(HealthDay News) — Organ impairment can persist 1 year after COVID-19 diagnosis, according to a study published in the Journal of the Royal Society of Medicine.

At 1 year, 59% of patients studied had impairment in at least 1 organ, and 27% had impairment in 2 or more organs.

Researchers conducted this prospective cohort study to examine the prevalence of organ impairment and other symptoms at 6 months and 12 months after a COVID-19 diagnosis.


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A total of 536 patients completed a baseline assessment at a median of 6 months post-COVID-19. Sixty-two percent of those patients (n=331) had organ impairment or incidental findings and were followed for a median of 196 days.

The researchers found that symptoms persisted at 1 year, but patients had reduced symptom burden at follow-up. They had a median of 10 symptoms at 6 months and 3 symptoms at 12 months.

At 6 months, 38% of patients had extreme breathlessness, 48% had cognitive dysfunction, and 57% had poor health-related quality of life. At 12 months, 30% of patients had extreme breathlessness, 38% had cognitive dysfunction, and 45% had poor health-related quality of life. These symptoms were associated with female sex, younger age, and single-organ impairment.

Impairment in 1 or more organs was seen in 69% of patients at baseline and 59% of patients at follow-up. Impairment in 2 or more organs was seen in 23% of patients at baseline and 27% at follow-up.

“Organ impairment persisted in 59% of 331 individuals followed up at 1 year post COVID-19, with implications for symptoms, quality of life, and longer-term health, signaling the need for prevention and integrated care of long COVID,” the study authors concluded.

Several authors are employees of Perspectum. One author disclosed financial ties to AstraZeneca.

Abstract/Full Text