The Pan African Medical Journal (Jan 2021)

The occurrence of long COVID: a rapid review

  • Chinwe Juliana Iwu,
  • Chidozie Declan Iwu,
  • Charles Shey Wiysonge

DOI
https://doi.org/10.11604/pamj.2021.38.65.27366
Journal volume & issue
Vol. 38, no. 65

Abstract

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The long-term effects of the severe acute respiratory syndrome (SARS) coronavirus 2 (SARS-CoV-2) are not well understood. This rapid review was aimed at synthesizing evidence on the long-term effects of the SARS-CoV-2 infection among survivors and Google scholar. We considered both randomised controlled trials and non-randomised studies eligible for inclusion in this review. The following databases were searched: PubMed, Scopus, Cochrane library, Google Scholar, and the World Health Organization (WHO) COVID-19 database. The reference lists of all the included studies were also searched. Two authors independently screened search outputs reviewed full texts of potentially eligible articles resolving disagreements through consensus. Data extraction was done by one author and checked by a second author. A meta-analysis was not conducted due to heterogeneity among the included studies. Results are presented narratively. Eleven studies met our inclusion criteria. All these studies were conducted in high-income countries. Study findings demonstrate that COVID-19 survivors can experience persistent symptoms after recovering from their initial illness, especially among previously hospitalized persons. The majority of symptoms reported were fatigue, shortness of breath, cough, and sleep disorders. Mental conditions, such as depression and anxiety disorders, were reported. Our study also showed that COVID-19 could lead to persistent symptoms related to the acute phase, including mental problems such as depression and anxiety disorders. Therefore, there is a need for a long-term follow-up of COVID-19 patients and rehabilitation services for survivors. More research is needed in this area, especially in Africa.

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