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A comprehensive characterization of patients diagnosed with post-COVID-19 condition in Sweden 16 months after the introduction of the International Classification of Diseases Tenth Revision diagnosis code (U09.9): a population-based cohort study.

Authors :
Bygdell, Maria
Leach, Susannah
Lundberg, Lisa
Gyll, David
Martikainen, Jari
Santosa, Ailiana
Li, Huiqi
Gisslén, Magnus
Nyberg, Fredrik
Source :
International Journal of Infectious Diseases. Jan2023, Vol. 126, p104-113. 10p.
Publication Year :
2023

Abstract

• In a population-based dataset, 2.0% of patients with COVID-19 had post-COVID-19 condition (PCC). • The cumulative incidence was higher among women than men (2.3% vs 1.6%). • Among hospitalized (intensive care) patients with COVID-19 (n = 2509), 36.9% had PCC. • Among non-hospitalized patients with COVID-19 (n = 478,241), 1.5% had PCC. • Compared with patients without PCC, patients with PCC were older and had a tertiary education. The objective of this study was to provide a comprehensive characterization of patients diagnosed with post-COVID-19 condition (PCC) during the first 16 months of use of the International Classification of Diseases revision 10 (ICD-10) diagnosis code U09.9 in Sweden. We used data from national registers and primary health care databases for all adult inhabitants of the two largest regions in Sweden, comprising 4.1 million inhabitants (approximately 40% of the Swedish population). We present the cumulative incidence and incidence rate of PCC overall and among subgroups and describe patients with COVID-19 with or without PCC regarding sociodemographic characteristics, comorbidities, subsequent diseases, COVID-19 severity, and virus variants. Of all registered COVID-19 cases available for PCC diagnosis (n = 506,107), 2.0% (n = 10,196) had been diagnosed with PCC using ICD-10 code U09.9 as of February 15, 2022 in the two largest regions in Sweden. The cumulative incidence was higher among women than men (2.3% vs 1.6%, P <0.001). The majority of PCC cases (n = 7162, 70.2%) had not been hospitalized for COVID-19. This group was more commonly female (69.9% vs 52.9%, P <0.001), had a tertiary education (51.0% vs 44.1%, P <0.001), and was older (median age difference 5.7 years, P <0.001) than non-hospitalized patients with COVID-19 without PCC. This characterization furthers the understanding of patients diagnosed with PCC and could support policy makers with appropriate societal and health care resource allocation. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
12019712
Volume :
126
Database :
Academic Search Index
Journal :
International Journal of Infectious Diseases
Publication Type :
Academic Journal
Accession number :
160962692
Full Text :
https://doi.org/10.1016/j.ijid.2022.11.021