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. 2022 May 5:jiac182. doi: 10.1093/infdis/jiac182

Impact of COVID-19 Severity on Long-term Events in US Veterans using the Veterans Affairs Severity Index for COVID-19 (VASIC)

Ashley Galloway 1, Yojin Park 1, Vidisha Tanukonda 2,, Yuk-Lam Ho 1, Xuan-Mai T Nguyen 1, Monika Maripuri 1, Andrew T Dey 1, Hanna Gerlovin 1, Daniel Posner 1, Kristine E Lynch 3,4, Tianxi Cai 1,5,6, Shiuh-Wen Luoh 7,8, Stacey Whitbourne 1,9, David R Gagnon 1,10, Sumitra Muralidhar 11, Phillip S Tsao 12,13, Juan P Casas 1,9,14, J Michael Gaziano 1,9,14, Peter WF Wilson 2,15,16, Adriana M Hung 17,18, Kelly Cho 1,9,14,
PMCID: PMC9129146  PMID: 35512327

Abstract

In this retrospective cohort study of 94,595 SARS-CoV-2 positive cases, we developed and validated an algorithm to assess the association between COVID-19 severity and long-term complications (stroke, myocardial infarction, pulmonary embolism/deep vein thrombosis, heart failure, and mortality). COVID-19 severity was associated with a greater risk of experiencing a long-term complication days 31-120 post-infection. Most incident events occurred days 31-60 post-infection and diminished after day 91, except heart failure for severe patients and death for moderate patients, which peaked days 91-120. Understanding the differential impact of COVID-19 severity on long-term events provide insight into possible intervention modalities and critical prevention strategies.

Keywords: COVID-19, SARS-CoV2, Veterans, Epidemiology, electronic health records (EHR)

Supplementary Material

jiac182_Supplementary_Data

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Supplementary Materials

jiac182_Supplementary_Data

Articles from The Journal of Infectious Diseases are provided here courtesy of Oxford University Press

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