Características clínicas e epidemiológicas de pacientes Pós-COVID-19

##plugins.themes.bootstrap3.article.main##

Pedro Salomão Rodrigues Costa
Marcela do Carmo Furtado
Amanda de Oliveira Andrade
Aline Batista Brighenti dos Santos
Júlia Abrahão Lopes
Isabella Gomes Novaes de Mendonça Fonseca
Juliana Domith de Oliveira Vieira
Lorhainy Suellen Costa
Bruno Pascoalini da Silva
Ana Paula Ferreira

Resumo

Objetivo: Verificar as características clínicas e epidemiológicas de pacientes que foram acometidos pela COVID-19 e analisar principais sintomas pós-COVID-19 e suas repercussões clínicas. Métodos: Trata-se de um estudo transversal observacional, com 311 participantes de ambos os sexos, com idade superior a 18 anos e com diagnóstico de COVID-19 comprovado por testes. A coleta de dados foi realizada no período compreendido entre julho/2021 e fevereiro/2022, por meio do preenchimento de um formulário criado no Google Forms, que foi divulgado por mídias sociais. O estudo foi aprovado por Comitê de Ética em Pesquisa. Resultados: 69,13% dos participantes são do sexo feminino, com média de idade de 32,0 ± 12,61. Houve baixa taxa de internação em leitos de enfermaria e/ou UTI e diminuta taxa de reincidência da COVID-19. Fadiga, perda/diminuição olfativa e palativa, falta de ar persistente e cansaço a mínimos esforços foram características prevalentes por mais de 3 semanas nos participantes. Sintomas menos prevalentes envolveram alterações de função excretora, falta de ar persistente, perda/diminuição de apetite, queda de cabelo, tosse e cefaleia. Conclusão: Os achados corroboram para o entendimento da Síndrome Pós-COVID-19 e são congruentes com a literatura, denotando a afecção multissistêmica que a doença traz aos pacientes, principalmente a longo prazo.

##plugins.themes.bootstrap3.article.details##

Como Citar
CostaP. S. R., FurtadoM. do C., AndradeA. de O., SantosA. B. B. dos, LopesJ. A., FonsecaI. G. N. de M., VieiraJ. D. de O., CostaL. S., SilvaB. P. da, & FerreiraA. P. (2023). Características clínicas e epidemiológicas de pacientes Pós-COVID-19. Revista Eletrônica Acervo Médico, 23(11), e13391. https://doi.org/10.25248/reamed.e13391.2023
Seção
Artigos Originais

Referências

1. ABDEL-GAWAD M, et al. Post-COVID-19 Syndrome Clinical Manifestations: A Systematic Review. Antiinflamm Antiallergy Agents Med Chem., 2022; 21(2): 115-20.

2. ANAYA JM, et al. Post-COVID syndrome: A case series and comprehensive review. Autoimmun Rev., 2021; 20 (11): 102947.

3. BAIG AM. Chronic COVID Syndrome: Need for appropriate medical terminology for Long-COVID and COVID Long-Haulers. J Med Virol., 2020.

4. BATIBAY S, et al. The prevalence and clinical spectrum of post-Covid syndrome in patients with rheumatic diseases: a single-center experience. Reumatismo, 2022; 3; 74(1).

5. CAROD-ARTAL FJ. Post-COVID-19 syndrome: epidemiology, diagnostic criteria and pathogenic mechanisms involved. Rev Neurol., 2021; 72: 384-96.

6. CEBAN F, et al. Fatigue and cognitive impairment in Post-COVID-19 Syndrome: A systematic review and meta-analysis. Brain Behav Immun., 2022; 101: 93-135.

7. CHHABRA N, et al. Post-COVID Headache: A Literature Review. Curr Pain Headache Rep., 2022; 26(11): 835-842.

8. CZECH T, et al. Characteristics of hair loss after COVID-19: A systematic scoping review. J Cosmet Dermatol., 2022; 21(9): 3655-3662.

9. DAVIES HE, et al. Characterizing Long COVID in an International Cohort: 7 Months of Symptoms and Their Impact. Disponível em: https://www.medrxiv.org/content/10.1101/2020.12.24.20248802v2. Acesso em: 29 Jan 2021.

10. DELGADO-ALONSO C, et al. Fatigue and Cognitive Dysfunction Are Associated with Occupational Status in Post-COVID Syndrome. Int J Environ Res Public Health, 2022; 16; 19(20): 13368.

11. FETER N, et al. Physical activity and long COVID: findings from the Prospective Study About Mental and Physical Health in Adults cohort. Public Health, 2023; 220: 148-154.

12. GREENHALGH T, et al. Management of post-acute covid-19 in primary care. BMJ 2020; 370.

13. LADDS E, et al. Persistent symptoms after Covid-19: a qualitative study of 114 “long Covid” patients and draft quality principles for services. BMC Health Serv Res., 2020; 20 (1144).

14. LI B, et al. Prevalence and impact of cardiovascular metabolic diseases on COVID-19 in China. Clin Res Cardiol., 2020; 109(5): 531-8.

15. MAGLIETTA G, et al. Prognostic Factors for Post-COVID-19 Syndrome: a Systematic Review and Meta-Analysis. J Clin Med., 2022; 11(6).

16. MALIK P, et al. Post‐acute COVID‐19 syndrome (PCS) and health‐related quality of life (HRQoL): A systematic review and meta‐analysis. J Med Virol., 2022; 94(1): 253-262.

17. MARJENBERG Z, et al. Risk of long COVID main symptoms after SARS-CoV-2 infection: a systematic review and meta-analysis. Sci Rep., 2023; 13(1): 15332.

18. MENDELSON M, et al. Long-COVID: An evolving problem with an extensive impact. S Afr Med J., 2020; 111(1): 10-2.

19. NOTARTE KI, et al. Age, Sex and Previous Comorbidities as Risk Factors Not Associated with SARS-CoV-2 Infection for Long COVID-19: A Systematic Review and Meta-Analysis. J Clin Med., 2022; 11(24): 7314.

20. RAVEENDRAN AV, et al. Post COVID-19 Syndrome ("Long COVID") and Diabetes: Challenges in Diagnosis and Management. Diabetes Metab Syndr., 2021; 15(5): 102235.

21. SALAMANNA F, et al. Post-COVID-19 Syndrome: The Persistent Symptoms at the Post-viral Stage of the Disease. A Systematic Review of the Current Data. Front Med., 2021; 8.

22. WANG B, et al. Does comorbidity increase the risk of patients with COVID-19: evidence from meta-analysis. Aging, 2020; 12(7): 6049-57.

23. WOODWARD SF, et al. Anxiety, Post–COVID-19 Syndrome-Related Depression, and Suicidal Thoughts and Behaviors in COVID-19 Survivors: Cross-sectional Study. JMIR Form Res., 2022; 25;6(10): e36656.

24. YANG J, et al. Prevalence of comorbidities and its effects in patients infected with SARS-CoV-2: a systematic review and meta-analysis. Int J Infect Dis., 2020; 94: 91-5.