Previously submitted to: Journal of Medical Internet Research (no longer under consideration since Aug 24, 2020)
Date Submitted: Jul 27, 2020
Open Peer Review Period: Jul 27, 2020 - Aug 24, 2020
(closed for review but you can still tweet)
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Short Paper: Risk Factors for Long-Term Persistent Symptoms in COVID-19 in an Outpatient Cohort
ABSTRACT
Background:
Symptom descriptions in outpatients with COVID-19 are limited to cross-sectional surveys and longitudinal follow-up of long term symptoms has not been reported. Symptom duration is important for patient and provider knowledge in managing outpatient COVID-19.
Objective:
Describe the presence of symptoms at long term follow-up of patients managed in an outpatient telemedicine program for acute COVID-19.
Methods:
Chart review of clinical notes for acute COVID-19 and long term follow-up calls. Descriptive analysis were conducted using Wilcoxon rank-sum for continuous variables and chi-square or Fisher’s Exact as appropriate for categorical variables.
Results:
Minor symptoms were reported by 55 patients (34.8%) and 7 (4.4%) reported major ongoing symptoms at follow-up call. Factors associated with prolonged symptoms include older age, provider reported higher symptom severity at intake visit, and BMI >30. Symptoms which persisted include shortness of breath on exertion, wheeze, nausea, and joint pain.
Conclusions:
Persistence of symptoms after acute COVID-19 in outpatients is common. Risk factors may help predict which patients are more likely to have prolonged symptoms.
Citation
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