reviewJAMAOct 10, 2022BRONZE OA

Estimated Global Proportions of Individuals With Persistent Fatigue, Cognitive, and Respiratory Symptom Clusters Following Symptomatic COVID-19 in 2020 and 2021

GBGlobal Burden of Disease Long COVID CollaboratorsSWSarah Wulf HansonCACristiana AbbafatiJGJoachim G.J.V. AertsZAZiyad Al‐Aly

University of Washington · Institute for Health Metrics and Evaluation · +51 more institutions

PubMed
Indexed incrossrefpubmed

Abstract

Importance

Some individuals experience persistent symptoms after initial symptomatic SARS-CoV-2 infection (often referred to as Long COVID).

Objective

To estimate the proportion of males and females with COVID-19, younger or older than 20 years of age, who had Long COVID symptoms in 2020 and 2021 and their Long COVID symptom duration. Design, Setting, and Participants: Bayesian meta-regression and pooling of 54 studies and 2 medical record databases with data for 1.2 million individuals (from 22 countries) who had symptomatic SARS-CoV-2 infection. Of the 54 studies, 44 were published and 10 were collaborating cohorts (conducted in Austria, the Faroe Islands, Germany, Iran, Italy, the Netherlands, Russia, Sweden, Switzerland, and the US). The participant data were derived from the 44 published studies (10 501 hospitalized individuals and 42 891 nonhospitalized individuals), the 10 collaborating cohort studies (10 526 and 1906), and the 2 US electronic medical record databases (250 928 and 846 046). Data collection spanned March 2020 to January 2022. Exposures: Symptomatic SARS-CoV-2 infection. Main Outcomes and Measures: Proportion of individuals with at least 1 of the 3 self-reported Long COVID symptom clusters (persistent fatigue with bodily pain or mood swings; cognitive problems; or ongoing respiratory problems) 3 months after SARS-CoV-2 infection in 2020 and 2021, estimated separately for hospitalized and nonhospitalized individuals aged 20 years or older by sex and for both sexes of nonhospitalized individuals younger than 20 years of age.

Citation impact

898
total citations
FWCI
103.23
Percentile
100%
References
94
Citations per year

Authors

128

Topics & keywords

Keywords
  • Medicine
  • Cohort
  • Demography
  • Medical record
  • Cohort study
  • Coronavirus disease 2019 (COVID-19)
  • Mood
  • Pediatrics
UN Sustainable Development Goals
  • Good health and well-being
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Funding