Health Consequences Among COVID-19 Convalescent Patients 30 Months Post-Infection in China

The health consequences among COVID-19 convalescent patients 30 months post-infection were described and the potential risk factors were determined. In August 2022 we recruited 217 COVID-19 convalescent patients who had been diagnosed with COVID-19 in February 2020. These convalescent patients were...

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Main Authors: Yu Yin, Yi Guo, Mingzhong Xiao, Qinlin Chen, Pinpin Long, Xi Wang, Jingzhi Wang, Zuoyu Shao, Yutong Qiu, Yixuan Lu, Yuchan Yang, Xueqin Shi, Wei Ni, Shanshan Cheng, Qi Wang, Li Liu, Tangchun Wu, Xiaodong Li, Hao Wang, Yu Yuan
Format: Article
Language:English
Published: Compuscript Ltd 2024-01-01
Series:Zoonoses
Online Access:https://www.scienceopen.com/hosted-document?doi=10.15212/ZOONOSES-2023-0014
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author Yu Yin
Yi Guo
Mingzhong Xiao
Qinlin Chen
Pinpin Long
Xi Wang
Jingzhi Wang
Zuoyu Shao
Yutong Qiu
Yixuan Lu
Yuchan Yang
Xueqin Shi
Wei Ni
Shanshan Cheng
Qi Wang
Li Liu
Tangchun Wu
Xiaodong Li
Hao Wang
Yu Yuan
author_facet Yu Yin
Yi Guo
Mingzhong Xiao
Qinlin Chen
Pinpin Long
Xi Wang
Jingzhi Wang
Zuoyu Shao
Yutong Qiu
Yixuan Lu
Yuchan Yang
Xueqin Shi
Wei Ni
Shanshan Cheng
Qi Wang
Li Liu
Tangchun Wu
Xiaodong Li
Hao Wang
Yu Yuan
author_sort Yu Yin
collection DOAJ
description The health consequences among COVID-19 convalescent patients 30 months post-infection were described and the potential risk factors were determined. In August 2022 we recruited 217 COVID-19 convalescent patients who had been diagnosed with COVID-19 in February 2020. These convalescent patients were residents of multiple districts in Wuhan, China. All convalescent patients completed a detailed questionnaire, laboratory testing, a 6-min walk test, a Borg dyspnea scale assessment, lung function testing, and had a chest CT. The potential risk factors for health consequences among COVID-19 convalescent patients 30 months post-infection were identified using a multivariate logistic regression model. The majority of convalescent patients were in good overall health and returned to work 30 months post-infection; however, 62.2% of the convalescent patients had long COVID symptoms. The most common symptoms were chest pain, fatigue, and dizziness or headaches. The convalescent patients with severe symptoms had a significantly higher proportion of depression disorder ( P = 0.044) and lower health-related quality of life ( P = 0.034) compared to the convalescent patients with mild symptoms. Compared to convalescent patients who were not vaccinated, convalescent patients who received three vaccines had significantly less fatigue, lower anxiety and depression scores, and had a better health-related quality of life (all P < 0.05). Older age was associated with a higher risk of long COVID (OR = 1.52, 95% CI = 1.16–2.02) and chest CT abnormalities (OR = 1.75, 95% CI = 1.33–2.36). Female gender was associated with a higher risk of anxiety (OR = 3.20, 95% CI = 1.24–9.16) and depression disorders (OR = 2.49, 95% CI = 1.11–5.92). Exercise was associated with a lower risk of anxiety (OR = 0.41, 95% CI = 0.18–0.93). Notably, vaccination protected convalescent patients from developing long COVID symptoms (OR = 0.18, 95% CI = 0.06–0.50), anxiety disorders (OR = 0.22, 95% CI = 0.07–0.71), and depression disorders (OR = 0.33, 95% CI = 0.12–0.92). The majority of COVID-19 convalescent patients were in good overall health 30 months post-infection and returned to work. More attention should be paid to convalescent patients who are older, female, physically inactive, and not vaccinated.
