Cited by 864Long-Term Effects of COVID-19COVID-19 Clinical Research StudiesCOVID-19 and Mental Health

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‘Long-COVID’: a cross-sectional study of persisting symptoms, biomarker and imaging abnormalities following hospitalisation for COVID-19

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Mandal, Swapna, Barnett, Joseph, Brill, Simon E, Brown, Jeremy S, Denneny, Emma K, Hare, Samanjit S, Heightman, Melissa, Hillman, Toby E, Jacob, Joseph, Jarvis, Hannah C, Lipman, Marc C I, Naidu, Sindhu B, Nair, Arjun, Porter, Joanna C, Tomlinson, Gillian S, Hurst, John R·2021·Thorax

DOI 10.1136/thoraxjnl-2020-215818PMC PMC7615158

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Abstract

Large numbers of people are being discharged from hospital following COVID-19 without assessment of recovery. In 384 patients (mean age 59.9 years; 62% male) followed a median 54 days post discharge, 53% reported persistent breathlessness, 34% cough and 69% fatigue. 14.6% had depression. In those discharged with elevated biomarkers, 30.1% and 9.5% had persistently elevated d-dimer and C reactive protein, respectively. 38% of chest radiographs remained abnormal with 9% deteriorating. Systematic follow-up after hospitalisation with COVID-19 identifies the trajectory of physical and psychological symptom burden, recovery of blood biomarkers and imaging which could be used to inform the need for rehabilitation and/or further investigation.

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Post Covid-19 endobronchial tuberculosis misdiagnosed as asthma
Tran‐Le, Q., Vu‐Hoai, N., Nguyen‐Thi, P., Dang-Vu, T., Lam-Quoc, D., & Nguyen‐Ho, L. (2023) · Chest Disease Reports · doi:10.4081/cdr.2023.11680
Investigación contemporánea desde una visión multdisciplinar. Libro 3. Ciencias de la Salud
SAS), R. E. L. D. I. C. (. (2023) · doi:10.58995/lb.redlic.20
Assessment of Dyspnoea, Physical Activity, and Back Pain Levels in Students at Medical Universities after the COVID-19 Pandemic in Poland
Gałczyk, M., Zalewska, A., & Sobolewski, M. (2023) · Journal of Personalized Medicine · doi:10.3390/jpm13101474
Alteraciones hematológicas por SARS COV-2
Reyes, S. A. B., Pallchisaca, D. R. C., Calle, M. A. V., Beltrán, J. S. U., & Ochoa, R. I. Á. (2023) · doi:10.58995/lb.redlic.20.177
Youth experiences with and perspectives on long covid
Irani, S., Chang, C., Morrison, L., Waselewski, M. E., & Chang, T. (2023) · BMC Public Health · doi:10.1186/s12889-023-16899-8 · Cited by 1
Main Sequelae After Covid-19 In Adults
Lopes, C. C. C., Azzini, V. O. M., Scremin, M., Carvalho, A. S. C., Guimaraes, L. S., Rosado, A. C. M., Ferreira, C. H., Leão, A. M. O. S., Peixoto, B. P., Cieri, I. F., et al. (2023) · Advances In Clinical And Medical Research · doi:10.52793/acmr.2023.4(4)-64
“Patients who have more severe comorbidities or infections with the SARS-CoV2 virus are those who have a higher incidence of persistent symptoms [18-20].”
Post Covid-19 endobronchial tuberculosis misdiagnosed as asthma
Tran‐Le, Q., Vu‐Hoai, N., Nguyen‐Thi, P., Dang-Vu, T., Lam-Quoc, D., & Nguyen‐Ho, L. (2023) · Chest Disease Reports · doi:10.4081/cdr.11.11680
Peran rehabilitasi medik pada pasien pasca infeksi COVID-19: tinjauan kepustakaan
Dananjaya, I. M. D., & Silakarma, D. (2023) · Intisari Sains Medis · doi:10.15562/ism.v14i2.1568
Temporal evolution of chest radiographic appearances in COVID-19 with clinicoradiological associations: a multicentre United Kingdom resident-led study
Gangi, A., Chan, N., Jassel, I., Ashok, A. H., Nair, A., Gangadharan, S., Parker, S., Earnshaw, L., Pattinson, J., Tsang, A., et al. (2023) · Clinical Radiology · doi:10.1016/j.crad.2023.11.001
A Characterization of Neurology Consults for Inpatients with SARS-CoV-2 Infection Compared to Other Respiratory Viruses
Emmert, B. E., Gandelman, S., Do, D., Donovan, K., Kolson, D. L., & Schindler, M. K. (2023) · Neurology International · doi:10.3390/neurolint15040089
“Symptoms of PASC are not limited to the brain; almost every organ has been documented to be involved [39–42].”
Background
Examining the potential risk factors for variable airflow limitation in patients recovering from SARS-CoV-2 Omicron variant infection: A case-control study
Zhao, L., Wang, C., Song, J.-X., & Jiang, P. (2023) · American Journal of Infection Control · doi:10.1016/j.ajic.2023.11.015
Los retos de la investigación social en tiempos de pandemia
Coronel, A. R., Chávez, L. R. G., Elizalde, I. P., Muñóz, J. M., Ramírez, A. H., Romo, J. F. M., Casillas, V. M. L., Zapata, S. D. C. M., Basurto, S. R., García, G., et al. (2023) · Ediciones Comunicación Científica eBooks · doi:10.52501/cc.097
Características sociodemográficas, clínicas, epidemiológicas, funcionales y de calidad de vida de pacientes con COVID-19 y COVID persistente
Vélez-Santamaría, R. (2023) · Repositorio Institucional de la Universidad de Burgos (University of Burgos) · doi:10.36443/10259/8185
PULMONARY COMPLICATIONS OF COVID-19 INFECTION POST-SIX MONTHS
Abdalla, N., Ali, K. M., & Karadakhy, K. A. (2022) · Journal of Sulaimani Medical College · doi:10.17656/jsmc.10382
Vascular complications in long COVID are very rare
KONCAR, I. B., & Antic, D. A. (2023) · Medicinski podmladak · doi:10.5937/mp74-48049
“Very few manifestations were related to the cardiovascular system and D-dimer was assessed in only two studies (150 patients), showing increased values in 30% of patients after COVID infection (21, 22).”
Background
Post-COVID condition: Pulmonary or systemic, reversible or irreversible?
Laban, M., & Škodrić-Trifunović, V. (2023) · Medicinski podmladak · doi:10.5937/mp74-47379
Mental Health Implications After Post-Covid-19 on Survivors: A Scoping Review
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Long-term complaints and quality of life among COVID-19 survivors in the Hail region; KSAPreprint
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Impact of long-COVID on health-related quality of life in Japanese COVID-19 patientsPreprint
Tsuzuki, S., Miyazato, Y., Terada, M., Morioka, S., Ohmagari, N., & Beutels, P. (2024) · doi:10.22541/au.170667903.33433230/v1
Fatigue: Physiology and Pathology
(2024) · Frontiers research topics · doi:10.3389/978-2-8325-4471-6
Association of COVID-19 symptoms and functional status of the COVID-19 survivors in a tertiary health care center in a developing country
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The Effect of COVID-19 Infection on Nervous System
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ВОЗМОЖНЫЕ ПРИЧИНЫ РЕЗИДУАЛЬНЫХ ПСИХОНЕВРОЛОГИЧЕСКИХ НАРУШЕНИЙ ВСЛЕДСТВИЕ ПЕРЕНЕСЕННОЙ ИНФЕКЦИИ COVID-19 («LONG COVID», «LONG HAULERS COVID»), И ИХ КОРРЕКЦИЯ
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Background
A PREVALÊNCIA DE SEQUELAS APÓS INFECÇÃO DA COVID-19 NO MUNICÍPIO DE JUIZ DE FORA
de Resende, A. S., Dias, A. M. N., Neto, A. G. D. S., Franco, D. C. Z., do Vale, J. V. M., de Souza, J. A. F. S., Moraes, L. F. U. B., Mendes, N. B. D. E. S., & de Almeida, S. J. (2024) · Revista Ibero-Americana de Humanidades, Ciências e Educação · doi:10.51891/rease.v10i5.13491
Post-Coronavirus Disease 2019 Condition
Nerli, R. B., & Rangrez, S. (2023) · Journal of the Scientific Society · doi:10.4103/jss.jss_237_23

