Post-COVID-19 syndrome: the persistent symptoms at the post-viral stage of the disease. A systematic review of the current data

F Salamanna, F Veronesi, L Martini, MP Landini… - Frontiers in …, 2021 - frontiersin.org
F Salamanna, F Veronesi, L Martini, MP Landini, M Fini
Frontiers in medicine, 2021frontiersin.org
Whilst the entire world is battling the second wave of COVID-19, a substantial proportion of
patients who have suffered from the condition in the past months are reporting symptoms
that last for months after recovery, ie, long-term COVID-19 symptoms. We aimed to assess
the current evidence on the long-term symptoms in COVID-19 patients. We did a systematic
review on PubMed, Web of Science, EMBASE, and Google Scholar from database inception
to February 15, 2021, for studies on long-term COVID-19 symptoms. We included all type of …
Whilst the entire world is battling the second wave of COVID-19, a substantial proportion of patients who have suffered from the condition in the past months are reporting symptoms that last for months after recovery, i. e., long-term COVID-19 symptoms. We aimed to assess the current evidence on the long-term symptoms in COVID-19 patients. We did a systematic review on PubMed, Web of Science, EMBASE, and Google Scholar from database inception to February 15, 2021, for studies on long-term COVID-19 symptoms. We included all type of papers that reported at least one long-term COVID-19 symptom. We screened studies using a standardized data collection form and pooled data from published studies. Cohort cross-sectional, case-report, cases-series, case-control studies, and review were graded using specific quality assessment tools. Of 11,361 publications found following our initial search we assessed 218 full-text articles, of which 145 met all selection criteria. We found that 20.70% of reports on long-term COVID-19 symptoms were on abnormal lung functions, 24.13% on neurologic complaints and olfactory dysfunctions, and 55.17% on specific widespread symptoms, mainly chronic fatigue, and pain. Despite the relatively high heterogeneity of the reviewed studies, our findings highlighted that a noteworthy proportion of patients who have suffered from SARS-CoV-2 infection present a “post-COVID syndrome.” The multifaceted understanding of all aspects of the COVID-19 pandemic, including these long-term symptoms, will allow us to respond to all the global health challenges, thus paving the way to a stronger public health.
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