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Long COVID is not the same for everyone: a hierarchical cluster analysis of Long COVID symptoms 9 and 12 months after SARS-CoV-2 test

dc.contributor.authorMoniz, Marta
dc.contributor.authorRuivinho, Carolina
dc.contributor.authorGoes, Ana Rita
dc.contributor.authorSoares, Patricia
dc.contributor.authorLeite, Andreia
dc.date.accessioned2025-04-04T12:10:27Z
dc.date.available2025-04-04T12:10:27Z
dc.date.issued2024-09-19
dc.descriptionErratum for: BMC Infect Dis. 2024 Sep 19;24(1):1001.https://doi.org/10.1186/s12879-024-10086-9
dc.description.abstractBackground: Identifying symptom clusters in Long COVID is necessary for developing effective therapies for this diverse condition and improving the quality of life of those affected by this heterogeneous condition. In this study, we aimed to identify and compare symptom clusters at 9 and 12 months after a SARS-CoV-2 positive test and describe each cluster regarding factors at infection. Methods: This is a cross-sectional study with individuals randomly selected from the Portuguese National System of Epidemiological Surveillance (SINAVE) database. Individuals who had a positive RT-PCR SARS-CoV-2 test in August 2022 were contacted to participate in a telephonic interview approximately 9 and 12 months after the test. A hierarchical clustering analysis was performed, using Euclidean distance and Ward's linkage. Clustering was performed in the 35 symptoms reported 9 and 12 months after the SARS-CoV-2 positive test and characterised considering age, sex, pre-existing health conditions and symptoms at time of SARS-CoV-2 infection. Results: 552 individuals were included at 9 months and 458 at 12 months. The median age was 52 years (IQR: 40-64 years) and 59% were female. Hypertension and high cholesterol were the most frequently reported pre-existing health conditions. Memory loss, fatigue or weakness and joint pain were the most frequent symptoms reported 9 and 12 months after the positive test. Four clusters were identified at both times: no or minor symptoms; multi-symptoms; joint pain; and neurocognitive-related symptoms. Clusters remained similar in both times, but, within the neurocognitive cluster, memory loss and concentration issues increased in frequency at 12 months. Multi-symptoms cluster had older people, more females and more pre-existing health conditions at 9 months. However, at 12 months, older people and those with more pre-existing health conditions were in joint pain cluster. Conclusions: Our results suggest that Long COVID is not the same for everyone. In our study, clusters remained similar at 9 and 12 months, except for a slight variation in the frequency of symptoms that composed each cluster. Understanding Long COVID clusters might help identify treatments for this condition. However, further validation of the observed clusters and analysis of its risk factors is needed.pt_PT
dc.description.sponsorshipThis work was supported by the Foundation for Science and Technology (FCT) through a PhD research scholarship [2020.09525.BD] granted under the Call DOCTORATES 4 COVID-19; Comprehensive Health Research Center [UIDP/04923/2020]; and FCT (reference: CEECINST/00049/2021/CP2817/CT0001 and DOI: https://doi.org/10.54499/CEECINST/00049/2021/CP2817/CT0001). This study is sponsored by Pfizer (grant code #68639655; URL: https://www.pfizer.pt/).
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationBMC Infect Dis. 2024 Sep 19;24(1):1001. doi: 10.1186/s12879-024-09896-8
dc.identifier.doi10.1186/s12879-024-09896-8pt_PT
dc.identifier.issn1471-2334
dc.identifier.pmid39294567
dc.identifier.urihttp://hdl.handle.net/10400.18/10482
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherBioMed Central
dc.relationCovid-19 – Controlo da Covid-19 em Portugal numa perspetiva espácio-temporal: determinantes, tendências e previsões da incidência em unidades geográficas. Contributo para otimização de políticas
dc.relationUIDP/04923/2020
dc.relationCEECINST/00049/2021
dc.relation.hasversionhttps://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-024-09896-8
dc.relation.publisherversionhttps://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-024-09896-8pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectLong COVIDpt_PT
dc.subjectSymptoms Clusterspt_PT
dc.subjectPublic Health
dc.subjectPortugal
dc.subjectEstados de Saúde e de Doençapt_PT
dc.subjectInfecções Respiratórias
dc.titleLong COVID is not the same for everyone: a hierarchical cluster analysis of Long COVID symptoms 9 and 12 months after SARS-CoV-2 testpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleCovid-19 – Controlo da Covid-19 em Portugal numa perspetiva espácio-temporal: determinantes, tendências e previsões da incidência em unidades geográficas. Contributo para otimização de políticas
oaire.awardURIhttp://hdl.handle.net/10400.18/10481
oaire.citation.issue1pt_PT
oaire.citation.startPage1001
oaire.citation.titleBMC Infectious Diseases
oaire.citation.volume24pt_PT
oaire.fundingStreamOE
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameSoares
person.familyNameLeite
person.givenNamePatricia
person.givenNameAndreia
person.identifier1050496
person.identifier1052436
person.identifier.ciencia-id0415-632D-8609
person.identifier.ciencia-id2F10-F9A9-E8A7
person.identifier.orcid0000-0001-5033-9115
person.identifier.orcid0000-0003-0843-0630
person.identifier.scopus-author-id52063758300
person.identifier.scopus-author-id57109931300
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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