follow-up on Long-COVID symptoms using telemedicine. Telemedicine has proven to be an effective and innovative tool for long-term patient monitoring, early diagnosis, and treatment. Telemedicine represents a significant future challenge for healthcare.


 
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