Comparison of illness duration in cisgender female vs. cisgender male respondents. No difference. No evidence, in our cohort, indicating that any particular gender would experience Long COVID symptoms for shorter or longer period (unfortunately, not enough data for non-binary) 2/
Comparison of symptom profile for cis Female vs cis Male:
Elevated temperature/fever shows the biggest difference (higher in F). Palpitations, tachycardia, chest pain, joint/muscle ache, memory & language/issues also higher in F. Otherwise, all other symptoms manifest equally. 3/
2. Symptom severity and count in recovered vs unrecovered participants (both groups sick for >28 days). After the acute phase (first 4 weeks), recovered participants had significantly less sever symptoms and lower number of symptoms over time.
4/
suggesting: 1. higher number of symptoms correlates w longer recovery, 2. LC symptoms can't be explained by “pandemic anxiety”, since that would apply similarly to recovered & unrecovered groups -response to some LC minimisers, claiming LC consists of generic pandemic symptoms 5/
We further looked at similarities between participants w positive vs negative or absent test results. No significant difference between illness duration in Positive vs Negative or Positive vs All (includes those where testing was absent, as well as negatively tested). 6/
And looking at the symptoms profile over time, once again we confirmed that the only difference is the “change in sense of smell/taste”, especially at the beginning of the illness, as they’re becoming equally common later in the disease course.
this figure shows Pos Vs Non-Pos 7/
The same applies to Positive vs Negative (right) or Positive vs Un-tested (left).
We can take out the negative/absent group from our cohort & none of the conclusions changes for the remaining 1,020 positive cases. But we believe there's scientific value in keeping all groups. 8/
We have also included all the raw data tables (all the symptom prevalence and time course estimates).
9/
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- A rapid drop-off in symptom reporting by 4 weeks, a further, smaller drop by 12 weeks, but then very limited further decline (for up to ~22 weeks of study duration) for both men and women.
This is a shout out to all the staff at the #LongCovid clinic at @uclh. Yes, after almost 19 months I finally had my 1st appointment today!
First time that someone treating me actually knew about Long COVID, its all possible outcomes w\ clear insights into underlying causes
1/
A very thorough review of the disease trajectory over the past 19 months. They "listen" carefully (and compassionately) and are not surprised by any symptom!
That's because they've seen thousands of LC patients, so far, and are very well familiar with all the subtypes.
2/
And they have formed several working hypotheses for the aetiology of symptoms -- dysautonomia and mitochondrial dysfunction, at least, based on my and my husband's experience.
They work closely across disciplines, with multi-disciplinary teams (MDTs).
3/
In this work, we focus on 3762 cases w illness lasting >28 days & onset prior to June 2020, which gives us the chance to characterize symptom profile & time course over 7 months, along w the impact on daily life, work & return to baseline health 1/
Of the 3762 respondents, 2454 experienced symptoms for at least 180 days (6 months). 257 respondents (6.8%) recovered after day 28 of illness. In this Long COVID cohort The probability of symptoms lasting beyond 35 weeks was 91.8%.
An in-depth piece by @jcouzin, @ScienceMagazine on #LongCovid; excellent summary of various enduring symptoms, all we know and so much that we don't know.
Thx for giving me a chance to reflect on my experience & our patient-led research. 1/
“Everybody talks about a binary situation, you either get it mild and recover quickly, or you get really sick and wind up in the ICU,” says Akrami, who falls into neither category. Thousands echo her story in online COVID-19 support groups. 2/
"Outpatient clinics for survivors are springing up, and some are already overburdened. Akrami has been waiting more than 4 weeks to be seen at one of them, despite a referral from her general practitioner." 3/
w zero tolerance to physical activity (>10min walk = >1 week of high fever, SOB, debilitating joint pain, needling, extreme fatigue).
#LongCovid patients suffer from a wide-range of symptoms for several months, while receiving almost no medical support or treatment. 2/
This experience has opened my eyes to a couple of painful realities in medicine:
1)Most doctors can only diagnose/treat based on known facts, & if pathophysiology of the clinical presentations are unknown, they just can't do anything. Physicians are not researchers, 3/
After multiple relapses, I joined a #COVID19 support group -it saved my sanity & soul. There was a survey underway to aggregate experiences. I joined the effort and here's our 50p report on data from 640 participants.
1) 1 page summary
- important: we acknowledge that our survey pertains to subset of patients w prolonged recovery (it was specifically targeting those w recovery time of >2 weeks), so it cannot be representative of the whole population of patients. drive.google.com/file/d/1EPU9DA…
2) 90.6% of the respondents had not recovered at the time of survey. 60 who had recovered: average recovery time was 27d. The rest had been having sygmptoms for average of 40 days. Our “survival analysis”, shows that the chance of full recovery by day 50 is smaller than 20%.