Prevalence, Patterns, and Clinical Severity of Long COVID among Chinese Medicine Telemedicine Service Users: Preliminary Results from a Cross-Sectional Study
The emergence and persistence of symptoms after acute COVID-19 is expected to become a major burden on healthcare systems. We assessed the features of the post-COVID-19 Syndrome (Long COVID) burden in a cohort of COVID-19 patients during the fifth major wave in Hong Kong. A cross-sectional study of...
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| Veröffentlicht in: | International journal of environmental research and public health 2023-01, Vol.20 (3), p.1827 |
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| container_title | International journal of environmental research and public health |
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| creator | Ho, Fai Fai Xu, Shanshan Kwong, Talos Ming Hong Li, Angus Siu-Cheong Ha, Eun Hae Hua, Heyu Liong, Ching Leung, Kwan Chi Leung, Ting Hung Lin, Zhixiu Wong, Samuel Yeung-Shan Pan, Faming Chung, Vincent Chi Ho |
| description | The emergence and persistence of symptoms after acute COVID-19 is expected to become a major burden on healthcare systems. We assessed the features of the post-COVID-19 Syndrome (Long COVID) burden in a cohort of COVID-19 patients during the fifth major wave in Hong Kong.
A cross-sectional study of 135 patients with confirmed COVID-19 from Feb to Apr 2022 who utilized traditional Chinese medicine telemedicine services was conducted. The COVID-19 Yorkshire Rehabilitation Scale was administered using an online survey 12 weeks after the COVID-19 infection. Prevalence of symptom severity and functional impairments were assessed to identify burdens and patterns. The correlation between symptom severity, functional impairments, patient characteristics, and overall health was evaluated.
The mean age was 46.8 years, with 46 (34.1%) males. Symptoms, functional impairments, and overall health worsened significantly when compared to the status prior to the infection. More than 50% reported the following sequelae 12 weeks after the acute infection: breathlessness, laryngeal or airway complications, fatigue, weakness, sleep, cognition, and anxiety. The presence of a single symptom or functional impairment significantly correlated with at least seven other problems positively, except for pain. Severity tended to be higher among vulnerable groups, including those who were chronic disease patients, older, less well educated, female, or had incomplete COVID-19 vaccinations.
Long COVID is a significant healthcare burden among telemedicine users in Hong Kong, with complex needs for symptom and functional impairment management. Designing relevant health and rehabilitation services tailored to the needs of these patients is warranted. |
| doi_str_mv | 10.3390/ijerph20031827 |
| format | Article |
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A cross-sectional study of 135 patients with confirmed COVID-19 from Feb to Apr 2022 who utilized traditional Chinese medicine telemedicine services was conducted. The COVID-19 Yorkshire Rehabilitation Scale was administered using an online survey 12 weeks after the COVID-19 infection. Prevalence of symptom severity and functional impairments were assessed to identify burdens and patterns. The correlation between symptom severity, functional impairments, patient characteristics, and overall health was evaluated.
The mean age was 46.8 years, with 46 (34.1%) males. Symptoms, functional impairments, and overall health worsened significantly when compared to the status prior to the infection. More than 50% reported the following sequelae 12 weeks after the acute infection: breathlessness, laryngeal or airway complications, fatigue, weakness, sleep, cognition, and anxiety. The presence of a single symptom or functional impairment significantly correlated with at least seven other problems positively, except for pain. Severity tended to be higher among vulnerable groups, including those who were chronic disease patients, older, less well educated, female, or had incomplete COVID-19 vaccinations.
Long COVID is a significant healthcare burden among telemedicine users in Hong Kong, with complex needs for symptom and functional impairment management. Designing relevant health and rehabilitation services tailored to the needs of these patients is warranted.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph20031827</identifier><identifier>PMID: 36767195</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Chinese medicine ; Chronic illnesses ; Cognition ; Cognition & reasoning ; Complications ; Coronaviruses ; COVID-19 ; COVID-19 - epidemiology ; COVID-19 vaccines ; Cross-Sectional Studies ; Drug dosages ; Education ; Fatigue ; Fecal incontinence ; Female ; Health care ; Herbal medicine ; Humans ; Impairment ; Infections ; Long COVID ; Male ; Medicine, Chinese Traditional ; Middle Aged ; Pain ; Patients ; Personal grooming ; Post-Acute COVID-19 Syndrome ; Prevalence ; Rehabilitation ; Response rates ; Signs and symptoms ; Telemedicine ; Vaccination</subject><ispartof>International journal of environmental research and public health, 2023-01, Vol.20 (3), p.1827</ispartof><rights>2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 by the authors. 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3337-e3f549ecfa6e0d1473c547eb1405f1fefe5d16dc5739f70860cbe5ab9d546fc03</citedby><cites>FETCH-LOGICAL-c3337-e3f549ecfa6e0d1473c547eb1405f1fefe5d16dc5739f70860cbe5ab9d546fc03</cites><orcidid>0000-0003-0934-6385 ; 0000-0001-5754-3602 ; 0000-0003-0525-2621</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914360/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914360/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36767195$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ho, Fai Fai</creatorcontrib><creatorcontrib>Xu, Shanshan</creatorcontrib><creatorcontrib>Kwong, Talos Ming Hong</creatorcontrib><creatorcontrib>Li, Angus Siu-Cheong</creatorcontrib><creatorcontrib>Ha, Eun Hae</creatorcontrib><creatorcontrib>Hua, Heyu</creatorcontrib><creatorcontrib>Liong, Ching</creatorcontrib><creatorcontrib>Leung, Kwan Chi</creatorcontrib><creatorcontrib>Leung, Ting Hung</creatorcontrib><creatorcontrib>Lin, Zhixiu</creatorcontrib><creatorcontrib>Wong, Samuel Yeung-Shan</creatorcontrib><creatorcontrib>Pan, Faming</creatorcontrib><creatorcontrib>Chung, Vincent Chi Ho</creatorcontrib><title>Prevalence, Patterns, and Clinical Severity of Long COVID among Chinese Medicine Telemedicine Service Users: Preliminary Results from a Cross-Sectional Study</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>The emergence and persistence of symptoms after acute COVID-19 is expected to become a major burden on healthcare systems. We assessed the features of the post-COVID-19 Syndrome (Long COVID) burden in a cohort of COVID-19 patients during the fifth major wave in Hong Kong.
