{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:31:10Z","timestamp":1787758270819,"version":"build-2784847793"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The novel virus SARS-CoV-2 has caused a pandemic of coronavirus disease 2019 (COVID-19). There is emerging evidence of post-COVID-19 manifestations among patients who sustain acute COVID-19. Most studies report fatigue, dyspnea, and myalgia as the common symptoms; however, currently, there is limited knowledge of these post-COVID manifestations and their risk factors, especially in India.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A descriptive cross-sectional study was conducted among patients who had attended the district post-COVID clinic, Wayanad district, Kerala, from October 2020 to June 2021. Data were collected by direct\/telephonic patient interviews and from their existing case records, using a pretested semi-structured proforma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The sample size was 667. The mean age of the study population was 45 years (standard deviation [SD]: 14.55). The majority of the population presented with dyspnea (48%), fatigue (32%), and cough (25.6%). Mental health problems were also reported in 6% of participants. The respiratory system was commonly involved (61.2%). Around one-third of the patients (36.4%) had dyspnea on exertion and 11.8% had dyspnea at rest. One-fifth of the population reported aggravation of pre-existing co-morbidity and half of the respondents had persistence of at least one symptom after 6 months. There exist statistically significant associations between identified risk factors, especially gender, increasing age, the severity of COVID-19 infection, history of tobacco\/alcohol use, and co-morbidities with outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>As post-COVID syndrome is a multisystem disease, integrated rehabilitation is required with targeted intervention for survivors based on their symptoms and needs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_131_22","type":"journal-article","created":{"date-parts":[[2022,10,19]],"date-time":"2022-10-19T07:34:07Z","timestamp":1666164847000},"page":"5312-5319","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":10,"title":["Post COVID-19 clinical manifestations and its risk factors among patients in a Northern District in Kerala, India"],"prefix":"10.4103","volume":"11","author":[{"given":"Aswathy S. V","family":"Raj","sequence":"first","affiliation":[{"name":"Department of Community Medicine, Government Medical College Manjeri, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abraham","family":"Jacob","sequence":"additional","affiliation":[{"name":"District Post COVID Clinic and District TB Center, Wayanad, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V","family":"Ambu","sequence":"additional","affiliation":[{"name":"Medical Officer in Charge of District Post COVID Clinic and District TB Officer, District TB Center, Wayanad, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Government Medical College Manjeri, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Renuka","sequence":"additional","affiliation":[{"name":"District Medical Officer, Malappuram District , Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,10,14]]},"reference":[{"key":"B1-20240828","first-page":"22","article-title":"Post-COVID-19 follow-up clinic: Depicting chronicity of a new disease","volume":"91","author":"Rovere-Querini","year":"2020","journal-title":"Acta Biomed"},{"key":"B2-20240828","doi-asserted-by":"crossref","first-page":"e13746","DOI":"10.1111\/ijcp.13746","article-title":"Assessment and characterisation of post-COVID-19 manifestations","volume":"75","author":"Kamal","year":"2021","journal-title":"Int J Clin Pract"},{"key":"B4-20240828","first-page":"869","article-title":"Long COVID: An overview. 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