Clinical profile, prognosis and post COVID-19 syndrome among UNRWA staff in Jordan: A clinical case-series study
The clinical manifestations of Corona Virus Disease of 2019 (COVID-19) varied from patient to patient with evidence of multi-organ involvement. Many patients continue to have a wide range of symptoms for variable periods of time. The long-term effects of COVID-19 infection (post COVID-19 illness or...
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| Veröffentlicht in: | PloS one 2023-11, Vol.18 (11), p.e0293023-e0293023 |
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| creator | Aldahleh, Haneen Batieha, Anwar Elayyan, Rasheed Abdo, Nour Abuzayed, Ishtaiwi Albaik, Shatha Shahin, Yousef Seita, Akihiro |
| description | The clinical manifestations of Corona Virus Disease of 2019 (COVID-19) varied from patient to patient with evidence of multi-organ involvement. Many patients continue to have a wide range of symptoms for variable periods of time. The long-term effects of COVID-19 infection (post COVID-19 illness or syndrome) are not yet fully explored. This study aims to shed light on the clinical manifestations of the acute COVID-19 infection as well as post COVID-19 syndrome among the United Nations Relief and Works Agency for Palestine Refugee (UNRWA) staff in Jordan. A clinical case-series was conducted on a sample of COVID-19 positive employees of the UNRWA staff in Jordan. A structured questionnaire based mainly on World Health Organization (WHO) Case Report Form (CRF) verified tool for post COVID-19 was used. A sample of 366 out of a total of 1322 confirmed cases was systemically selected and included in the present study. Data were collected from UNRWA medical records and phone interviews. Data were analyzed using the Statistical Package for Social Sciences (SPSS) software. The calculated Case Fatality Ratio was 0.7%. The incidence of COVID-19 among UNRWA staff in Jordan during the period of our study was 20.1%. A total of 366 respondents, 220 (60.1%) females and 146 (39.9%) males were included in the study. The mean (SD) age was 44.2 (8.0) years. Most of the infected (97.8%) developed acute COVID-19 symptoms. Fatigue, fever, joint pain, loss of smell and taste, and cough were the most common symptoms. According to WHO clinical classification of acute illness severity, 65.0% had mild illness. Only 28.7% of all subjects fully recovered from the infection, while most of them (71.3%) continued to suffer from many symptoms. Persistent fatigue (39.7%), shortness of breath (SOB) with activity (18.8%), anxiety (17.4%), forgetfulness (16.9%), trouble in concentrating (16.7%), and depressed mood (15.8%) were the most frequently reported. Post COVID-19 illness was very common (71.3%) calling for UNRWA to continue assessment of post COVID-19 syndrome and the medical and psychological needs of affected staff. Despite vaccination, only 2.2% of the infected were asymptomatic. Reinfection was unusually high (24%). |
| doi_str_mv | 10.1371/journal.pone.0293023 |
| format | Article |
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Many patients continue to have a wide range of symptoms for variable periods of time. The long-term effects of COVID-19 infection (post COVID-19 illness or syndrome) are not yet fully explored. This study aims to shed light on the clinical manifestations of the acute COVID-19 infection as well as post COVID-19 syndrome among the United Nations Relief and Works Agency for Palestine Refugee (UNRWA) staff in Jordan. A clinical case-series was conducted on a sample of COVID-19 positive employees of the UNRWA staff in Jordan. A structured questionnaire based mainly on World Health Organization (WHO) Case Report Form (CRF) verified tool for post COVID-19 was used. A sample of 366 out of a total of 1322 confirmed cases was systemically selected and included in the present study. Data were collected from UNRWA medical records and phone interviews. Data were analyzed using the Statistical Package for Social Sciences (SPSS) software. The calculated Case Fatality Ratio was 0.7%. The incidence of COVID-19 among UNRWA staff in Jordan during the period of our study was 20.1%. A total of 366 respondents, 220 (60.1%) females and 146 (39.9%) males were included in the study. The mean (SD) age was 44.2 (8.0) years. Most of the infected (97.8%) developed acute COVID-19 symptoms. Fatigue, fever, joint pain, loss of smell and taste, and cough were the most common symptoms. According to WHO clinical classification of acute illness severity, 65.0% had mild illness. Only 28.7% of all subjects fully recovered from the infection, while most of them (71.3%) continued to suffer from many symptoms. Persistent fatigue (39.7%), shortness of breath (SOB) with activity (18.8%), anxiety (17.4%), forgetfulness (16.9%), trouble in concentrating (16.7%), and depressed mood (15.8%) were the most frequently reported. Post COVID-19 illness was very common (71.3%) calling for UNRWA to continue assessment of post COVID-19 syndrome and the medical and psychological needs of affected staff. Despite vaccination, only 2.2% of the infected were asymptomatic. Reinfection was unusually high (24%).