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Post-COVID-19 condition symptoms among emergency department patients tested for SARS-CoV-2 infection

Author

Listed:
  • Patrick M. Archambault

    (Université Laval
    Centre intégré de santé et de services sociaux de Chaudière-Appalaches
    VITAM — Centre de recherche en santé durable)

  • Rhonda J. Rosychuk

    (University of Alberta)

  • Martyne Audet

    (Centre intégré de santé et de services sociaux de Chaudière-Appalaches)

  • Jeffrey P. Hau

    (The University of British Columbia)

  • Lorraine Graves

    (The University of British Columbia)

  • Simon Décary

    (Université de Sherbrooke)

  • Jeffrey J. Perry

    (University of Ottawa
    Ottawa Hospital Research Institute)

  • Steven C. Brooks

    (Queen’s University
    Queen’s University)

  • Laurie J. Morrison

    (University of Toronto)

  • Raoul Daoust

    (Université de Montréal
    Hôpital du Sacré-Cœur-de-Montréal)

  • David Seonguk Yeom

    (The University of British Columbia)

  • Hana Wiemer

    (Dalhousie University)

  • Patrick T. Fok

    (Dalhousie University)

  • Andrew D. McRae

    (University of Calgary
    University of Calgary)

  • Kavish Chandra

    (Dalhousie Medicine New Brunswick)

  • Michelle E. Kho

    (McMaster University
    The Research Institute of St. Joe’s Hamilton)

  • Dawn Stacey

    (Ottawa Hospital Research Institute
    University of Ottawa)

  • Bilkis Vissandjée

    (Université de Montréal)

  • Matthew Menear

    (Université Laval
    VITAM — Centre de recherche en santé durable)

  • Eric Mercier

    (Université Laval
    VITAM — Centre de recherche en santé durable
    Centre de recherche du CHU de Québec—Université Laval
    Hôpital de l’Enfant-Jésus)

  • Samuel Vaillancourt

    (University of Toronto
    Unity Health Toronto)

  • Samina Aziz

    (Public Health Agency of Canada)

  • Dianne Zakaria

    (Public Health Agency of Canada)

  • Phil Davis

    (University of Saskatchewan)

  • Katie N. Dainty

    (North York General Hospital
    University of Toronto)

  • Jean-Sébastien Paquette

    (Université Laval
    VITAM — Centre de recherche en santé durable)

  • Murdoch Leeies

    (University of Manitoba)

  • Susie Goulding

    (The University of British Columbia
    COVID Long-Haulers Support Group Canada)

  • Elyse Berger Pelletier

    (Université Laval)

  • Corinne M. Hohl

    (The University of British Columbia)

Abstract

Symptoms of the Post-COVID-19 Condition are often non-specific making it a challenge to distinguish them from symptoms due to other medical conditions. In this study, we compare the proportion of emergency department patients who developed symptoms consistent with the World Health Organization’s Post-COVID-19 Condition clinical case definition between those who tested positive for Severe Acute Respiratory Syndrome Coronavirus-2 infection and time-matched patients who tested negative. Our results show that over one-third of emergency department patients with a proven acute infection meet Post-COVID-19 Condition criteria 3 months post-index visit. However, one in five test-negative patients who claim never having been infected also report symptoms consistent with Post-COVID-19 Condition highlighting the lack of specificity of the clinical case definition. Testing for SARS-CoV-2 during the acute phase of a suspected infection should continue until specific biomarkers of Post-COVID-19 Condition become available for diagnosis and treatment.

Suggested Citation

  • Patrick M. Archambault & Rhonda J. Rosychuk & Martyne Audet & Jeffrey P. Hau & Lorraine Graves & Simon Décary & Jeffrey J. Perry & Steven C. Brooks & Laurie J. Morrison & Raoul Daoust & David Seonguk , 2024. "Post-COVID-19 condition symptoms among emergency department patients tested for SARS-CoV-2 infection," Nature Communications, Nature, vol. 15(1), pages 1-13, December.
  • Handle: RePEc:nat:natcom:v:15:y:2024:i:1:d:10.1038_s41467-024-52404-4
    DOI: 10.1038/s41467-024-52404-4
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    References listed on IDEAS

    as
    1. Michael A. Horberg & Eric Watson & Mamta Bhatia & Celeena Jefferson & Julia M. Certa & Seohyun Kim & Lily Fathi & Keri N. Althoff & Carolyn Williams & Richard Moore, 2022. "Post-acute sequelae of SARS-CoV-2 with clinical condition definitions and comparison in a matched cohort," Nature Communications, Nature, vol. 13(1), pages 1-13, December.
    2. Mohd Radzniwan Abdul Rashid & Sharifah Najwa Syed Mohamad & Ahmad Izzat Ahmad Tajjudin & Nuruliza Roslan & Aida Jaffar & Fathima Begum Syed Mohideen & Faizul Helmi Addnan & Nizam Baharom & Muslimah It, 2023. "COVID-19 Pandemic Fatigue and Its Sociodemographic, Mental Health Status, and Perceived Causes: A Cross-Sectional Study Nearing the Transition to an Endemic Phase in Malaysia," IJERPH, MDPI, vol. 20(5), pages 1-18, March.
    3. Ellen J. Thompson & Dylan M. Williams & Alex J. Walker & Ruth E. Mitchell & Claire L. Niedzwiedz & Tiffany C. Yang & Charlotte F. Huggins & Alex S. F. Kwong & Richard J. Silverwood & Giorgio Di Gessa , 2022. "Long COVID burden and risk factors in 10 UK longitudinal studies and electronic health records," Nature Communications, Nature, vol. 13(1), pages 1-11, December.
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