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  2. Keyword: Signs and Symptoms
Health-Related Quality of Life and Long-Term Outcomes after Mildly Symptomatic COVID-19: The Post-COVID Brazil Study 2 Protocol
ABC
Original Article

Health-Related Quality of Life and Long-Term Outcomes after Mildly Symptomatic COVID-19: The Post-COVID Brazil Study 2 Protocol

Marciane Maria Rover et al. Geraldine Trott Fernando Luís Scolari Mariana Motta Dias da Silva … Denise de Souza Rosa da Rosa Minho dos Santos Ana Paula Aquistapase Dagnino Juliana de Mesquita Neto Gabriel Pozza Estivalete Amanda Christina Kozesinski-Nakatani Milena Soriano Marcolino Bruna Brandão Barreto Paulo Roberto Schvartzman Ana Carolina Peçanha Antonio Caroline Cabral Robinson Maicon Falavigna Andreia Biolo Carisi Anne Polanczyk Regis Goulart Rosa

Abstract

Background

The long-term effects of mild COVID-19 on physical, cognitive, and mental health are not yet well understood.

Objective

The purpose of this paper is to describe the protocol for the ongoing “Post-COVID Brazil” study 2, which aims to evaluate the factors associated with health-related quality of life and long-term cardiovascular and non-cardiovascular outcomes one year after a mild episode of symptomatic COVID-19.

Methods

The “Post-COVID Brazil” study 2 is a prospective multicenter study that plans to enroll 1047 patients (NCT05197647). Centralized, structured telephone interviews are conducted at 1, 3, 6, 9, and 12 months after COVID-19 diagnosis. The primary outcome is the health-related quality-of-life utility score, assessed using the EuroQol-5D-3L (EQ-5D-3L) questionnaire at 12 months. Secondary endpoints include the EQ-5D-3L at 3, 6, and 9 months, as well as all-cause mortality, major cardiovascular events, hospitalization, return to work or education, persistent symptoms, new disabilities in instrumental activities of daily living, cognitive impairment, anxiety, depression, and post-traumatic stress symptoms at 3, 6, 9, and 12 months after SARS-CoV-2 infection. A p-value < 0.05 will be considered statistically significant for all analyses.

Results

The primary endpoint will be presented as the overall frequency of the EQ-5D-3L domains 12 months after SARS-CoV-2 infection. Main analysis will explore the association of independent variables with the study outcomes.

Conclusion

The “Post-COVID Brazil” study 2 aims to clarify the impact of long COVID on the quality of life and cardiovascular and non-cardiovascular outcomes of Brazilian patients who have had mild COVID-19.

  • Brazil
  • COVID-19
  • SARS-CoV-2
  • Signs and Symptoms
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Creative Commons Attribution (CC BY) Creative Commons license
13/10/2023 DOI: 10.36660/abc.20220835 Views 1
Central Illustration
ABC
Original Article

Post-COVID-19 Cardiopulmonary Symptoms: Predictors and Imaging Features in Patients after Hospital Discharge

Kalil-Filho Roberto et al. Roberta Saretta André Franci Luciano M. Baracioli … Filomena R. B. G. Galas Juliana S. Gil Amanda Ferino Camilla Giacovone Isabella Oliveira Johnatan Souza Vanessa Batista Augusto Scalabrini Neto Livia do Valle Costa Amanda Danieleto Ruiz Carla B. Ledo Teresa Cristina D. C. Nascimento Luciano F. Drager

Abstract

Background

Most of the evidence about the impact of the post-acute COVID-19 Syndrome (PACS) reports individual symptoms without correlations with related imaging.

Objectives

To evaluate cardiopulmonary symptoms, their predictors and related images in COVID-19 patients discharged from hospital.

Methods

Consecutive patients who survived COVID-19 were contacted 90 days after discharge. The Clinic Outcome Team structured a questionnaire evaluating symptoms and clinical status (blinded for hospitalization data). A multivariate analysis was performed to address the course of COVID-19, comorbidities, anxiety, depression, and post-traumatic stress during hospitalization, and cardiac rehabilitation after discharge. The significance level was set at 5%.

