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How do clinicians u...
How do clinicians use post-COVID syndrome diagnosis? Analysis of clinical features in a Swedish COVID-19 cohort with 18 months’ follow-up : a national observational cohort and matched cohort study
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- Ollila, Hanna M (författare)
- Institute for Molecular Medicine, FIMM, University of Helsinki, Helsinki, Finland; Massachusetts General Hospital Center for Genomic Medicine, Boston, Massachusetts, USA; Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA; Broad Institute, Cambridge, Massachusetts, USA
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- Fonseca Rodriguez, Osvaldo, PhD, 1982- (författare)
- Umeå universitet,Institutionen för klinisk mikrobiologi
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- Caspersen, Ida Henriette (författare)
- Centre for Fertility and Health, Norwegian Institute of Public Health, Oslo, Norway
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- Kalucza, Sebastian (författare)
- Umeå universitet,Institutionen för klinisk mikrobiologi
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- Normark, Johan (författare)
- Umeå universitet,Immunologi/immunkemi
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- Trogstad, Lill (författare)
- Centre for Fertility and Health, Norwegian Institute of Public Health, Oslo, Norway
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- Magnus, Per Minor (författare)
- Centre for Fertility and Health, Norwegian Institute of Public Health, Oslo, Norway
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- Rod, Naja Hulvej (författare)
- Department of Public Health, University of Copenhagen, Copenhagen, Denmark
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- Ganna, Andrea (författare)
- Institute for Molecular Medicine, FIMM, University of Helsinki, Helsinki, Finland; Broad Institute, Cambridge, Massachusetts, USA
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- Eriksson, Marie, Professor (författare)
- Umeå universitet,Statistik
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- Fors Connolly, Anne-Marie (författare)
- Umeå universitet,Infektionssjukdomar
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(creator_code:org_t)
- BMJ Publishing Group Ltd, 2024
- 2024
- Engelska.
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Ingår i: BMJ Public Health. - : BMJ Publishing Group Ltd. - 2753-4294. ; 2:1
- Relaterad länk:
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https://doi.org/10.1...
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https://umu.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Introduction: SARS-CoV-2 infection causes acute COVID-19 and may result in post-COVID syndrome (PCS). We aimed to investigate how clinicians diagnose PCS and identify associated clinical and demographic characteristics.Methods: We analysed multiregistry data of all SARS-CoV-2 test-positive individuals in Sweden (n=1 057 174) between 1 February 2020 and 25 May 2021. We described clinical characteristics that prompt PCS diagnosis in outpatient and inpatient settings. In total, there were 6389 individuals with a hospital inpatient or outpatient diagnosis for PCS. To understand symptomatology, we examined individuals diagnosed with PCS at least 3 months after COVID-19 onset (n=6389) and assessed factors associated with PCS diagnosis.Results: Mechanical ventilation correlated with PCS (OR 114.7, 95% CI 105.1 to 125.3) compared with no outpatient/inpatient contact during initial COVID-19. Dyspnoea (13.4%), malaise/fatigue (8%) and abnormal pulmonary diagnostic imaging findings (4.3%) were the most common features linked to PCS. We compared clinical features of PCS with matched controls (COVID-19 negative, n=23 795) and COVID-19 severity-matched patients (COVID-19 positive, n=25 556). Hypertension associated with PCS cohort (26.61%) than in COVID-19-negative (OR 17.16, 95% CI 15.23 to 19.3) and COVID-19-positive (OR 9.25, 95% CI 8.41 to 10.16) controls, although most individuals received this diagnosis before COVID-19. Dyspnoea was the second most common feature in the PCS cohort (17.2%), and new to the majority compared with COVID-19-negative (OR 54.16, 95% CI 42.86 to 68.45) and COVID-19-positive (OR 18.7, 95% CI 16.21 to 21.57) controls.Conclusions: Our findings highlight factors Swedish physicians associate with PCS.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Infektionsmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Infectious Medicine (hsv//eng)
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Ollila, Hanna M
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Fonseca Rodrigue ...
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Caspersen, Ida H ...
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Kalucza, Sebasti ...
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Normark, Johan
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Trogstad, Lill
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Magnus, Per Mino ...
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Rod, Naja Hulvej
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Ganna, Andrea
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Eriksson, Marie, ...
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Fors Connolly, A ...
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