Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARSCoV-2), is expected to kill more than 600 million cases worldwide and around 2.6 million cases in Sweden by August 2022. caused it. The severity of COVID-19 has been reported to influence symptoms. His mild COVID-19 patients were often able to recover at home, while those with severe COVID-19 required hospitalization.
According to a recent meta-analysis, approximately 80% of people experience at least one symptom 14-110 days after acute infection. Subacute COVID-19 is defined as abnormalities and symptoms that appear 4-12 weeks after acute COVID-19. Post-COVID-19 condition is a term introduced by the World Health Organization (WHO) to describe individuals whose symptoms of COVID-19 persist for 3 months after infection and cannot be explained by another diagnosis.
Human exposure to SARS-CoV-2 varies. Some jobs require close contact with infected people, while others have the option to work from home. Additionally, some occupations are dominated by specific genders, resulting in uneven levels of exposure to SARS-CoV-2. Descriptions of health and health-related conditions are provided by the International Classification of Functions, Disabilities and Health (ICF). However, little is known about the long-term health status and disability of patients after COVID-19 infection.
new research in BMC Public Health We aimed to analyze the long-term health and disability of civil servants after mild COVID-19 infection. The study also assessed the association of these factors with respect to occupation and gender.
About research
The study involved the collection of PCR test results from civil servants tested before November 2020. These individuals were sent a text containing his website for the study and contact information for the principal investigator. The study website contains links to questionnaires and follows the Enhanced Reporting of Observational Studies in Epidemiology (STROBE) reporting guidelines. This study also included individuals who tested PCR negative as healthy controls.
Assessment of primary outcomes on self-reported health and disability using questions about participant illness during PCR testing and previous comorbidities in the last year. Health and disability were assessed using the Swedish version of the 12-item WHODAS 2.0. The acute post-COVID-19 stage was divided into two groups, his subacute stage 4 to 12 weeks after acute COVID-19 and his post-COVID-19 stage over 12 weeks. A few weeks from acute COVID-19. Information on occupation and body mass index was collected from all participants.
Survey results
They found that 10,194 participants, mostly female, with an average age of 44.9 years, participated in the study. In total, 7,185 participants were reported to have a negative PCR test, while 1,425 had a positive PCR test and were in the subacute phase, and 1,584 had a positive PCR test and were in post-COVID-19 disease. was at the stage of Participants in the post-COVID-19 group reported greater disability compared with the control group, whereas subacute participants reported greater disability compared with the post-COVID-19 group. The most frequently reported disability item was ‘mental effects’.
A higher rate of difficulty during the 20-30 days was observed in participants in the subacute phase compared to the post-COVID-19 phase. This was also the case when comparing participants in the post-COVID-19 phase with controls. Post-COVID-19 participants also reported fewer days on which they were able to participate in their usual activities or do more work than controls. reported a longer and greater degree of disability. 14.1% of men and 25.5% of women in the subacute phase, 9.8% of men and 15.8% of women in the post-COVID-19 phase, and 6.8% of men and 10.7% of women who are PCR negative reported severe total severity of failure.
It has also been reported that most of the participants are care workers. Participants with occupations of care workers, health professionals requiring college education, and subacute managers reported greater disability than participants in post-COVID-19 stages. In addition, greater disability was reported for participants belonging to the post-COVID-19 stage across all occupations compared to controls.
Current research shows that the disorder is present in all groups. However, it was higher in the subacute phase compared to the post-COVID-19 phase. This may emphasize the need for rehabilitation and recovery.
Limitations
This study has certain limitations. First, the participant’s response rate was low. Second, data on antibody testing were not available for all participants. Third, misclassification of asymptomatic individuals may have been performed as a control. Fourth, it is possible that some participants contracted her unconfirmed COVID-19 because workplace testing was not conducted until the fall of 2020. Fifth, most of the study population consisted of working-age women, so the results may not be generalizable to other populations. Sixth, there was variability in the time from PCR testing to completing the questionnaire among participants. Finally, WHODAS has not been validated for use in her COVID-19 patient.
