Long-term neurological and otolaryngological sequelae of COVID-19: a retrospective study

Aim: COVID-19, a multisystemic syndrome caused by SARS-CoV-2, often results in long-term complications collectively referred to as long COVID. This study explores the persistence of neurological and otolaryngological symptoms in patients two years after acute infection, with a focus on gender differ...

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Main Authors: Wael Abu Ruqa, Christian Barbato, Antonio Minni
Format: Article
Language:English
Published: Open Exploration Publishing Inc. 2025-04-01
Series:Exploration of Medicine
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Online Access:https://www.explorationpub.com/uploads/Article/A1001310/1001310.pdf
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author Wael Abu Ruqa
Christian Barbato
Antonio Minni
author_facet Wael Abu Ruqa
Christian Barbato
Antonio Minni
author_sort Wael Abu Ruqa
collection DOAJ
description Aim: COVID-19, a multisystemic syndrome caused by SARS-CoV-2, often results in long-term complications collectively referred to as long COVID. This study explores the persistence of neurological and otolaryngological symptoms in patients two years after acute infection, with a focus on gender differences and variant-specific effects. Methods: A retrospective follow-up was conducted in January 2024 on 112 patients who had been hospitalized for COVID-19. Patients completed a questionnaire assessing the persistence of neuropsychiatric, otolaryngological, and systemic symptoms. Results: Findings reveal that 18.3% of women reported persistent neuropsychiatric symptoms, such as memory deficits, depression, and concentration issues, compared to 5.7% of men. Otolaryngological symptoms, including anosmia and ageusia, largely resolved, with only 4.5% reporting persistent issues. Symptom persistence was more common in older individuals, women, smokers, and those with severe acute-phase illness. Neuropsychiatric symptoms remain prominent, underscoring the need for targeted long-term care. Conclusions: Vaccination significantly reduces the risk and severity of long COVID, particularly neuropsychiatric symptoms, emphasizing its role in mitigating the long-term burden of SARS-CoV-2. Future research should explore biomolecular markers and imaging techniques to better understand and address these long-term sequelae.
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spelling doaj-art-1f6f43bd78ff44b69cffecfc68b7ad5d2025-08-20T01:47:54ZengOpen Exploration Publishing Inc.Exploration of Medicine2692-31062025-04-016100131010.37349/emed.2025.1001310Long-term neurological and otolaryngological sequelae of COVID-19: a retrospective studyWael Abu Ruqa0Christian Barbato1https://orcid.org/0000-0003-1737-9064Antonio Minni2https://orcid.org/0000-0002-3890-3665Division of Otolaryngology-Head and Neck Surgery, Ospedale San Camillo de Lellis, Azienda Sanitaria Locale (ASL) Rieti-Sapienza University, 02100 Rieti, Italy; Department of Sense Organs, Sapienza University of Rome, 00161 Roma, ItalyInstitute of Biochemistry and Cell Biology (IBBC), National Research Council (CNR), Sapienza University of Rome, 00161 Roma, ItalyDivision of Otolaryngology-Head and Neck Surgery, Ospedale San Camillo de Lellis, Azienda Sanitaria Locale (ASL) Rieti-Sapienza University, 02100 Rieti, Italy; Department of Sense Organs, Sapienza University of Rome, 00161 Roma, ItalyAim: COVID-19, a multisystemic syndrome caused by SARS-CoV-2, often results in long-term complications collectively referred to as long COVID. This study explores the persistence of neurological and otolaryngological symptoms in patients two years after acute infection, with a focus on gender differences and variant-specific effects. Methods: A retrospective follow-up was conducted in January 2024 on 112 patients who had been hospitalized for COVID-19. Patients completed a questionnaire assessing the persistence of neuropsychiatric, otolaryngological, and systemic symptoms. Results: Findings reveal that 18.3% of women reported persistent neuropsychiatric symptoms, such as memory deficits, depression, and concentration issues, compared to 5.7% of men. Otolaryngological symptoms, including anosmia and ageusia, largely resolved, with only 4.5% reporting persistent issues. Symptom persistence was more common in older individuals, women, smokers, and those with severe acute-phase illness. Neuropsychiatric symptoms remain prominent, underscoring the need for targeted long-term care. Conclusions: Vaccination significantly reduces the risk and severity of long COVID, particularly neuropsychiatric symptoms, emphasizing its role in mitigating the long-term burden of SARS-CoV-2. Future research should explore biomolecular markers and imaging techniques to better understand and address these long-term sequelae.https://www.explorationpub.com/uploads/Article/A1001310/1001310.pdfneurocovidsars-cov-2covid-19 variantsneurologicalotolaryngological
spellingShingle Wael Abu Ruqa
Christian Barbato
Antonio Minni
Long-term neurological and otolaryngological sequelae of COVID-19: a retrospective study
Exploration of Medicine
neurocovid
sars-cov-2
covid-19 variants
neurological
otolaryngological
title Long-term neurological and otolaryngological sequelae of COVID-19: a retrospective study
title_full Long-term neurological and otolaryngological sequelae of COVID-19: a retrospective study
title_fullStr Long-term neurological and otolaryngological sequelae of COVID-19: a retrospective study
title_full_unstemmed Long-term neurological and otolaryngological sequelae of COVID-19: a retrospective study
title_short Long-term neurological and otolaryngological sequelae of COVID-19: a retrospective study
title_sort long term neurological and otolaryngological sequelae of covid 19 a retrospective study
topic neurocovid
sars-cov-2
covid-19 variants
neurological
otolaryngological
url https://www.explorationpub.com/uploads/Article/A1001310/1001310.pdf
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