Mary Wilson
New member
ACCEPTED MANUSCRIPT
Published: 14 August 2021
https://doi.org/10.1093/cid/ciab703
Tingting Liu, Di Wu, Weiming Yan, Xiaojing Wang, Xiaoyun Zhang, Ke Ma, Huilong Chen, Zhilin Zeng, Yuanyuan Qin, Hongwu Wang, Mingyou Xing, Dong Xu, Weina Li, Ming Ni, Lin Zhu, Liang Chen, Guang Chen, Weipeng Qi, Ting Wu, Haijing Yu, Jiaquan Huang, Meifang Han, Wenzhen Zhu, Wei Guo, Xiaoping Luo, Tao Chen, Qin Ning
Abstract
Background
Follow-up study of Coronavirus disease 2019 (COVID-19) survivors has rarely been reported. We aimed to investigate longitudinal changes in the characteristics of COVID-19 survivors after discharge.
Methods and findings
A total of 594 COVID-19 survivors discharged from Tongji Hospital in Wuhan from February 10 to April 30, 2020 were included and followed up until May 17, 2021. Laboratory and radiological findings, pulmonary function tests, electrocardiogram, symptoms and signs were analyzed. 257 (51.2%) patients had at least one symptom at 3 months post-discharge, which decreased to 169 (40.0%) and 138 (28.4%) at 6-month and 12-month visit respectively. During follow-up period, insomnia, chest tightness, and fatigue were the most prevalent symptoms. Most laboratory parameters returned to normal, whereas increased incidence of abnormal liver and renal function and cardiovascular injury was evidenced after discharge. Fibrous stripes (213; 42.4%), pleural thickening and adhesions (188; 37.5%) and enlarged lymph nodes (120; 23.9%) were the most common radiographical findings at 3 months post-discharge. The abnormalities of pulmonary function included obstructive, restrictive, and mixed, which were 5.5%, 4.0%, 0.9% at 6 months post, and 1.9%, 4.7%, 0.2% at 12 months. Electrocardiogram abnormalities occurred in 256 (51.0%) patients at 3 months post-discharge, including arrhythmia, ST-T change and conduction block, which increased to 258 (61.1%) cases at 6-month visit and were maintained at high frequency (242;49.8%) at 12-month visit.
Conclusions
Physiological, laboratory, radiological or electrocardiogram abnormalities, particularly those related to renal, cardiovascular, liver functions are common in patients who recovered from COVID-19 up to 12months post-discharge.
https://watermark.silverchair.com/c...Q7yIwvrguVuWmMnqoi1C4zn_H5CeEJMFYEseocrMHWVcA
Published: 14 August 2021
https://doi.org/10.1093/cid/ciab703
Tingting Liu, Di Wu, Weiming Yan, Xiaojing Wang, Xiaoyun Zhang, Ke Ma, Huilong Chen, Zhilin Zeng, Yuanyuan Qin, Hongwu Wang, Mingyou Xing, Dong Xu, Weina Li, Ming Ni, Lin Zhu, Liang Chen, Guang Chen, Weipeng Qi, Ting Wu, Haijing Yu, Jiaquan Huang, Meifang Han, Wenzhen Zhu, Wei Guo, Xiaoping Luo, Tao Chen, Qin Ning
Abstract
Background
Follow-up study of Coronavirus disease 2019 (COVID-19) survivors has rarely been reported. We aimed to investigate longitudinal changes in the characteristics of COVID-19 survivors after discharge.
Methods and findings
A total of 594 COVID-19 survivors discharged from Tongji Hospital in Wuhan from February 10 to April 30, 2020 were included and followed up until May 17, 2021. Laboratory and radiological findings, pulmonary function tests, electrocardiogram, symptoms and signs were analyzed. 257 (51.2%) patients had at least one symptom at 3 months post-discharge, which decreased to 169 (40.0%) and 138 (28.4%) at 6-month and 12-month visit respectively. During follow-up period, insomnia, chest tightness, and fatigue were the most prevalent symptoms. Most laboratory parameters returned to normal, whereas increased incidence of abnormal liver and renal function and cardiovascular injury was evidenced after discharge. Fibrous stripes (213; 42.4%), pleural thickening and adhesions (188; 37.5%) and enlarged lymph nodes (120; 23.9%) were the most common radiographical findings at 3 months post-discharge. The abnormalities of pulmonary function included obstructive, restrictive, and mixed, which were 5.5%, 4.0%, 0.9% at 6 months post, and 1.9%, 4.7%, 0.2% at 12 months. Electrocardiogram abnormalities occurred in 256 (51.0%) patients at 3 months post-discharge, including arrhythmia, ST-T change and conduction block, which increased to 258 (61.1%) cases at 6-month visit and were maintained at high frequency (242;49.8%) at 12-month visit.
Conclusions
Physiological, laboratory, radiological or electrocardiogram abnormalities, particularly those related to renal, cardiovascular, liver functions are common in patients who recovered from COVID-19 up to 12months post-discharge.
https://watermark.silverchair.com/c...Q7yIwvrguVuWmMnqoi1C4zn_H5CeEJMFYEseocrMHWVcA