A cross-sectional study of 135 patients with confirmed COVID-19 from Feb to Apr 2022 who utilized traditional Chinese medicine telemedicine services was conducted. The COVID-19 Yorkshire Rehabilitation Scale was administered using an online survey 12 weeks after the COVID-19 infection. Prevalence of symptom severity and functional impairments were assessed to identify burdens and patterns. The correlation between symptom severity, functional impairments, patient characteristics, and overall health was evaluated.
The mean age was 46.8 years, with 46 (34.1%) males. Symptoms, functional impairments, and overall health worsened significantly when compared to the status prior to the infection. More than 50% reported the following sequelae 12 weeks after the acute infection: breathlessness, laryngeal or airway complications, fatigue, weakness, sleep, cognition, and anxiety. The presence of a single symptom or functional impairment significantly correlated with at least seven other problems positively, except for pain. Severity tended to be higher among vulnerable groups, including those who were chronic disease patients, older, less well educated, female, or had incomplete COVID-19 vaccinations.
Long COVID is a significant healthcare burden among telemedicine users in Hong Kong, with complex needs for symptom and functional impairment management. Designing relevant health and rehabilitation services tailored to the needs of these patients is warranted.</description><subject>Chinese medicine</subject><subject>Chronic illnesses</subject><subject>Cognition</subject><subject>Cognition & reasoning</subject><subject>Complications</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>COVID-19 - epidemiology</subject><subject>COVID-19 vaccines</subject><subject>Cross-Sectional Studies</subject><subject>Drug dosages</subject><subject>Education</subject><subject>Fatigue</subject><subject>Fecal incontinence</subject><subject>Female</subject><subject>Health care</subject><subject>Herbal medicine</subject><subject>Humans</subject><subject>Impairment</subject><subject>Infections</subject><subject>Long COVID</subject><subject>Male</subject><subject>Medicine, Chinese Traditional</subject><subject>Middle Aged</subject><subject>Pain</subject><subject>Patients</subject><subject>Personal grooming</subject><subject>Post-Acute COVID-19 Syndrome</subject><subject>Prevalence</subject><subject>Rehabilitation</subject><subject>Response rates</subject><subject>Signs and symptoms</subject><subject>Telemedicine</subject><subject>Vaccination</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkUtvGyEUhVHVqknTbruskLrpIpPCwIDpIlI1fUVylahOuh1h5hJjMeDCjCX_mP7X4ryUdMVB9-PcezkIvaXkhDFFPro1pM2qJoTRWS2foUMqBKm4IPT5I32AXuW8LtCMC_USHTAhhaSqOUR_LxJstYdg4Bhf6HGEFPIx1qHHrXfBGe3xAraQ3LjD0eJ5DNe4Pf999gXr4UavXIAM-Cf0zhSJL8HDcH9ZQNo6A_gqQ8qfcGnm3eCCTjv8C_Lkx4xtigPWuE0x52oBZnQx7JuOU797jV5Y7TO8uTuP0NW3r5ftj2p-_v2s_TyvDGNMVsBswxUYqwWQnnLJTMMlLCknjaUWLDQ9Fb1pJFNWkpkgZgmNXqq-4cIawo7Q6a3vZlqW2Q2EMWnfbZIbyqhd1K57Wglu1V3HbacU5UzsDT7cGaT4Z4I8doPLBrzXAeKUu1rKRtSU1Kqg7_9D13FKZeUbis-Uqgkt1MktZfb_ksA-DENJt0--e5p8efDu8QoP-H3U7B9Ih62N</recordid><startdate>20230119</startdate><enddate>20230119</enddate><creator>Ho, Fai Fai</creator><creator>Xu, Shanshan</creator><creator>Kwong, Talos Ming Hong</creator><creator>Li, Angus Siu-Cheong</creator><creator>Ha, Eun Hae</creator><creator>Hua, Heyu</creator><creator>Liong, Ching</creator><creator>Leung, Kwan Chi</creator><creator>Leung, Ting Hung</creator><creator>Lin, Zhixiu</creator><creator>Wong, Samuel Yeung-Shan</creator><creator>Pan, Faming</creator><creator>Chung, Vincent Chi Ho</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0934-6385</orcidid><orcidid>https://orcid.org/0000-0001-5754-3602</orcidid><orcidid>https://orcid.org/0000-0003-0525-2621</orcidid></search><sort><creationdate>20230119</creationdate><title>Prevalence, Patterns, and Clinical Severity of Long COVID among Chinese Medicine Telemedicine Service Users: Preliminary Results from a Cross-Sectional Study</title><author>Ho, Fai Fai ; Xu, Shanshan ; Kwong, Talos Ming Hong ; Li, Angus Siu-Cheong ; Ha, Eun Hae ; Hua, Heyu ; Liong, Ching ; Leung, Kwan Chi ; Leung, Ting Hung ; Lin, Zhixiu ; Wong, Samuel Yeung-Shan ; Pan, Faming ; Chung, Vincent