Results

A total of 480 discharged patients with COVID-19 (age: 59±14 years, 67.5% males) were included; 22.3% required mechanical ventilation. The prevalence of patients with PACS-related cardiopulmonary symptoms (dyspnea, tiredness/fatigue, cough, and chest discomfort) was 16.3%. Several parameters of chest computed tomography and echocardiogram were similar in patients with and without cardiopulmonary symptoms. The multivariate analysis showed that PACS-related cardiopulmonary-symptoms were independently related to female sex (OR 3.023; 95% CI 1.319-6.929), in-hospital deep venous thrombosis (OR 13.689; 95% CI 1.069-175.304), elevated troponin I (OR 1.355; 95% CI 1.048-1.751) and C-reactive protein during hospitalization (OR 1.060; 95% CI 1.023-1.097) and depression (OR 6.110; 95% CI 2.254-16.558).

Conclusion

PACS-related cardiopulmonary symptoms 90 days post-discharge are common and multifactorial. Beyond thrombotic and markers of inflammation/myocardial injury during hospitalization, female sex and depression were independently associated with cardiopulmonary-related PACS. These results highlighted the need for a multifaceted approach targeting susceptible patients.

  • COVID-19
  • Depression
  • Sex
  • Signs and Symptoms
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Creative Commons Attribution (CC BY) Creative Commons license
29/05/2023 DOI: 10.36660/abc.20220642
Figure 1
IJCS
Original Article

Association Between Lipid Profile and Clinical Manifestations in Sickle Cell Anemia: A Systematic Review

Marina Tejo Dantas et al. Andressa Lopes Ana Marice Teixeira Ladeia

Abstract

Introduction

Sickle cell anemia (SCA) is a genetic disease associated with frequent episodes of acute illness. Changes in the lipid profile and a chronic inflammatory process make up the molecular aspects observed in this disease. Associations between these mechanisms and clinical manifestations could thus define severity profiles and therapeutic strategies.

Objectives

To verify whether there is an association between lipid profile and clinical manifestations in patients with SCA and if there is a correlation between lipid profile and laboratory markers in this disease.

Methodology

According to the PRISMA guidelines, a systematic review of the literature was conducted by searching the MEDLINE/PubMed, LILACS, SciELO, Scopus, and Cochrane databases. Articles were screened by reading the titles and abstracts, reaching those selected for full-text reading. The included studies were published between 2010 and 2020, were fully available in the databases, and addressed the proposed theme. The risk of individual bias was assessed by using the Joanna Briggs Institute checklist and the Newcastle-Ottawa scale.

Results

Out of the 144 identified articles, 15 were selected for analysis, resulting in a sample size of 2,230 individuals. HDL-C, LDL-C, total cholesterol , and triglycerides were the main variables analyzed in the lipid profiles. A correlation was observed between these variables and some of the most relevant clinical events in the disease, including vaso-occlusive seizures and acute thoracic syndrome.

Conclusion

Lipid metabolism disorders, especially hypocholesterolemia and hypertriglyceridemia, are linked to clinical events observed in SCA, suggesting they play a relevant role in the multifactorial pathogenesis of this disease.

  • Anemia, Sickle Cell
  • Lipids
  • Signs and Symptoms
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Creative Commons Attribution (CC BY) Creative Commons license
19/08/2022 DOI: 10.36660/ijcs.20220010 Views 2
Figure 1
ABC
Clinicoradiological Session

Case 2/2017 – Cor Triatriatum, without Clinical Manifestation, in A 6-Year-Old Girl

Edmar Atik et al. Gláucia M. P. Tavares

Complementary examinations

Electrocardiogram showed sinus rhythm and no signs of cavitary overload. The QRS complex had RS morphology in V1, qRs in V6. AP: +50°, AQRS: +80°, AT: +40°.

Chest X-ray showed normal cardiac area (cardiothoracic index: 0.46). The pulmonary vascular net was normal and the medial arch was rectified.

[…]

  • Congenital Abnormalities
  • Cor triatriatum
  • Echocardiography
  • Signs and Symptoms
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Creative Commons Attribution (CC BY) Creative Commons license
01/03/2017 DOI: 10.5935/abc.20170030

How to cite this article

EndNote RIS

Electronic Document Format (Vancouver)

Rover MM, Trott G, Scolari FL, Silva MMD, Souza D, Santos RRM, Dagnino APA, et al. Health-Related Quality of Life and Long-Term Outcomes after Mildly Symptomatic COVID-19: The Post-COVID Brazil Study 2 Protocol. Arquivos Brasileiros de Cardiologia 2023;120(9):e20220835.

