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Analysis of Long Covid characteristics and risk factors in individuals infected with Covid-19

A follow-up study based on a cohort of 2,792 participants

Bibliographic Data

ID22074141
AuthorsXiujie Chu (Anhui Provincial Center for Disease Control and Prevention), Sai Hou (Anhui Provincial Center for Disease Control and Prevention), Qian Zhu (0000-0001-5108-3414, Anhui Provincial Center for Disease Control and Prevention), Jingru Chang (Anhui Provincial Center for Disease Control and Prevention), Lei Gong (0000-0001-8430-2329, Anhui Provincial Center for Disease Control and Prevention), Jiabing Wu (0000-0002-6579-2681, Anhui Provincial Center for Disease Control and Prevention, corresponding author)
Year2026
Volume14
Pages1760355-1760355
Publication date2026-03-10
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2026.1760355
PMID41883830
OpenAlexW7134846033
LanguageEN
References cited28

Background: Since the emergence of SARS-CoV-2 in 2019, Long COVID has emerged as a significant global public health challenge. The identification of accessible biomarkers and risk factors is critical to enabling early intervention and improving long-term outcomes. Methods: This prospective cohort study enrolled 2,792 individuals with confirmed COVID-19 from Anhui Province in September 2024. A propensity score matching analysis was performed using a 1:4 ratio. Cases and matched controls were selected from cohort, serum sample were analyzed to assess hematological parameters. Multivariable logistic regression models were applied to identify independent risk factors associated with the development of Long COVID. Results: 2,792 participants (average age 51.64 years) identified 182 (6.52%) long COVID patients during follow-up. Common symptoms included fatigue, cough, insomnia, throat discomfort, and appetite loss. After propensity score matching, risk factors were age, more severe acute symptoms. Long COVID patients exhibited higher red blood cell counts but lower hemoglobin-related indices and platelet count. Conclusion: This study confirms the persistent risk of Long COVID following reinfection, with heightened susceptibility associated with advanced age, specific acute-phase symptoms. Alterations in routine hematological parameters may serve as valuable biomarkers for the monitoring and management of Long COVID

Cohort · Cohort study · Logistic regression · Propensity score matching · Prospective cohort study · Risk assessment · Risk factor · Chronic Obstructive Pulmonary Disease (COPD) Research · COVID-19 Clinical Research Studies · Long-Term Effects of COVID-19

  • Symptoms and risk factors for long Covid in non-hospitalized adults

    Open Access•Anuradhaa Subramanian, Krishnarajah Nirantharakumar et al.•Nature Medicine•2022

  • How and why patients made Long Covid

    Open Access•Felicity Callard, Elizabeth Perego et al.•Social Science & Medicine•2021

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