Risk factors and characterization of post-COVID-19 syndrome in patients from Colombia v1
Introduction: A high percentage of people who have suffered from COVID-19 present clinical manifestations that persist long after recovery from the acute phase. Objective: To determine the proportion of patients who presented post-COVID-19 syndrome, its clinical picture, and its risk factors in a group of patients from Colombia. Methods: This was an observational, longitudinal study of patients with SARS-CoV-2 treated in a network of clinics in Colombia. Over the telephone, after they gave prior informed consent, we evaluated whether the patients had post-COVID-19 syndrome and other clinical variables. Descriptive, bivariate, and multivariate analyses were performed. Results: A total of 311 patients (50.2% women) from 19 different cities were identified, with a median age of 47.0 years. In 63.0% of cases, symptoms persisted more than 3 months after recovery from the acute phase of the disease. Most common were dyspnea (54.1%), fatigue (42.9%), and muscle pain (36.2%). Greater age (30-59 vs. <30 years: OR: 2.67; 95% CI: 1.33-5.34; and ≥60 years vs. <30 years: OR: 3.23; 95% CI: 1.28-8.15), use of bronchodilators or inhaled corticosteroids (OR: 1.78; 95% CI: 1.02-3.10), and presenting cough at the time of diagnosis of COVID-19 (OR: 2, 39; 95% CI 1.23-4.65) increased the probability of prolonged clinical manifestations. Conclusions:Post-COVID-19 syndrome is a frequent condition characterized by heterogeneous symptoms. Older patients, those who present cough during the acute illness, and those who are managed with bronchodilators or inhaled corticosteroids have a higher risk of presenting it.