Electronic Document Format (ABNT)

Rover, Marciane Maria; Trott, Geraldine; Scolari, Fernando Luís; Silva, Mariana Motta Dias da; Souza, Denise de; Santos, Rosa da Rosa Minho dos; Dagnino, Ana Paula Aquistapase; Mesquita Neto, Juliana de; Estivalete, Gabriel Pozza; Kozesinski-Nakatani, Amanda Christina; Marcolino, Milena Soriano; Barreto, Bruna Brandão; Schvartzman, Paulo Roberto; Antonio, Ana Carolina Peçanha; Robinson, Caroline Cabral; Falavigna, Maicon; Biolo, Andreia; Polanczyk, Carisi Anne; Rosa, Regis Goulart. Health-Related Quality of Life and Long-Term Outcomes after Mildly Symptomatic COVID-19: The Post-COVID Brazil Study 2 Protocol. Arquivos Brasileiros de Cardiologia, v. 120, n. 9, e20220835, Oct. 2023.

Electronic Document Format (APA)

Rover, M. M., Trott, G., Scolari, F. L., Silva, M. M. D. , Souza, D. , Santos, R. R. M. , Dagnino, A. P. A., Mesquita Neto, J. , Estivalete, G. P., Kozesinski-Nakatani, A. C., Marcolino, M. S., Barreto, B. B., Schvartzman, P. R., Antonio, A. C. P., Robinson, C. C., Falavigna, M., Biolo, A., Polanczyk, C. A., & Rosa, R. G. (2023). Health-Related Quality of Life and Long-Term Outcomes after Mildly Symptomatic COVID-19: The Post-COVID Brazil Study 2 Protocol. Arquivos Brasileiros de Cardiologia, 120(9), e20220835.

Electronic Document Format (ISO)

Rover, Marciane Maria and Trott, Geraldine and Scolari, Fernando Luís and Silva, Mariana Motta Dias da and Souza, Denise de and Santos, Rosa da Rosa Minho dos and Dagnino, Ana Paula Aquistapase and Mesquita Neto, Juliana de and Estivalete, Gabriel Pozza and Kozesinski-Nakatani, Amanda Christina and Marcolino, Milena Soriano and Barreto, Bruna Brandão and Schvartzman, Paulo Roberto and Antonio, Ana Carolina Peçanha and Robinson, Caroline Cabral and Falavigna, Maicon and Biolo, Andreia and Polanczyk, Carisi Anne and Rosa, Regis Goulart. Health-Related Quality of Life and Long-Term Outcomes after Mildly Symptomatic COVID-19: The Post-COVID Brazil Study 2 Protocol. Arquivos Brasileiros de Cardiologia [online]. 2023, vol. 120, n. 9, [cited 2026-10-14], e20220835. Available from: <https://journals.cardiol.br/en/article/health-related-quality-of-life-and-long-term-outcomes-after-mildly-symptomatic-covid-19-the-post-covid-brazil-study-2-protocol/>. ISSN 0066-782X

EndNote RIS

Electronic Document Format (Vancouver)

Roberto K, Saretta R, Franci A, Baracioli LM, Galas FRBG, Gil JS, Ferino A, et al. Post-COVID-19 Cardiopulmonary Symptoms: Predictors and Imaging Features in Patients after Hospital Discharge. Arquivos Brasileiros de Cardiologia 2023;120(5):e20220642.

Electronic Document Format (ABNT)

Roberto, Kalil-Filho; Saretta, Roberta; Franci, André; Baracioli, Luciano M.; Galas, Filomena R. B. G.; Gil, Juliana S.; Ferino, Amanda; Giacovone, Camilla; Oliveira, Isabella; Souza, Johnatan; Batista, Vanessa; Scalabrini Neto, Augusto; Costa, Livia do Valle; Ruiz, Amanda Danieleto; Ledo, Carla B.; Nascimento, Teresa Cristina D. C.; Drager, Luciano F.. Post-COVID-19 Cardiopulmonary Symptoms: Predictors and Imaging Features in Patients after Hospital Discharge. Arquivos Brasileiros de Cardiologia, v. 120, n. 5, e20220642, May. 2023.