Chi Ho</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3337-e3f549ecfa6e0d1473c547eb1405f1fefe5d16dc5739f70860cbe5ab9d546fc03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Chinese medicine</topic><topic>Chronic illnesses</topic><topic>Cognition</topic><topic>Cognition & reasoning</topic><topic>Complications</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>COVID-19 - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ho, Fai Fai</au><au>Xu, Shanshan</au><au>Kwong, Talos Ming Hong</au><au>Li, Angus Siu-Cheong</au><au>Ha, Eun Hae</au><au>Hua, Heyu</au><au>Liong, Ching</au><au>Leung, Kwan Chi</au><au>Leung, Ting Hung</au><au>Lin, Zhixiu</au><au>Wong, Samuel Yeung-Shan</au><au>Pan, Faming</au><au>Chung, Vincent Chi Ho</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence, Patterns, and Clinical Severity of Long COVID among Chinese Medicine Telemedicine Service Users: Preliminary Results from a Cross-Sectional Study</atitle><jtitle>International journal of environmental research and public health</jtitle><addtitle>Int J Environ Res Public Health</addtitle><date>2023-01-19</date><risdate>2023</risdate><volume>20</volume><issue>3</issue><spage>1827</spage><pages>1827-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>The emergence and persistence of symptoms after acute COVID-19 is expected to become a major burden on healthcare systems. We assessed the features of the post-COVID-19 Syndrome (Long COVID) burden in a cohort of COVID-19 patients during the fifth major wave in Hong Kong.
A cross-sectional study of 135 patients with confirmed COVID-19 from Feb to Apr 2022 who utilized traditional Chinese medicine telemedicine services was conducted. The COVID-19 Yorkshire Rehabilitation Scale was administered using an online survey 12 weeks after the COVID-19 infection. Prevalence of symptom severity and functional impairments were assessed to identify burdens and patterns. The correlation between symptom severity, functional impairments, patient characteristics, and overall health was evaluated.
The mean age was 46.8 years, with 46 (34.1%) males. Symptoms, functional impairments, and overall health worsened significantly when compared to the status prior to the infection. More than 50% reported the following sequelae 12 weeks after the acute infection: breathlessness, laryngeal or airway complications, fatigue, weakness, sleep, cognition, and anxiety. The presence of a single symptom or functional impairment significantly correlated with at least seven other problems positively, except for pain. Severity tended to be higher among vulnerable groups, including those who were chronic disease patients, older, less well educated, female, or had incomplete COVID-19 vaccinations.
Long COVID is a significant healthcare burden among telemedicine users in Hong Kong, with complex needs for symptom and functional impairment management. Designing relevant health and rehabilitation services tailored to the needs of these patients is warranted.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>36767195</pmid><doi>10.3390/ijerph20031827</doi><orcidid>https://orcid.org/0000-0003-0934-6385</orcidid><orcidid>https://orcid.org/0000-0001-5754-3602</orcidid><orcidid>https://orcid.org/0000-0003-0525-2621</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | International journal of environmental research and public health, 2023-01, Vol.20 (3), p.1827 |
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| source | MEDLINE; PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Chinese medicine Chronic illnesses Cognition Cognition & reasoning Complications Coronaviruses COVID-19 COVID-19 - epidemiology COVID-19 vaccines Cross-Sectional Studies Drug dosages Education Fatigue Fecal incontinence Female Health care Herbal medicine Humans Impairment Infections Long COVID Male Medicine, Chinese Traditional Middle Aged Pain Patients Personal grooming Post-Acute COVID-19 Syndrome Prevalence Rehabilitation Response rates Signs and symptoms Telemedicine Vaccination |
| title | Prevalence, Patterns, and Clinical Severity of Long COVID among Chinese Medicine Telemedicine Service Users: Preliminary Results from a Cross-Sectional Study |
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