The assessment of post-covid-19 Manifestations in recovered patients and The factors associated with high symptom burden

Khadija Begum, A. H. M. K. Imam Suman, K. Rahman, Mahjabeen Aftab Solaiman, S. Khan, F. T. Johora, Morshad Alam
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Abstract

Background: Persistent COVID-19 symptoms and post-COVID chronic diseases have received more attention rather than the infection itself. This study’s goal was to evaluate the health status of recovered COVID-19 patients and analyze the factors associated with a high burden of symptoms. Methods: This was acohort study among hospital-released and recovered COVID-19 patients after three to six months of infection. Data was collected through a structured interview and analyzed by IBM SPSS (version25). Results: Fatigue (74.2%) followed by anxiety (38.9%) and joints paint (34.7%) were the most common symptoms of post-COVID period. Among participants, 21.34% had low dietary adherence and 17.2% had high adherence. A statistically significant correlation of high symptoms burden with dietary adherence and age was observed. People with low dietary adherence are at risk of high symptom burden and chronic diseases (AOR: 3.56, 95%CI:1.46-8.69). Habit of smoking, Asthma, Hypothyroidism, Ischemic heart disease are significant predictor (P<0.05). Patients those did not required ICU also had a lower risk of burden. Conclusion: Effective control of post- COVID symptoms is important to confirm a healthy life. Therefore, it is important to maintain good dietary practice, avoid bad habits and control of chronic diseases for a good quality of life. Bangladesh J Medicine 2023; 34(3): 214-222
康复患者新冠肺炎后表现及高症状负担相关因素评估
背景:COVID-19持续症状和COVID-19后慢性疾病比感染本身更受关注。本研究的目的是评估康复的COVID-19患者的健康状况,并分析与高症状负担相关的因素。方法:对感染3 ~ 6个月后出院和康复的COVID-19患者进行队列研究。通过结构化访谈收集数据,并使用IBM SPSS (version25)进行分析。结果:冠状病毒感染后最常见的症状为疲劳(74.2%)、焦虑(38.9%)和关节油漆(34.7%)。在参与者中,21.34%的人饮食依从性低,17.2%的人饮食依从性高。观察到高症状负担与饮食依从性和年龄有统计学意义的相关性。饮食依从性低的人有高症状负担和慢性疾病的风险(AOR: 3.56, 95%CI:1.46-8.69)。吸烟习惯、哮喘、甲状腺功能减退、缺血性心脏病是显著预测因子(P<0.05)。不需要ICU的患者也有较低的负担风险。结论:有效控制新冠肺炎后症状对确保健康生活至关重要。因此,保持良好的饮食习惯,避免不良习惯和控制慢性疾病对于良好的生活质量非常重要。孟加拉国J医学2023;34 (3): 214 - 222
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