Follow-up evaluation of long COVID syndrome in patients with SARS-CoV-2 infection

ABSTRACT Background: Long COVID, which refers to persistent symptoms following acute COVID-19, is being increasingly reported. However, available data regarding its prevalence and characteristics are limited. This study was conducted to evaluate the occurrence and presentation of long COVID in pati...

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Main Authors: Sezin Hoşgel Sevdimbaş, Ayşe Seza İnal, Ferit Kuşcu, Behice Kurtaran, Aslıhan Candevir, Yeşim Taşova, Süheyla Kömür
Format: Article
Language:English
Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2025-08-01
Series:Revista da Sociedade Brasileira de Medicina Tropical
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822025000100410&tlng=en
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Summary:ABSTRACT Background: Long COVID, which refers to persistent symptoms following acute COVID-19, is being increasingly reported. However, available data regarding its prevalence and characteristics are limited. This study was conducted to evaluate the occurrence and presentation of long COVID in patients with COVID-19 who were followed up in outpatient, ward, or intensive care settings. Methods: This study included patients who were diagnosed with COVID-19 at least four weeks prior to the start of the study. The patients underwent symptom assessment at baseline and 1, 3, 6, and 12 months post-infection. Functional status was evaluated using the Post-COVID-19 Functional Status (PCFS) Scale, and quality of life was assessed using the SF-36 Health Survey questionnaire. Results: A total of 134 patients (71 males [54.2%]), with a mean age of 43.7 (15.3) years, participated in this study. The distribution of patients across care settings was as follows: 51.1% outpatients, 35.9% in wards, and 13% in intensive care units (ICUs). Fatigue during exertion was the most frequently reported long COVID symptom. Patients treated in ICUs experienced a higher burden of long COVID symptoms than those treated in outpatient or ward settings. Furthermore, patients treated in ICUs and wards had a significantly poorer quality of life and functional status than the outpatients. Conclusions: Long COVID poses a significant ongoing health concern, particularly for patients who require intensive care during acute COVID-19. Vigilant monitoring of long-term sequelae, particularly those that affect quality of life and functional status, is crucial for individuals recovering from COVID-19.
ISSN:1678-9849