Authors: Mandal, S., Barnett, J., Brill, S. E., Brown, J. S., Denneny, E. K., Hare, S. S., Heightman, M., Hillman, T. E., Jacob, J., Jarvis, H. C., Lipman, M. C. I., Naidu, S. B., Nair, A., Porter, J. C., Tomlinson, G. S., & Hurst, J. R.
Affiliations: Royal Free London NHS Foundation Trust (GB)
University College London Hospitals NHS Foundation Trust (GB)
University College Hospital (GB)
Corresponding author: Hurst, John R
ORCID: Mandal, Swapna
Barnett, Joseph
Brill, Simon E
Brown, Jeremy S
Denneny, Emma K
Heightman, Melissa
Hillman, Toby E
Jacob, Joseph
Lipman, Marc C I
Naidu, Sindhu B
Nair, Arjun
Porter, Joanna C
Tomlinson, Gillian S
Hurst, John R
Venue: Thorax
Publisher: BMJ
Published: 2020-11-10
Volume: 76
Issue: 4
Pages: 396-398
ISSN: 0040-6376 (ISSN-L)
1468-3296
DOI: 10.1136/thoraxjnl-2020-215818
PMC: PMC7615158
OpenAlex: W3101401355
Cited by: 864
References: 7
Citations by year: 2026: 18 · 2025: 50 · 2024: 111 · 2023: 181 · 2022: 263 · 2021: 235 · 2020: 6
FWCI: 74.15
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: bmj.com/coronavirus/usage (tdm)
Locations: Thorax (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
UCL Discovery (University College London) (submittedVersion)
Funders: Wellcome Trust (Z/17/Z, 209553, 209553/Z/17/Z)
National Institute for Health and Care Research
University College London Hospitals NHS Foundation Trust
Medical Research Council (MR/N007727/1)
Topics: Health Sciences › Medicine › Clinical Neurology › Long-Term Effects of COVID-19
Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
Keywords: long COVID, persistent symptoms, dyspnea, cough, fatigue, depression, D-dimer, C-reactive protein, biomarkers, chest X-ray abnormalities, post-discharge follow-up, rehabilitation
MeSH terms: COVID-19, SARS-CoV-2, Cross-Sectional Studies, Diagnostic Imaging, Female, Hospitalization, Humans, Lung, Male, Middle Aged, Severity of Illness Index, Biomarkers, Pandemics

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‘Long-COVID’: a cross-sectional study of persisting symptoms, biomarker and imaging abnormalities following hospitalisation for COVID-19

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