Table 1.
Study | Study design and sample size | Study location | Lasting symptoms/signs or diseases following Covid‐19 and occurrence (%) | Follow up after symptom onset or after hospital discharge | Main findings |
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Huang et al. 16 | Longitudinal 1773 | China |
Fatigue or muscle weakness (63%), sleep difficulties, and anxiety or depression (26%) Lung diffusion impairment (up to 56% for severe Covid patients). In women, compared with men, was reported: |
Median follow‐up time after symptom onset: 186.0 (175.0–199.0) days | Increasingly impaired pulmonary diffusion capacities and abnormal chest imaging manifestations were reported in patients with a more severe illness |
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Goërtz et al. 17 | Cross‐sectional 2159 | Netherlands and Belgium | Fatigue (87%), dyspnea (71%), chest tightness (44%), headache (38%) | 79 (SD ± 17) days after symptoms onset | The study excluded patients admitted to ICU. Number of symptoms during the infection was responsible for the largest unique contribution to post‐Covid syndrome (β = 0.58, p < 0.001). |
Greenhalgh et al. 5 | Case report 1 | United Kingdom | Inability to exercise continued shortness of breath both motionless and when exerting, small waves of anxiety, considerable depression, continued loss of smell | 12 weeks after hospital admission | Indications for specialist assessment including clinical concern along with respiratory, cardiac, and neurological symptoms that are new, persistent, or progressive |
Zhao et al. 18 | Retrospective multicenter cohort study 55 | China |
Gastrointestinal symptoms (30.91%), headache (18.18%), fatigue (16.36%), exertional dyspnea (14.55%) Residual abnormalities of pulmonary function (25.45%); diffusion reductions in DLCO (16.36%) |
3 months after discharge | The level of d‐dimer was found an important prognostic factor for abnormal DLCO. Thus, for patients who have marked raised d‐dimer, pulmonary rehabilitation should need subsequently even in the absence of severe respiratory symptoms |
Raahimi et al. 19 | Case report 1 | United Kingdom | Guillain–Barré syndrome | 5 months after symptom onset | Hypothesis that it is the immune response to Covid‐19 and not the virus itself or the acute vascular changes that underly the pathophysiology of long Covid‐19 syndrome |
Novak 20 | Case report 1 | United States | Orthostatic cerebral hypoperfusion syndrome (OCHOS) | >2 months after discharge | Indications for immunotherapy in patients with post‐Covid OCHOS |
Walsh‐Messinger et al. 21 | Case‐control 43 (21 post‐Covid patients vs. 22 Covid‐recovered patients) | United States | Impaired concentration was the most frequently reported symptom (48%), followed by headache (38%), rhinitis (20%), exercise intolerance, dyspnea, sleep impairment, brain fog, appetite loss, fatigue, and chest pain | From 28 to 291 days after symptoms onset | 51% of participants were affected by post‐Covid syndrome; females were more vulnerable than males |
Soh et al. 22 | Case report 1 | Japan | Posttraumatic stress disorder | 46 days after ICU discharge | Indications for establishing a follow‐up system for the long‐term outcomes of patients after ICU discharge |
Yu et al. 23 | Retrospective 32 | China | Pulmonary fibrosis (43.7%) | 9 days after discharge | Fibrosis was more likely to develop in elderly patients with severe clinical conditions, especially in patients with high inflammatory indicators |
You et al. 24 | Follow up 18 | China | Restrictive ventilatory defect (33.3% in severe cases), small function dysfunction (41.7% in nonsevere cases); pulmonary fibrosis (22.2%) | 40 ± 11.6 days in cases with nonsevere illness, and 34.7 ± 16.5 days in cases with severe illness | In Covid‐19 survivors after discharge, restrictive ventilatory defect and small function dysfunction can be persistent, which are not associated with disease severity |
Alhiyar et al. 25 | Case report 1 | Qatar | Pulmonary fibrosis | 5 months after symptoms onset | Authors suggest doing a 6‐min walk test to assess exertional desaturation in patients who are fulfilling other discharge criteria for Covid‐19 pneumonia and acute respiratory distress syndrome |
Tolba et al. 26 | Cross‐sectional 287 | Egypt | Fatigue (72.8%), anxiety (38%), joints pain (31.4%), continuous headache (28.9%), chest pain (28.9%), depression (28.6%), dyspnea (28.2%) | N/A | Severity of post‐Covid‐19 manifestations was related to the severity of Covid‐19 |
Puchner et al. 27 | Cross‐sectional 23 | Austria | Impairment of pulmonary function (87%) neuropsychological dysfunction (85%) | Mean = 24 days, SD 5 days after discharge | Post‐acute multidisciplinary rehabilitation led to significant clinical and functional improvements in individuals who suffered from severe or critical Covid‐19 |