A Well-Structured Follow-Up Program is Required After Recovery from Coronavirus Disease 2019 (COVID-19); Release from Quarantine is Not the End of Treatment

Overview

Journal J Clin Med

Specialty General Medicine

Date 2021 Jun 2

PMID 34073504

Citations 4

Authors

Keun-Mi Lee

Hae-Jin Ko

Geon Ho Lee

A-Sol Kim

Dong-Wook Lee

Affiliations

Soon will be listed here.

Abstract

During the Coronavirus Infection Disease-19 (COVID-19) pandemic, the number of patients released from quarantine is exceeding the number of newly diagnosed cases. This study is a retrospective cohort study in which consultation data were collected from a COVID-19 follow-up health consultation program. The studied population was selected from patients who recovered after quarantine and treatment for COVID-19 in Daegu City and in Gyeongsangbukdo province, Korea, from March to June 2020. The healthcare providers comprised 20 family-medicine specialists who consulted and educated the patients through phone calls in accordance with structured guidelines. Physical and mental status before and after recovery were compared among patients who received a single consultation and those who received two or more consultations. A total of 1604 subjects were selected for the final analysis. Of these, 1145 (71.4%) had one consultation and 459 (28.6%) had two or more. The group that had two or more consultations reported significantly more physical symptoms, more psychological symptoms (including depression), and more psychological stress. Multivariate forward selection logistic regression analysis showed that re-confirmed cases of COVID-19, physical symptoms after quarantine, feelings of depression, and psychological stress had a significant effect on the number of consultations received. In conclusion, COVID-19 has various physical and mental sequelae after discharge from quarantine. Therefore, a well-structured follow-up program is needed after recovery.

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References

Shi F, Wu T, Zhu X, Ge Y, Zeng X, Chi Y . Association of viral load with serum biomakers among COVID-19 cases. Virology. 2020; 546:122-126. PMC: 7192122. DOI: 10.1016/j.virol.2020.04.011. View

Lai C, Shih T, Ko W, Tang H, Hsueh P . Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challenges. Int J Antimicrob Agents. 2020; 55(3):105924. PMC: 7127800. DOI: 10.1016/j.ijantimicag.2020.105924. View

Oran D, Topol E . Prevalence of Asymptomatic SARS-CoV-2 Infection : A Narrative Review. Ann Intern Med. 2020; 173(5):362-367. PMC: 7281624. DOI: 10.7326/M20-3012. View

Ohtake P, Lee A, Scott J, Hinman R, Ali N, Hinkson C . Physical Impairments Associated With Post-Intensive Care Syndrome: Systematic Review Based on the World Health Organization's International Classification of Functioning, Disability and Health Framework. Phys Ther. 2018; 98(8):631-645. DOI: 10.1093/ptj/pzy059. View

To K, Hung I, Ip J, Chu A, Chan W, Tam A . Coronavirus Disease 2019 (COVID-19) Re-infection by a Phylogenetically Distinct Severe Acute Respiratory Syndrome Coronavirus 2 Strain Confirmed by Whole Genome Sequencing. Clin Infect Dis. 2020; 73(9):e2946-e2951. PMC: 7499500. DOI: 10.1093/cid/ciaa1275. View

Jeong T, Pak C, Ock M, Lee S, Son J, Jeon Y . Real Asymptomatic SARS-CoV-2 Infection Might Be Rare: Importance of Careful Interviews and Follow-up. J Korean Med Sci. 2020; 35(37):e333. PMC: 7505732. DOI: 10.3346/jkms.2020.35.e333. View

Schnell T, Krampe H . Meaning in Life and Self-Control Buffer Stress in Times of COVID-19: Moderating and Mediating Effects With Regard to Mental Distress. Front Psychiatry. 2020; 11:582352. PMC: 7538834. DOI: 10.3389/fpsyt.2020.582352. View

Kannan S, Shaik Syed Ali P, Sheeza A, Hemalatha K . COVID-19 (Novel Coronavirus 2019) - recent trends. Eur Rev Med Pharmacol Sci. 2020; 24(4):2006-2011. DOI: 10.26355/eurrev_202002_20378. View

Sheleme T, Bekele F, Ayela T . Clinical Presentation of Patients Infected with Coronavirus Disease 19: A Systematic Review. Infect Dis (Auckl). 2020; 13:1178633720952076. PMC: 7495523. DOI: 10.1177/1178633720952076. View

10.

