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Long COVID Clusters of Symptoms Persist beyond Two Years after Infection: Insights from the CARDIO COVID 20-21 Registry.
Arango-Ibanez, Juan Pablo; Córdoba-Melo, Brayan Daniel; Gutiérrez Posso, Juliana María; Barbosa-Rengifo, Mario Miguel; Herrera, Cesar J; Quintana Da Silva, Miguel Angel; Buitrago, Andrés Felipe; Coronel Gilio, María Lorena; Pow-Chong-Long, Freddy; Gómez-Mesa, Juan Esteban.
Afiliação
  • Arango-Ibanez JP; Centro de Investigaciones Clínicas (CIC), Fundación Valle del Lili, Cali 760032, Colombia.
  • Córdoba-Melo BD; Centro de Investigaciones Clínicas (CIC), Fundación Valle del Lili, Cali 760032, Colombia.
  • Gutiérrez Posso JM; Centro de Investigaciones Clínicas (CIC), Fundación Valle del Lili, Cali 760032, Colombia.
  • Barbosa-Rengifo MM; Centro de Investigaciones Clínicas (CIC), Fundación Valle del Lili, Cali 760032, Colombia.
  • Herrera CJ; Departamento de Cardiología, Centros de Diagnóstico y Medicina Avanzada y de Conferencias Médicas y Telemedicina (CEDIMAT), Santo Domingo F3QG+PJ6, Dominican Republic.
  • Quintana Da Silva MA; Departamento de Cardiología, Instituto Cardiovascular Sanatorio MIGONE, Asunción 1541, Paraguay.
  • Buitrago AF; Departamento de Cardiología, Fundación Santa Fe, Bogota 110111, Colombia.
  • Coronel Gilio ML; Departamento de Cardiología, Instituto de Cardiología J. F. Cabral, Corrientes 3400, Argentina.
  • Pow-Chong-Long F; Departamento de Cardiología, Hospital Luis Vernaza, Guayaquil 090306, Ecuador.
  • Gómez-Mesa JE; Centro de Investigaciones Clínicas (CIC), Fundación Valle del Lili, Cali 760032, Colombia.
Viruses ; 16(7)2024 Jun 26.
Article em En | MEDLINE | ID: mdl-39066191
ABSTRACT
Long COVID presents with diverse symptoms after COVID-19. Different clusters of symptoms have been reported; however, their persistence beyond 2 years after COVID-19 remains unclear. In this cohort study, we prospectively evaluated individuals with previous severe COVID-19 presenting with long COVID at a two-year follow-up. We characterized the included patients and performed a cluster analysis of symptoms through multiple correspondence analysis and hierarchical clustering. A total of 199 patients with long COVID were included. The median age was 58 years (48-69), 56% were male, and the median follow-up time since the COVID-19 diagnosis was 26 months (IQR 25, 27). Three symptom clusters were identified Cluster 1 is characterized by fatigue, myalgia/arthralgia, a low prevalence of symptoms, and a lack of specific symptoms; Cluster 2 is defined by a high prevalence of fatigue, myalgia/arthralgia, and cardiorespiratory symptoms, including palpitations, shortness of breath, cough, and chest pain; and Cluster 3 is demonstrated a high prevalence of ageusia, anosmia, fatigue, and cardiorespiratory symptoms. Our study reinforces the concept of symptom clustering in long COVID, providing evidence that these clusters may persist beyond two years after a COVID-19 diagnosis. This highlights the chronic and debilitating nature of long COVID and the importance of developing strategies to mitigate symptoms in these patients.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Sistema de Registros / Artralgia / Fadiga / Mialgia / SARS-CoV-2 / COVID-19 / Síndrome de COVID-19 Pós-Aguda Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Viruses Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Suíça

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Sistema de Registros / Artralgia / Fadiga / Mialgia / SARS-CoV-2 / COVID-19 / Síndrome de COVID-19 Pós-Aguda Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Viruses Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Suíça