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institution Kabale University
issn 2737-7466
2737-7474
language English
publishDate 2024-01-01
publisher Compuscript Ltd
record_format Article
series Zoonoses
spelling doaj-art-796f8fa2d9864c10868858bdc17ec6662025-08-20T03:50:16ZengCompuscript LtdZoonoses2737-74662737-74742024-01-014199910.15212/ZOONOSES-2023-0014Health Consequences Among COVID-19 Convalescent Patients 30 Months Post-Infection in ChinaYu YinYi GuoMingzhong XiaoQinlin ChenPinpin LongXi WangJingzhi WangZuoyu ShaoYutong QiuYixuan LuYuchan YangXueqin ShiWei NiShanshan ChengQi WangLi LiuTangchun WuXiaodong LiHao WangYu YuanThe health consequences among COVID-19 convalescent patients 30 months post-infection were described and the potential risk factors were determined. In August 2022 we recruited 217 COVID-19 convalescent patients who had been diagnosed with COVID-19 in February 2020. These convalescent patients were residents of multiple districts in Wuhan, China. All convalescent patients completed a detailed questionnaire, laboratory testing, a 6-min walk test, a Borg dyspnea scale assessment, lung function testing, and had a chest CT. The potential risk factors for health consequences among COVID-19 convalescent patients 30 months post-infection were identified using a multivariate logistic regression model. The majority of convalescent patients were in good overall health and returned to work 30 months post-infection; however, 62.2% of the convalescent patients had long COVID symptoms. The most common symptoms were chest pain, fatigue, and dizziness or headaches. The convalescent patients with severe symptoms had a significantly higher proportion of depression disorder ( P = 0.044) and lower health-related quality of life ( P = 0.034) compared to the convalescent patients with mild symptoms. Compared to convalescent patients who were not vaccinated, convalescent patients who received three vaccines had significantly less fatigue, lower anxiety and depression scores, and had a better health-related quality of life (all P < 0.05). Older age was associated with a higher risk of long COVID (OR = 1.52, 95% CI = 1.16–2.02) and chest CT abnormalities (OR = 1.75, 95% CI = 1.33–2.36). Female gender was associated with a higher risk of anxiety (OR = 3.20, 95% CI = 1.24–9.16) and depression disorders (OR = 2.49, 95% CI = 1.11–5.92). Exercise was associated with a lower risk of anxiety (OR = 0.41, 95% CI = 0.18–0.93). Notably, vaccination protected convalescent patients from developing long COVID symptoms (OR = 0.18, 95% CI = 0.06–0.50), anxiety disorders (OR = 0.22, 95% CI = 0.07–0.71), and depression disorders (OR = 0.33, 95% CI = 0.12–0.92). The majority of COVID-19 convalescent patients were in good overall health 30 months post-infection and returned to work. More attention should be paid to convalescent patients who are older, female, physically inactive, and not vaccinated.https://www.scienceopen.com/hosted-document?doi=10.15212/ZOONOSES-2023-0014
spellingShingle Yu Yin
Yi Guo
Mingzhong Xiao
Qinlin Chen
Pinpin Long
Xi Wang
Jingzhi Wang
Zuoyu Shao
Yutong Qiu
Yixuan Lu
Yuchan Yang
Xueqin Shi
Wei Ni
Shanshan Cheng
Qi Wang
Li Liu
Tangchun Wu
Xiaodong Li
Hao Wang
Yu Yuan
Health Consequences Among COVID-19 Convalescent Patients 30 Months Post-Infection in China
Zoonoses
title Health Consequences Among COVID-19 Convalescent Patients 30 Months Post-Infection in China
title_full Health Consequences Among COVID-19 Convalescent Patients 30 Months Post-Infection in China
title_fullStr Health Consequences Among COVID-19 Convalescent Patients 30 Months Post-Infection in China
title_full_unstemmed Health Consequences Among COVID-19 Convalescent Patients 30 Months Post-Infection in China
title_short Health Consequences Among COVID-19 Convalescent Patients 30 Months Post-Infection in China
title_sort health consequences among covid 19 convalescent patients 30 months post infection in china
url https://www.scienceopen.com/hosted-document?doi=10.15212/ZOONOSES-2023-0014
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