1 in 5 young adults reports lingering COVID-19 symptoms

  • Tenforde MW & al
  • MMWR Morb Mortal Wkly Rep
  • 25 jul. 2020

  • de Liz Scherer
  • Clinical Essentials
El acceso al contenido completo es sólo para profesionales sanitarios registrados. El acceso al contenido completo es sólo para profesionales sanitarios registrados.

Takeaway

  • Roughly one-third of adults with confirmed, mild COVID-19 report ongoing cough, fatigue, and shortness of breath >2-3 weeks after testing positive, even in the absence of underlying comorbidity.

Why this matters

  • Young adults might need targeted prevention education, including about the prospect of prolonged self-quarantine and the benefits of social distancing, frequent hand washing, and face coverings.

Key results

  • 270/292 respondents with data on return to health.
  • 65% (175) reported a return to usual health after a median of 7 (interquartile range, 5-12) days from the date of testing.
  • 35% (95) had not returned to their usual state 14-21 days posttesting:
    • 26% ages 18-34 years,
    • 32% ages 35-49 years, and
    • 47% ages >50 years.
  • Factors associated (aORs; 95% CIs) with not returning to usual health:
    • Age >50 vs 18-34 years: 2.29 (1.14-4.58).
    • Reporting >3 chronic conditions vs none: 2.29 (1.07-4.90).
    • Obesity: 2.31 (1.21-4.42).
    • Having a psychiatric condition: 2.32 (1.17-4.58).
  • Symptoms least likely to be resolved: cough (43%; 71/166), fatigue (35%; 68/192), and shortness of breath (29%; 26/90).

Study design

  • Multistate (US) telephone survey of reverse transcription-PCR-positive SARS-CoV-2 adults characterizing symptom duration, return to prior state of health.
  • Funding: None disclosed.

Limitations

  • Respondent vs nonrespondent characteristics might have differed.
  • Uncaptured symptoms data.
  • Self-report bias.