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Half of adults hospitalized with COVID-19 are still impacted one year later
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  • Aleda M. Leis,
  • Brianna Hatch-Vallier,
  • Sydney Fine,
  • E.J. McSpadden,
  • Lois Lamerato,
  • Emily Nichols,
  • Carrie A. Karvonen-Gutierrez,
  • Emily T. Martin,
  • Anurag Malani N
Aleda M. Leis
University of Michigan Department of Epidemiology

Corresponding Author:[email protected]

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Brianna Hatch-Vallier
Trinity Health Michigan
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Sydney Fine
University of Michigan Department of Epidemiology
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E.J. McSpadden
University of Michigan Department of Epidemiology
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Lois Lamerato
Henry Ford Health System
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Emily Nichols
University of Michigan Department of Epidemiology
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Carrie A. Karvonen-Gutierrez
University of Michigan Department of Epidemiology
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Emily T. Martin
University of Michigan Department of Epidemiology
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Anurag Malani N
Trinity Health Michigan
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Abstract

Over 645 million people worldwide have been infected with SARS-CoV-2, the virus that causes COVID-19. Critical knowledge gaps regarding the characteristics, duration, and impact of symptoms due to “long COVID”. This study evaluated the persistence of symptoms at one year following hospitalization with COVID-19, comparing responses on standardized measurement tools to population norms. Adults hospitalized with COVID-19 March-October 2020 during the initial emergence period in Southeast Michigan were eligible. A detailed survey was conducted via telephone 9-15 months after hospital discharge. Questions assessed fatigue, dyspnea, and physical functioning related to their COVID-19 illness. The median World Health Organization Disability Assessment Schedule (WHODAS) polytomous score placed 50% (n=20/40) of participants in the 90 th percentile of disability based on population norms. The mean SF-36 physical functioning score was almost nine points below population norms (mean=70.6, standard deviation=27.4). Additionally, 47.5% of individuals (n=19) were severely emotionally affected by their health condition. Over half of participants surveyed were still impacted a year after initial infection, experiencing limited functional ability, fatigue, and emotional difficulties. Given the impact of these symptoms on day-to-day quality of life, further studies are needed to develop strategies for treatment and management of post-COVID conditions.