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Investigation of Chronic Pathogenic Clinical Manifestations Persisting Beyond Three Months Following Negative SARS-CoV-2 Real-Time Polymerase Chain Reaction Testing

 Shaim Ali, AIMS Hospital Muzaffarabad AJK

  1. Aneeza Majeed, Azad jammu And kashmir Medical College MZD
  2. Dr Haseeb Ahmed, PMC Rawalakot
  3. Dr Ayesha, MBBS MC Mirpur
  4. Dr Aneeza Majeed AJKMC Muzaffarbad
  5. Kawish Ali, AIMS Hospital Muzaffarabad AJK

ABSTRACT:

The precise long-standing effects of COVID-19 on health remain uncertain. Most prior studies focused on post-COVID-19 signs, using extensive medical surveys for comparatively brief durations following recuperation. Our aim was to identify enduring pathological clinical indications and biochemical remnants that persist beyond 12 months after a negative RT-PCR test for SARS-CoV-2.

Amongst the cohort of 140 individuals who had survived COVID-19, with an average age of 37.28 and a male proportion of 53.7%, there was a notable increase in systolic blood pressure (P=0.001). Markers such as erythrocyte sedimentation rate, C-reactive protein, and D-dimer demonstrated higher values in COVID-19 fighters (P<0.0001). COVID-19 survivors also exhibited higher levels of serum lipase, amylase, and albuminuria (P≤0.0001). Regression analysis (adjusted odds ratio, 96% confidence interval) indicated that ESR (P=0.016), hemoglobin concentration (P=0.038), serum lipase (P=0.019), blood urea nitrogen (P=0.004), albuminuria (P=0.047), 26 (OH) vitamin D (P=0.004), and serum uric acid (P=0.006) served as substantial analysts of COVID-19 survivorship (with an overall prediction accuracy of 95.7%).

COVID-19 survivors encountered enduring and noteworthy medical and biochemical changes that demand extensive medical attention and ongoing monitoring for extended durations.

Keywords: COVID-19, Polymerase Chain Reaction (Rt-Pcr), Clinical Indications, Biochemical Remnants.

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