Publications by authors named "Sharon Saydah"

Background: Little is known about how symptoms or symptom clusters of Post-COVID Conditions (PCC) impact an individual's return to pre-COVID health.

Methods: We used four state-level COVID-19 case reporting systems and patient-reported survey data to identify patients with PCC and associations with an individual's return to pre-COVID health after laboratory-confirmed SARS-CoV-2 infection. Participants had a positive SARS-CoV-2 test between March-December 2020.

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  • A study was conducted from September 2022 to April 2023 to evaluate how COVID-19 vaccines affect the risk of infection in children under 5 years old.
  • The results showed no significant difference in infection risk between vaccinated and unvaccinated children.
  • Although the vaccines are effective in preventing severe illness, they may not prevent the actual infection of the virus in young kids.
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Although most children are spared from developing complications from SARS-CoV-2 infection, some may suffer consequences including Long Covid and multisystem inflammatory syndrome in children (MIS-C). Although the occurrence of these conditions has decreased over time, they can still occur, and recognition of symptoms and prompt diagnosis is imperative for early intervention.

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  • - The study investigates the prevalence of long-term symptoms in blood donors based on their SARS-CoV-2 infection status, focusing on differences across various occupations and industries.
  • - Data was collected from nearly 28,000 donors, revealing that 45% of those previously infected reported new long-term symptoms, compared to 24% of those never infected, with higher symptom prevalence in certain job sectors like healthcare support and accommodation services.
  • - The findings suggest that certain occupational groups experience more long-term symptoms due to their exposure to COVID-19, indicating a potential need for workplace accommodations to support affected employees.
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  • * A study found that as age increases, the likelihood of older adults receiving antiviral treatment decreases, with only 35.2% of those aged 90 and above receiving it.
  • * Among patients aged 65 and older, those who did not receive antiviral treatment were more likely to suffer severe outcomes, indicating a need for improved antiviral access for older populations.
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Background: Track PCC includes five geographic surveillance sites to conduct standardized population-based surveillance to estimate and track Post-COVID Conditions (PCC) by age, sex, race/ethnicity, geographic area, severity of initial infection, and risk factors among persons with evidence of SARS-CoV-2 infection (based on the Council of State and Territorial Epidemiologist [CSTE] case definitions for confirmed cases or laboratory-confirmed evidence of infection).

Methods: The study will estimate the incidence, prevalence, including temporal trends, and duration and severity of PCC symptoms, among children, adolescents, and adults. PCCs include a broad range of symptoms and conditions that continue or develop after acute SARS-CoV-2 infection or COVID-19 illness.

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To understand the roles of acute-phase viral dynamics and host immune responses in post-acute sequelae of SARS-CoV-2 infection (PASC), we enrolled 136 participants within 5 days of their first positive SARS-CoV-2 real-time PCR test. Participants self-collected up to 21 nasal specimens within the first 28 days post-symptom onset; interviewer-administered questionnaires and blood samples were collected at enrollment, days 9, 14, 21, 28, and month 4 and 8 post-symptom onset. Defining PASC as the presence of any COVID-associated symptom at their 4-month visit, we compared viral markers (quantity and duration of nasal viral RNA load, infectious viral load, and plasma N-antigen level) and host immune markers (IL-6, IL-10, TNF-α, IFN-α, IFN-γ, MCP, IP-10, and Spike IgG) over the acute period.

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  • This study investigates how race, ethnicity, and gender affect long-term health-related quality of life in individuals who tested positive for COVID-19, focusing on changes in well-being over a three-month period.
  • Among COVID-19 positive participants, Black individuals showed better cognitive function and reduced fatigue compared to non-Hispanic Whites, while females and gender diverse groups reported worse overall well-being and less improvement in fatigue.
  • The findings suggest that social constructs, such as race, ethnicity, and gender, play a significant role in COVID-19 health outcomes, highlighting the need for further research in this area.
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Importance: Chronic symptoms reported following an infection with SARS-CoV-2, such as cognitive problems, overlap with symptoms included in the definition of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS).

Objective: To evaluate the prevalence of ME/CFS-like illness subsequent to acute SARS-CoV-2 infection, changes in ME/CFS symptoms through 12 months of follow-up, and the association of ME/CFS symptoms with SARS-CoV-2 test results at the acute infection-like index illness.

Design, Setting, And Participants: This prospective, multisite, longitudinal cohort study (Innovative Support for Patients with SARS-CoV-2 Infections Registry [INSPIRE]) enrolled participants from December 11, 2020, to August 29, 2022.