Electronic Document Format (APA)

Roberto, K., Saretta, R., Franci, A., Baracioli, L. M., Galas, F. R. B. G., Gil, J. S., Ferino, A., Giacovone, C., Oliveira, I., Souza, J., Batista, V., Scalabrini Neto, A., Costa, L. V., Ruiz, A. D., Ledo, C. B., Nascimento, T. C. D. C., & Drager, L. F. (2023). Post-COVID-19 Cardiopulmonary Symptoms: Predictors and Imaging Features in Patients after Hospital Discharge. Arquivos Brasileiros de Cardiologia, 120(5), e20220642.

Electronic Document Format (ISO)

Roberto, Kalil-Filho and Saretta, Roberta and Franci, André and Baracioli, Luciano M. and Galas, Filomena R. B. G. and Gil, Juliana S. and Ferino, Amanda and Giacovone, Camilla and Oliveira, Isabella and Souza, Johnatan and Batista, Vanessa and Scalabrini Neto, Augusto and Costa, Livia do Valle and Ruiz, Amanda Danieleto and Ledo, Carla B. and Nascimento, Teresa Cristina D. C. and Drager, Luciano F.. Post-COVID-19 Cardiopulmonary Symptoms: Predictors and Imaging Features in Patients after Hospital Discharge. Arquivos Brasileiros de Cardiologia [online]. 2023, vol. 120, n. 5, [cited 2026-10-14], e20220642. Available from: <https://journals.cardiol.br/en/article/post-covid-19-cardiopulmonary-symptoms-predictors-and-imaging-features-in-patients-after-hospital-discharge/>. ISSN 0066-782X

EndNote RIS

Electronic Document Format (Vancouver)

Dantas MT, Lopes A, Ladeia AMT. Association Between Lipid Profile and Clinical Manifestations in Sickle Cell Anemia: A Systematic Review. International Journal of Cardiovascular Sciences 2022;35(6):770-9.

Electronic Document Format (ABNT)

Dantas, Marina Tejo; Lopes, Andressa; Ladeia, Ana Marice Teixeira. Association Between Lipid Profile and Clinical Manifestations in Sickle Cell Anemia: A Systematic Review. International Journal of Cardiovascular Sciences, v. 35, n. 6, p. 770-779, Aug. 2022.

Electronic Document Format (APA)

Dantas, M. T., Lopes, A., & Ladeia, A. M. T. (2022). Association Between Lipid Profile and Clinical Manifestations in Sickle Cell Anemia: A Systematic Review. International Journal of Cardiovascular Sciences, 35(6), 770-779.

Electronic Document Format (ISO)

Dantas, Marina Tejo and Lopes, Andressa and Ladeia, Ana Marice Teixeira. Association Between Lipid Profile and Clinical Manifestations in Sickle Cell Anemia: A Systematic Review. International Journal of Cardiovascular Sciences [online]. 2022, vol. 35, n. 6, [cited 2026-10-14], pp. 770-779. Available from: <https://journals.cardiol.br/en/article/association-between-lipid-profile-and-clinical-manifestations-in-sickle-cell-anemia-a-systematic-review/>. ISSN 2359-4802

EndNote RIS

Electronic Document Format (Vancouver)

Atik E, Tavares GMP. Case 2/2017 – Cor Triatriatum, without Clinical Manifestation, in A 6-Year-Old Girl. Arquivos Brasileiros de Cardiologia 2017;108(3):276-8.

Electronic Document Format (ABNT)

Atik, Edmar; Tavares, Gláucia M. P.. Case 2/2017 – Cor Triatriatum, without Clinical Manifestation, in A 6-Year-Old Girl. Arquivos Brasileiros de Cardiologia, v. 108, n. 3, p. 276-278, Feb. 2017.

Electronic Document Format (APA)

Atik, E., & Tavares, G. M. P. (2017). Case 2/2017 – Cor Triatriatum, without Clinical Manifestation, in A 6-Year-Old Girl. Arquivos Brasileiros de Cardiologia, 108(3), 276-278.

Electronic Document Format (ISO)

Atik, Edmar and Tavares, Gláucia M. P.. Case 2/2017 – Cor Triatriatum, without Clinical Manifestation, in A 6-Year-Old Girl. Arquivos Brasileiros de Cardiologia [online]. 2017, vol. 108, n. 3, [cited 2026-10-14], pp. 276-278. Available from: <https://journals.cardiol.br/en/article/case-2-2017-cor-triatriatum-without-clinical-manifestation-in-a-6-year-old-girl/>. ISSN 0066-782X

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