Onset, duration and unresolved symptoms, including smell and taste changes, in mild COVID-19 infection: a cohort study in Israeli patients.

Onset, duration and unresolved symptoms, including smell and taste changes, in mild COVID-19 infection: a cohort study in Israeli patients.
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轻度COVID-19感染的发病、持续时间和未解决的症状,包括嗅觉和味觉变化:以色列患者的队列研究

DOI:
10.1016/j.cmi.2021.02.008
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发表时间:
2021-02-16
期刊:
Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases
影响因子:
--
通讯作者:
Niv MY
Niv MY
中科院分区:
其他
文献类型:
--
作者:
Klein H;Asseo K;Karni N;Benjamini Y;Nir-Paz R;Muszkat M;Israel S;Niv MY

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描述2019年轻度冠状病毒病(COVID-19)患者6个月的纵向症状,以潜在地帮助疾病管理。在6个月期间(2020年4月至2020年10月),我们对以色列103名轻度COVID-19患者进行了电话访谈。患者通过社交媒体和口碑招募,并根据其未解决症状的报告接受最多4次采访。入选标准要求参与者为18岁或以上的以色列居民,COVID-19实时PCR结果呈阳性,症状不严重。分析症状的发作、持续时间、严重程度和消退情况。44%(45/103)、41%(42/103)、39%(40/103)和38%(39/103)的患者以头痛、发热、肌肉酸痛和干咳为首发症状。在发病后3.9 ± 5.4和4.6 ± 5.7天(平均值±标准差(SD))分别出现味觉和味觉变化。在流行症状中,发热持续时间最短(5.8 ± 8.6天),味觉和嗅觉变化是持续时间最长的症状(17.2 ± 17.6和18.9 ± 19.7天;持续时间在60天时删失)。嗅觉恢复的时间与嗅觉变化的程度相关。在6个月随访时,46%(47/103)的患者至少有一种未解决的症状,最常见的是疲劳(22%,23/103),嗅觉和味觉变化(分别为15%,15/103和8%,8/103)和呼吸困难(8%,8/103)。轻度COVID-19的长期影响表现在近一半的参与者在6个月后报告至少一个未解决的症状。
To characterize longitudinal symptoms of mild coronavirus disease 2019 (COVID-19) patients for a period of 6 months, to potentially aid in disease management. Phone interviews were conducted with 103 patients with mild COVID-19 in Israel over a 6-month period (April 2020 to October 2020). Patients were recruited via social media and word to mouth and were interviewed up to 4 times, depending on reports of their unresolved symptoms. Inclusion criteria required participants to be residents of Israel aged 18 years or older, with positive COVID-19 real-time PCR results and nonsevere symptoms. The onset, duration, severity and resolution of symptoms were analysed. A total of 44% (45/103), 41% (42/103), 39% (40/103) and 38% (39/103) of patients experienced headache, fever, muscle ache and dry cough as the first symptom respectively. Smell and taste changes were experienced at 3.9 ± 5.4 and 4.6 ± 5.7 days (mean ± standard deviation (SD)) after disease onset respectively. Among prevalent symptoms, fever had the shortest duration (5.8 ± 8.6 days), and taste and smell changes were the longest-lasting symptoms (17.2 ± 17.6 and 18.9 ± 19.7 days; durations censored at 60 days). Longer recovery of the sense of smell correlated with the extent of smell change. At the 6-month follow-up, 46% (47/103) of the patients had at least one unresolved symptom, most commonly fatigue (22%, 23/103), smell and taste changes (15%, 15/103 and 8%, 8/103 respectively) and breathing difficulties (8%, 8/103). Long-lasting effects of mild COVID-19 manifested in almost half of the participants reporting at least one unresolved symptom after 6 months.
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