Post-COVID conditions: co-occurrence of symptoms and challenges for comprehensive care.

Revista da Escola de Enfermagem da U S P Pub Date : 2026-08-17 eCollection Date: 2026-01-01 DOI:10.1590/1980-220X-REEUSP-2026-0174en
Gustavo Diego Magno, Julia Hellen Ferreira de Sousa, Yasmim Fabiane Moreira, Antonio Rosa Castillo, Silvia Carla da Silva Andre Uehara
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Abstract

Objective: To analyze the frequency and co-occurrence of symptoms of post-COVID conditions and investigate the association with demographic variables, history of hospitalization, and demand for healthcare.

Method: A descriptive-analytical cross-sectional study was conducted with 821 participants who presented symptoms of post-COVID conditions. Descriptive analysis, association tests, and Pearson correlation were performed to identify symptom clusters.

Results: Female gender had a higher frequency of hair loss (p < 0.001), while young adults reported a higher occurrence of headache (p = 0.003). Muscle weakness was associated with hospitalization in the acute phase (p < 0.001), while a high symptomatic burden increased the frequency of admission with vital sign checks (p < 0.001). A moderate association was identified between paresthesia in upper and lower limbs; pain in upper and lower limbs; joint pain and myalgia; anxiety and depressive symptoms; anxiety and sleep disorders; nausea and epigastric pain/heartburn; nausea and dizziness; and sore throat and runny nose.

Conclusion: post-COVID conditions present a heterogeneous and multisystemic symptomatic profile, associated with demographic factors, previous severity, and greater demand for care, reinforcing the need for comprehensive care.

covid - 19后的情况:症状的共存和综合护理的挑战。
目的:分析新型冠状病毒感染后症状的发生频率和共现情况,并探讨其与人口统计学变量、住院史和医疗需求的关系。方法:对821名出现covid后症状的参与者进行了描述性分析横断面研究。进行描述性分析、关联检验和Pearson相关性来确定症状群。结果:女性脱发的发生率较高(p < 0.001),而年轻人报告的头痛发生率较高(p = 0.003)。肌肉无力与急性期住院相关(p < 0.001),而高症状负担增加了住院并进行生命体征检查的频率(p < 0.001)。上肢和下肢感觉异常之间存在中度关联;上肢和下肢疼痛;关节痛、肌痛;焦虑和抑郁症状;焦虑和睡眠障碍;恶心、胃脘痛/烧心;恶心和头晕;喉咙痛,流鼻涕。结论:covid后病情呈现异质性和多系统的症状特征,与人口因素、既往严重程度和更大的护理需求相关,加强了对综合护理的需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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