The study showed that hospitalized Covid patients suffer from poorer health and quality of life compared to others

The study showed that hospitalized Covid patients suffer from poorer health and quality of life compared to others

Two years after contracting Covid-19, half of patients admitted to hospital still had at least one symptom, according to a new study that followed nearly 1,200 Chinese people treated at a hospital in Wuhan, ground zero of the epidemic in India. its early days.

While overall physical and mental health has improved over time, the study indicates that Covid-19 patients still tend to have lower health and quality of life than the general population.

This is particularly the case for participants with prolonged COVID-19 illness, who typically still had at least one symptom including fatigue, shortness of breath and sleep difficulties two years after the initial illness.

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The long-term health effects of Covid-19 have remained largely unknown, with the longest follow-up studies to date spanning around one year.

The lack of baselines for pre-Covid health status and comparisons with the general population in most studies made it difficult to determine how well Covid-19 patients recovered.

Despite this ambiguity, the prolonged Covid-19 disease has clearly emerged as a public health concern that not only disrupts healthcare for people living with non-communicable diseases, but also potentially increases the burden of many other diseases.

Adverse effects range from fatigue and difficulty concentrating, to neurological and neuropsychiatric symptoms, respiratory and cardiovascular problems, and metabolic disease.

A portion of the Covid survivors in hospital in Wuhan took more than two years to fully recover even though they cleared the initial infection within days.

After six months of initially ill, 68 percent of participants reported at least one symptom of prolonged COVID-19. Two years after infection, reports of symptoms were down to 55 percent.

The most frequently reported symptoms were fatigue or muscle weakness. Its prevalence fell from 52 percent in six months to 30 percent within two years.

Mental health assessments found that 13% showed symptoms of anxiety and 11% showed symptoms of depression. On the plus side, 89 percent are back at work after two years regardless of these symptoms.

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“Continuous follow-up of Covid-19 survivors, especially those with prolonged Covid symptoms, is essential to understanding the longer course of the disease,” lead researcher Ben Kao of China-Japan Friendship Hospital, China, said in a statement.

“There is a clear need to provide ongoing support to the large proportion of people who have contracted Covid-19, and to understand how vaccines, new treatments and variants affect long-term health outcomes.”

Published in The Lancet Respiratory Medicine, the analysis is the longest follow-up study to date in which researchers evaluated the health of 1,192 participants with severe Covid-19 who were treated at Jin Yin Tan Hospital in Wuhan between January 7 and May 29, 2020, at the ages of six months and 12 A month and two years.

Lancelot Pinto, Chief Medical Officer at PD Hinduja Hospital in Mumbai, said fatigue, shortness of breath, digestive issues, blood pressure fluctuations, high blood sugar, menstrual disturbances and sleep disturbance are the common symptoms of the prolonged COVID-19 virus. “In a small portion of individuals, these symptoms are very devastating, although for the majority they improve over time.”

“Given the population of India and the number of individuals who have been infected over the past two years, prolonged Covid symptoms of medical importance requiring treatment appear to be very rare,” he said. DH.

In the Lancet study, assessments included a six-minute walking test, lab tests, and questionnaires about symptoms, mental health, and health-related quality of life, if they returned to work and health care use after hospital discharge.

Adverse effects on quality of life, exercise capacity, mental health, and healthcare use were determined by comparing participants with and without prolonged Covid symptoms. Health outcomes were determined at 2 years of age using age, gender and comorbidities matched with a control group of people in the general population with no history of Covid infection.

The Lancet study included individuals who were hospitalized and the data cannot be extrapolated to all individuals with Covid-19, Pinto explained.

2022-05-12 19:31:33

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