</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0293023</identifier><identifier>PMID: 37943893</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Arthralgia ; Biology and Life Sciences ; Corona ; Cough ; COVID-19 ; COVID-19 vaccines ; Data collection ; Development and progression ; Disease prevention ; Dyspnea ; Education ; Employees ; Fatigue ; Health aspects ; Healthcare industry software ; Humanitarian workers ; Illnesses ; Immunization ; Infection ; Infections ; Long-term effects ; Medical prognosis ; Medical records ; Medical research ; Medicine and Health Sciences ; Olfaction ; Patients ; Physical Sciences ; Prognosis ; Questionnaires ; Recovery (Medical) ; Refugees ; Research and Analysis Methods ; Review boards ; Severe acute respiratory syndrome coronavirus 2 ; Signs and symptoms ; Social Sciences ; Sociodemographics ; Vaccination ; Viral diseases ; World health</subject><ispartof>PloS one, 2023-11, Vol.18 (11), p.e0293023-e0293023</ispartof><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>2023 Aldahleh et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 Aldahleh et al 2023 Aldahleh et al</rights><rights>2023 Aldahleh et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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Anwar</au><au>Elayyan, Rasheed</au><au>Abdo, Nour</au><au>Abuzayed, Ishtaiwi</au><au>Albaik, Shatha</au><au>Shahin, Yousef</au><au>Seita, Akihiro</au><au>Aljamaan, Fadi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical profile, prognosis and post COVID-19 syndrome among UNRWA staff in Jordan: A clinical case-series study</atitle><jtitle>PloS one</jtitle><date>2023-11-09</date><risdate>2023</risdate><volume>18</volume><issue>11</issue><spage>e0293023</spage><epage>e0293023</epage><pages>e0293023-e0293023</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The clinical manifestations of Corona Virus Disease of 2019 (COVID-19) varied from patient to patient with evidence of multi-organ involvement. Many patients continue to have a wide range of symptoms for variable periods of time. The long-term effects of COVID-19 infection (post COVID-19 illness or syndrome) are not yet fully explored. This study aims to shed light on the clinical manifestations of the acute COVID-19 infection as well as post COVID-19 syndrome among the United Nations Relief and Works Agency for Palestine Refugee (UNRWA) staff in Jordan. A clinical case-series was conducted on a sample of COVID-19 positive employees of the UNRWA staff in Jordan. A structured questionnaire based mainly on World Health Organization (WHO) Case Report Form (CRF) verified tool for post COVID-19 was used. A sample of 366 out of a total of 1322 confirmed cases was systemically selected and included in the present study. Data were collected from UNRWA medical records and phone interviews. Data were analyzed using the Statistical Package for Social Sciences (SPSS) software. The calculated Case Fatality Ratio was 0.7%. The incidence of COVID-19 among UNRWA staff in Jordan during the period of our study was 20.1%. A total of 366 respondents, 220 (60.1%) females and 146 (39.9%) males were included in the study. The mean (SD) age was 44.2 (8.0) years. Most of the infected (97.8%) developed acute COVID-19 symptoms. Fatigue, fever, joint pain, loss of smell and taste, and cough were the most common symptoms. According to WHO clinical classification of acute illness severity, 65.0% had mild illness. Only 28.7% of all subjects fully recovered from the infection, while most of them (71.3%) continued to suffer from many symptoms. Persistent fatigue (39.7%), shortness of breath (SOB) with activity (18.8%), anxiety (17.4%), forgetfulness (16.9%), trouble in concentrating (16.7%), and depressed mood (15.8%) were the most frequently reported. Post COVID-19 illness was very common (71.3%) calling for UNRWA to continue assessment of post COVID-19 syndrome and the medical and psychological needs of affected staff. Despite vaccination, only 2.2% of the infected were asymptomatic. Reinfection was unusually high (24%).</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><pmid>37943893</pmid><doi>10.1371/journal.pone.0293023</doi><tpages>e0293023</tpages><orcidid>https://orcid.org/0009-0005-4315-5226</orcidid><orcidid>https://orcid.org/0000-0001-8639-2807</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2023-11, Vol.18 (11), p.e0293023-e0293023 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_3069280707 |
| source | DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Arthralgia Biology and Life Sciences Corona Cough COVID-19 COVID-19 vaccines Data collection Development and progression Disease prevention Dyspnea Education Employees Fatigue Health aspects Healthcare industry software Humanitarian workers Illnesses Immunization Infection Infections Long-term effects Medical prognosis Medical records Medical research Medicine and Health Sciences Olfaction Patients Physical Sciences Prognosis Questionnaires Recovery (Medical) Refugees Research and Analysis Methods Review boards Severe acute respiratory syndrome coronavirus 2 Signs and symptoms Social Sciences Sociodemographics Vaccination Viral diseases World health |
| title | Clinical profile, prognosis and post COVID-19 syndrome among UNRWA staff in Jordan: A clinical case-series study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-12T16%3A19%3A02IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Clinical%20profile,%20prognosis%20and%20post%20COVID-19%20syndrome%20among%20UNRWA%20staff%20in%20Jordan:%20A%20clinical%20case-series%20study&rft.jtitle=PloS%20one&rft.au=Aldahleh,%20Haneen&rft.date=2023-11-09&rft.volume=18&rft.issue=11&rft.spage=e0293023&rft.epage=e0293023&rft.pages=e0293023-e0293023&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0293023&rft_dat=%3Cgale_plos_%3EA772190667%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3069280707&rft_id=info:pmid/37943893&rft_galeid=A772190667&rft_doaj_id=oai_doaj_org_article_9529cce42ea340c3ac2b84c50ed77654&rfr_iscdi=true |