Lavezzo E, Franchin E, Ciavarella C, Cuomo-Dannenburg G, Barzon L, Del Vecchio C . Suppression of a SARS-CoV-2 outbreak in the Italian municipality of Vo'. Nature. 2020; 584(7821):425-429. DOI: 10.1038/s41586-020-2488-1. View

11.

Kim H, Hwang H, Choi Y, Song H, Park J, Yun C . The Delay in Confirming COVID-19 Cases Linked to a Religious Group in Korea. J Prev Med Public Health. 2020; 53(3):164-167. PMC: 7280806. DOI: 10.3961/jpmph.20.088. View

12.

Jung C, Park H, Kim D, Choi Y, Kim S, Chang T . Clinical Characteristics of Asymptomatic Patients with COVID-19: A Nationwide Cohort Study in South Korea. Int J Infect Dis. 2020; 99:266-268. PMC: 7409994. DOI: 10.1016/j.ijid.2020.08.001. View

13.

Alfehaidi A, Ahmad S, Hamed E . SARS-CoV-2 re-infection: a case report from Qatar. J Infect. 2020; 82(3):414-451. PMC: 7585726. DOI: 10.1016/j.jinf.2020.10.019. View

14.

Hong X, Currier G, Zhao X, Jiang Y, Zhou W, Wei J . Posttraumatic stress disorder in convalescent severe acute respiratory syndrome patients: a 4-year follow-up study. Gen Hosp Psychiatry. 2009; 31(6):546-54. PMC: 7112559. DOI: 10.1016/j.genhosppsych.2009.06.008. View

15.

Rabinovitz B, Jaywant A, Fridman C . Neuropsychological functioning in severe acute respiratory disorders caused by the coronavirus: Implications for the current COVID-19 pandemic. Clin Neuropsychol. 2020; 34(7-8):1453-1479. DOI: 10.1080/13854046.2020.1803408. View

16.

Das K, Lee E, Singh R, Enani M, Al Dossari K, Gorkom K . Follow-up chest radiographic findings in patients with MERS-CoV after recovery. Indian J Radiol Imaging. 2017; 27(3):342-349. PMC: 5644332. DOI: 10.4103/ijri.IJRI_469_16. View

17.

Torres D, Ribeiro L, Riello A, Horovitz D, Pinto L, Croda J . Reinfection of COVID-19 after 3 months with a distinct and more aggressive clinical presentation: Case report. J Med Virol. 2020; 93(4):1857-1859. DOI: 10.1002/jmv.26637. View

18.

Kwek S, Chew W, Ong K, Ng A, Lee L, Kaw G . Quality of life and psychological status in survivors of severe acute respiratory syndrome at 3 months postdischarge. J Psychosom Res. 2006; 60(5):513-9. PMC: 7094294. DOI: 10.1016/j.jpsychores.2005.08.020. View

19.

Grover S, Sahoo S, Mehra A, Avasthi A, Tripathi A, Subramanyan A . Psychological impact of COVID-19 lockdown: An online survey from India. Indian J Psychiatry. 2020; 62(4):354-362. PMC: 7597717. DOI: 10.4103/psychiatry.IndianJPsychiatry_427_20. View

20.

Kang Y . South Korea's COVID-19 Infection Status: From the Perspective of Re-positive Test Results After Viral Clearance Evidenced by Negative Test Results. Disaster Med Public Health Prep. 2020; 14(6):762-764. PMC: 7298089. DOI: 10.1017/dmp.2020.168. View