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Long-term health impacts of COVID-19 among 242,712 adults in England

Christina Atchison, Bethan Davies, Emily Cooper, Adam Lound, Matthew Whitaker, Adam Hampshire, Adriana Azor, Christl A. Donnelly, Marc Chadeau‐Hyam, Graham Cooke, Helen Ward, Paul Elliott

2023Nature Communications89 citationsDOIOpen Access PDF

Abstract

The COVID-19 pandemic is having a lasting impact on health and well-being. We compare current self-reported health, quality of life and symptom profiles for people with ongoing symptoms following COVID-19 to those who have never tested positive for SARS-CoV-2 infection and those who have recovered from COVID-19. Overall, 276,840/800,000 (34·6%) of invited participants took part. Mental health and health-related quality of life were worse among participants with ongoing persistent symptoms post-COVID compared with those who had never had COVID-19 or had recovered. In this study, median duration of COVID-related symptoms (N = 130,251) was 1·3 weeks (inter-quartile range 6 days to 2 weeks), with 7·5% and 5·2% reporting ongoing symptoms ≥12 weeks and ≥52 weeks respectively. Female sex, ≥1 comorbidity and being infected when Wild-type variant was dominant were associated with higher probability of symptoms lasting ≥12 weeks and longer recovery time in those with persistent symptoms. Although COVID-19 is usually of short duration, some adults experience persistent and burdensome illness.

Topics & Concepts

Coronavirus disease 2019 (COVID-19)ComorbidityQuartileMedicinePandemicQuality of life (healthcare)Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)2019-20 coronavirus outbreakYoung adultMental healthDepression (economics)DemographyPediatricsGerontologyInternal medicinePsychiatryDiseaseVirologyConfidence intervalOutbreakInfectious disease (medical specialty)EconomicsMacroeconomicsSociologyNursingLong-Term Effects of COVID-19COVID-19 and Mental HealthCOVID-19 Clinical Research Studies