Predictors of Post Covid Syndrome among Covid Survivors Patients attending Post Covid Out-Patients Clinic | ||||
The Egyptian Journal of Hospital Medicine | ||||
Article 45, Volume 89, Issue 2, October 2022, Page 6341-6347 PDF (328.67 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejhm.2022.269783 | ||||
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Authors | ||||
Alaa Edin Metwally Elgazzar; Mohamed El-Shabrawy; Abdulsalam Ali Mohamed Kot ; Tarek Hamdy | ||||
Abstract | ||||
Background: The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic remains a constant challenge for healthcare systems and affects the well-being of many individuals. The objective of the current study is to determine the parameters that can predict post COVID-19 sequale and incidence of post Covid sequale among Covid survivor's patients attending post covid outpatient clinic. Patients and methods: This was a case control study carried out on 60 COVID-19 survivors whom were recovered from the acute illness and discharged for follow-up at the post covid out-patient clinic at Zagazig University. The sixty patients included in the study were divided to Group I: (Asymptomatic patients): include 30 patients whom were discharged for follow-up and in whom no significant symptoms or signs were reported during the study. Group II: (Symptomatic patients): include 30 patients whom were discharged for follow-up and in whom there were significant symptoms or signs during the study. Results: There is statistically significantly association between initial parameters high (CRP, D-dimer, ferritin, LDH, IL6) and low Lymphocytes. Post covid degree of lung affection in chest CT scan where Grade ≥5 (severe lung affection) prevailed in 63.3% and 20% in those with and without post covid syndrome, respectively, while Grade <2 (less sever lung affection) was more dominant in those without post covid (30% vs. 6.7%). Conclusion: Persistence of symptoms is common after the acute phase of COVID-19 infection. Post covid syndrome occurs regardless of the disease severity. High CRP, LDH, ferritn, D-dimer, and IL6, low Lymphocytes and degree of lung affection at diagnosis of acute covid19 may be good predictors for the occurrence of post covid syndrome. | ||||
Keywords | ||||
Post covid Syndrome; COVID-19; COVID-19 Survivors | ||||
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