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Sandra López‐León, Talía Wegman-Ostrosky, Carol Perelman, Rosalinda Sepúlveda, Paulina A. Rebolledo, Angélica Cuapio, Sonia Villapol
COVID-19, caused by SARS-CoV-2, can involve sequelae and other medical complications that last weeks to months after initial recovery, which has come to be called Long-COVID or COVID long-haulers. This systematic review and meta-analysis aims to identify studies assessing long-term effects of COVID-19 and estimates the prevalence of each symptom, sign, or laboratory parameter of patients at a post-COVID-19 stage. LitCOVID (PubMed and Medline) and Embase were searched by two independent researchers. All articles with original data for detecting long-term COVID-19 published before 1 st of January 2021 and with a minimum of 100 patients were included. For effects reported in two or more studies, meta-analyses using a random-effects model were performed using the MetaXL software to estimate the pooled prevalence with 95% CI. Heterogeneity was assessed using I 2 statistics. This systematic review followed Preferred Reporting Items for Systematic Reviewers and Meta-analysis (PRISMA) guidelines, although the study protocol was not registered. A total of 18,251 publications were identified, of which 15 met the inclusion criteria. The prevalence of 55 long-term effects was estimated, 21 meta-analyses were performed, and 47,910 patients were included. The follow-up time ranged from 14 to 110 days post-viral infection. The age of the study participants ranged between 17 and 87 years. It was estimated that 80% (95% CI 65-92) of the patients that were infected with SARS-CoV-2 developed one or more long-term symptoms. The five most common symptoms were fatigue (58%), headache (44%), attention disorder (27%), hair loss (25%), and dyspnea (24%). All meta-analyses showed medium (n=2) to high heterogeneity (n=13). In order to have a better understanding, future studies need to stratify by sex, age, previous comorbidities, severity of COVID-19 (ranging from asymptomatic to severe), and duration of each symptom. From the clinical perspective, multi-disciplinary teams are crucial to developing preventive measures, rehabilitation techniques, and clinical management strategies with whole-patient perspectives designed to address long COVID-19 care.
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López‐León, S., Wegman-Ostrosky, T., Perelman, C., Sepúlveda, R., Rebolledo, P. A., Cuapio, A., & Villapol, S. (2021). More than 50 long-term effects of COVID-19: a systematic review and meta-analysis. Scientific Reports, 11(1), 16144. https://doi.org/10.1038/s41598-021-95565-8
López‐León, Sandra, et al. "More than 50 long-term effects of COVID-19: a systematic review and meta-analysis." Scientific Reports, vol. 11, no. 1, 2021, pp. 16144, https://doi.org/10.1038/s41598-021-95565-8.
López‐León, Sandra, Talía Wegman-Ostrosky, Carol Perelman, Rosalinda Sepúlveda, Paulina A. Rebolledo, Angélica Cuapio, and Sonia Villapol. "More than 50 long-term effects of COVID-19: a systematic review and meta-analysis." Scientific Reports 11, no. 1 (2021): 16144. https://doi.org/10.1038/s41598-021-95565-8.
López‐León S., Wegman-Ostrosky T., Perelman C. [и др.] More than 50 long-term effects of COVID-19: a systematic review and meta-analysis // Scientific Reports. — 2021. — Vol. 11, № 1. — P. 16144. — URL: https://doi.org/10.1038/s41598-021-95565-8
@article{lopezleon2021more,
title = {{More than 50 long-term effects of COVID-19: a systematic review and meta-analysis}},
author = {Sandra López‐León and Talía Wegman-Ostrosky and Carol Perelman and Rosalinda Sepúlveda and Paulina A. Rebolledo and Angélica Cuapio and Sonia Villapol},
journal = {Scientific Reports},
year = {2021},
volume = {11},
number = {1},
pages = {16144},
doi = {10.1038/s41598-021-95565-8},
url = {https://doi.org/10.1038/s41598-021-95565-8}
}TY - JOUR AU - López‐León, Sandra AU - Wegman-Ostrosky, Talía AU - Perelman, Carol AU - Sepúlveda, Rosalinda AU - Rebolledo, Paulina A. AU - Cuapio, Angélica AU - Villapol, Sonia TI - More than 50 long-term effects of COVID-19: a systematic review and meta-analysis JO - Scientific Reports VL - 11 IS - 1 SP - 16144 PY - 2021 DA - 2021/08/09 DO - 10.1038/s41598-021-95565-8 UR - https://doi.org/10.1038/s41598-021-95565-8 ER -
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