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  • The study explores the prevalence of post-COVID conditions among adult patients diagnosed with COVID-19 using a primary care registry in the U.S.
  • Researchers compared COVID-19 patients to historical controls with influenza-like illness and contemporaneous wellness patients, finding higher rates of breathing difficulties, type 2 diabetes, fatigue, and sleep disturbances in the COVID-19 group.
  • The results suggest that while there is a moderate burden of post-COVID conditions in primary care, these conditions are not as prevalent as reported in specialized or hospital settings.
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  • PCORnet is a major research network that standardizes clinical data from various health systems and expanded its infrastructure in 2018 to support public health surveillance of chronic diseases and COVID-19.
  • Enhancements included a new table for patient zip codes and a modular program for generating population health statistics; case studies showed significant findings for conditions like atrial fibrillation and cirrhosis.
  • By August 2023, most PCORnet sites were able to provide detailed patient data, demonstrating its potential to improve public health surveillance with comprehensive data across different health conditions.
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Background: There are limited population-representative data that describe the potential burden of Post-COVID conditions (PCC) in Mexico. We estimated the prevalence of PCC overall and by sociodemographic characteristics among a representative sample of adults previously diagnosed with COVID-19 in Mexico. We additionally, characterized the PCC symptoms, and estimated the association between diagnosed type-2 diabetes and hypertension with PCC.

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Introduction: After SARS-CoV-2 infection, some people will experience long-term sequelae known as post-COVID-19 condition (PCC). Although PCC is recognized as a public health problem, estimates of the prevalence of PCC are sparse. We described a framework for estimating the incidence and prevalence of PCC by population subgroups and geography over time in Washington State.

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  • The study focuses on COVID-19 mitigation measures in workplaces where U.S. blood donors are employed, analyzing how these measures differ by industry and work arrangement.
  • Data was collected from over 53,000 respondents between May and December 2021, revealing varied implementation of measures like ventilation upgrades (20% overall), telework access (53% overall), and mask requirements (84% overall), with fewer measures reported by independent workers.
  • The findings suggest that mitigation strategies should be customized for specific industries and job types, as a uniform approach may not effectively address unique workplace challenges related to disease transmission.
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  • COVID-19 vaccinations are effective in preventing severe illness and death but their impact on post-COVID conditions (PCC) is less understood, prompting a study to evaluate this association.
  • The study analyzed electronic health records from over 161,000 vaccinated and unvaccinated COVID-19 patients from multiple healthcare systems, focusing on new diagnoses of PCC within six months after infection.
  • Results showed that vaccinated individuals had a lower risk of several PCC categories, especially sensory and circulatory issues, while mental health disorders had a slightly higher risk in vaccinated individuals, indicating that vaccination may help reduce long-term COVID-19 consequences.
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Introduction: Long COVID encompasses a wide range of health problems that emerge, persist, or recur following acute coronavirus disease 2019 (COVID-19) illness. Given that the prevalence of self-reported Long COVID is highest among U.S.

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  • - The study investigates the prevalence of long-term health symptoms following SARS-CoV-2 infection, addressing the gap of previous research that lacked control groups uninfected by the virus.
  • - Conducted among American Red Cross blood donors, the cross-sectional study involved surveys and serologic testing to assess new symptoms from March 2020 onwards, focusing on neurological, gastrointestinal, respiratory, cardiac, and mental health issues.
  • - Results showed that 43.3% of individuals with a history of SARS-CoV-2 infection reported new long-term symptoms, significantly higher than the 22.1% in those without such a history, suggesting a strong link between COVID-19 and the development of these symptoms.
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  • - The study investigated the long-term disability symptoms of individuals who had mild to moderate COVID-19-like illness, comparing those who tested positive for SARS-CoV-2 with those who tested negative before widespread vaccination.
  • - Participants completed surveys over several months to assess their health status, including aspects like physical function, fatigue, and dyspnea, with 2712 adults enrolled but only 650 completing the final follow-up.
  • - Results showed that while SARS-CoV-2-positive individuals reported more acute illness symptoms like fever, their self-reported disability levels were similar to those who tested negative after 2-7 months, indicating no significant long-term differences between the two groups.
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Introduction: Since March 2020, Hispanic and Black/African American persons have made up a disproportionate number of COVID-19 cases, hospitalizations, and deaths. However, little is known about whether the prevalence of postacute sequelae or post-COVID conditions differs by race/ethnicity.

Methods: This study used cross-sectional survey data collected by Porter Novelli Public Services to determine the prevalence of ≥1 ongoing symptom lasting ≥4 weeks by SARS-CoV-2 test status and racial/ethnic groups among 2,890 adults in the U.

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Introduction: Data on ethnic and racial differences in symptoms and health-related impacts following SARS-CoV-2 infection are limited. We aimed to estimate the ethnic and racial differences in symptoms and health-related impacts 3 and 6 months after the first SARS-CoV-2 infection.

Methods: Participants included adults with SARS-CoV-2 infection enrolled in a prospective multicenter US study between 12/11/2020 and 7/4/2022 as the primary cohort of interest, as well as a SARS-CoV-2-negative cohort to account for non-SARS-CoV-2-infection impacts, who completed enrollment and 3-month surveys ( = 3,161; 2,402 SARS-CoV-2-positive, 759 SARS-CoV-2-negative).

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