Post-Covid symptomatology: a retrospective observational study of 267 individuals in the Amazon
DOI:
https://doi.org/10.33448/rsd-v11i13.34927Keywords:
COVID-19; Family practice; Primary health care; Signs and symptoms.Abstract
Introduction: Studies have described clinical characteristics of individuals with coronavirus disease (COVID-19). However, there are still few data on the clinical characteristics in the post-covid period. Objective: to describe the clinical and epidemiological characteristics of 267 individuals in the Amazon in the post-covid period. Methods: This is an observational epidemiological study, with a cross-sectional design, guided by the STROBE tool. Where we retrospectively interviewed adults who had laboratory-confirmed COVID-19 infection seen at the Primary Health Care (PHC) of the Municipality of Cachoeira do Piriá, during the COVID-19 pandemic from January to February 2021. Sociodemographic data, clinical history and care, comorbidities, and treatment were recorded for each of the 267 individuals over 18 years of age. Results: Females were predominant in 61.7% (n=165). Individuals reported as coexisting risk medical conditions, hypertension as the most common comorbidity in 14.6% (n=39). In this study, 57% (n=152) of people reported tiredness/fatigue as the main symptom that persisted for more than 3 months. Fever was the most reported first sign in 25.3% (n=67). Conclusions: There is a need for multidisciplinary follow-up to support PHC.
References
Assaf, G. S., & Davis, H. E. (2020). An Analysis of the Prolonged COVID-19 Symptoms Survey by Patient-Led Research Team. https://patientresearchcovid19.com /research/report-1/.
Campos, F. C. C. D., & Canabrava, C. M. (2021). O Brasil na UTI: atenção hospitalar em tempos de pandemia. Saúde em Debate, 44, 146-160.
Cothran, T. P., Kellman, S., Singh, S., Beck, J. S., Powell, K. J., Bolton, C. J., & Tam, J. W. (2020). A brewing storm: The neuropsychological sequelae of hyperinflammation due to COVID-19. Brain, behavior, and immunity, 88, 957.
Daumas, R. P., Silva, G. A., Tasca, R., Leite, I. D. C., Brasil, P., Greco, D. B., & Campos, G. W. D. S. (2020). O papel da atenção primária na rede de atenção à saúde no Brasil: limites e possibilidades no enfrentamento da COVID-19. Cadernos de Saúde Pública, 36, e00104120.
Figueiredo, W. (2005). Assistência à saúde dos homens: um desafio para os serviços de atenção primária. Ciência & Saúde Coletiva, 10, 105-109.
Geddes, L. (2020) Why strange and debilitating coronavirus symptoms can last for months. New Scientist. https://www.newscientist.com/article/mg24632881-400- why-strange-and-debilitatingcoronavirus-symptoms-can-last-for-months/.
Greenhalgh, T., Knight, M., Buxton, M., & Husain, L. (2020). Management of post-acute covid-19 in primary care. bmj, 370.
IBGE. (2018). Cidades. Cachoeira do piria. https://cidades.ibge.gov.br/brasil/pa/cachoeira-do-piria.
Iser, B. P. M., Sliva, I., Raymundo, V. T., Poleto, M. B., Schuelter-Trevisol, F., & Bobinski, F. (2020). Definição de caso suspeito da COVID-19: uma revisão narrativa dos sinais e sintomas mais frequentes entre os casos confirmados. Epidemiologia e Serviços de Saúde, 29.
Landi, F., Gremese, E., Bernabei, R., Fantoni, M., Gasbarrini, A., Settanni, C. R., & Popolla, V. (2020). Post-COVID-19 global health strategies: the need for an interdisciplinary approach. Aging clinical and experimental research, 32(8), 1613-1620.
Malta, D. C., Szwarcwald, C. L., Barros, M. B. D. A., Gomes, C. S., Machado, Í. E., Miranda, R. A. D. R., & Ostolin, T. L. V. D. P. (2022). Mapa de Evidências sobre sequelas e reabilitação pós-Covid-19: relatório completo.
Malta, M., Cardoso, L. O., Bastos, F. I., Magnanini, M. M., & Silva, C. M. F. P. (2010). Iniciativa STROBE: subsídios para a comunicação de estudos observacionais. Rev. Saúde Pública, 44(3), 559-565.10.1590/S0034-89102010000300021.
OPAS. (2020). Alerta Epidemiológico: Complicações e Sequelas da COVID-19. Organização Pan-Americana de Saúde.
Pinheiro, R. S., Viacava, F., Travassos, C., & Brito, A. D. S. (2002). Gênero, morbidade, acesso e utilização de serviços de saúde no Brasil. Ciência & saúde coletiva, 7, 687-707.
Sarti, T. D., Lazarini, W. S., Fontenelle, L. F., & Almeida, A. P. S. C. (2020). Qual o papel da Atenção Primária à Saúde diante da pandemia provocada pela COVID-19?. Epidemiologia e Serviços de Saúde, 29, e2020166.
SESPA, 2021. Boletim COVID-PA. https://www.covid-19.pa.gov.br/#/
Silva, B. S. A., Lima, J. Y. T., dos Santos Fernandes, C., Ferreira, G. S., Souza, G. A. A. D., Lopes, M. C. S., & Júnior, M. A. B. (2022). Desafios para a oferta de reabilitação adequada ao paciente pós-Covid-19. Research, Society and Development, 11(1), e49311125268-e49311125268.
SBI. (2020). Atualizações E Recomendações Sobre A Covid-19. Sociedade Brasileira De Infectologia (SBI). https://infectologia.org.br/wp-content/upload s/2020/12/ atualizacoes-e -recomendaco es-covid-19.pdf."
Sociedade Brasileira de Infectologia, Associação Médica Brasileira, Informativo Conjunto Da Associação Médica Brasileira (AMB) E Sociedade Brasileira De Infectologia (SBI) Sobre Vacinação E Tratamento Farmacológico Preventivo (2021). https://infectologia.org.br/wp-content/uploads/2021/01/informativo-conjunto-da-amb-e-sbi-sobre-vacinacao-e-tratamento-farmacologico- preventivo-cov id-19.pdf.
Souza Júnior, P. R. B. D., & Gracie, R. (2020). A pandemia da COVID-19 e as mudanças no estilo de vida dos brasileiros adultos: um estudo transversal, 2020. Epidemiologia e Serviços de Saúde, 29.
Teixeira, A. R., Figueiredo, A. F. C., França, R. F., & Federal, S. L. (2019). Resistência bacteriana relacionada ao uso indiscriminado de antibióticos.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Gabriella Nascimento Pinto; Ana Caroline Santa Rosa Malcher; Carol do Carmo e Silva ; Gércia Samilles Almeida Lira ; Célia Regina de Araújo do Amaral; Joana Carolyne de Oliveira Felix Portela Melo; Érika Sales Lopes; Rafaela Soares Targino; Leide Laura Vieira Ferreira; Claudia Marques Santa Rosa Malcher
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.