Prevalence of Gastrointestinal Symptoms in Severe Acute Respiratory Syndrome Coronavirus 2 Infection: Results of the Prospective Controlled Multinational GI-COVID-19 Study

INTRODUCTION: Gastrointestinal (GI) symptoms in coronavirus-19 disease (COVID-19) have been reported with great variability and without standardization. In hospitalized patients, we aimed to evaluate the prevalence of GI symptoms, factors associated with their occurrence, and variation at 1 month. M...

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Detalles Bibliográficos
Autores: Marasco, G; Cremon, C; Barbaro, MR; Salvi, D; Cacciari, G; Kagramanova, A; Bordin, D; Drug, V; Miftode, E; Fusaroli, P; Mohamed, SY; Ricci, C; Bellini, M; Rahman, MM; Melcarne, L; Santos, J; Lobo, B; Bor, S; Yapali, S; Akyol, D; Sapmaz, FP; Urun, YY; Eskazan, T; Celebi, A; Kacmaz, H; Ebik, B; Binicier, HC; Bugdayci, MS; Yagci, MB; Pullukcu, H; Kaya, BY; Tureyen, A; Hatemi, I; Koc, ES; Sirin, G; Caliskan, AR; Bengi, G; Alis, EE; Lukic, S; Trajkovska, M; Hod, K; Dumitrascu, D; Pietrangelo, A; Corradini, E; Simren, M; Sjolund, J; Tornkvist, N; Ghoshal, UC; Kolokolnikova, O; Colecchia, A; Serra, J; Maconi, G; De Giorgio, R; Danese, S; Portincasa, P; Di Stefano, M; Maggio, M; Philippou, E; Lee, YY; Venturi, A; Borghi, C; Zoli, M; Gionchetti, P; Viale, P; Stanghellini, V; Barbara, G
Tipo de documento: Artículo
Estado:Published version
Fecha de publicación:2022
País:España
Institución:Institut d'Investigació i Innovació Parc Taulí (I3PT)
Repositorio:r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
OAI Identifier:oai:i3pt.fundanetsuite.com:p1471
Acceso en línea:https://i3pt.portalinvestigacion.com/publicaciones/1471
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85121709570&doi=10.14309%2fajg.0000000000001541&partnerID=40&md5=69dbd416ec1a2b422ca1499339810d33
Nivel de acceso:Acceso abierto
Palabra clave:C reactive protein
adult
Article
body mass
clinical evaluation
controlled study
coronavirus disease 2019
dyspnea
female
gastrointestinal symptom
gastrointestinal symptom rating scale
hospital admission
hospitalization
human
major clinical study
male
middle aged
multicenter study
nausea
prevalence
prospective study
protein blood level
questionnaire
sex
validation process
clinical trial
complication
controlled clinical trial
Egypt
Europe
gastroenteritis
interview
Russian Federation
COVID-19
Female
Gastroenteritis
Humans
Interviews as Topic
Male
Middle Aged
Prevalence
Prospective Studies
Russia
SARS-CoV-2
Surveys and Questionnaires
Descripción
Sumario:INTRODUCTION: Gastrointestinal (GI) symptoms in coronavirus-19 disease (COVID-19) have been reported with great variability and without standardization. In hospitalized patients, we aimed to evaluate the prevalence of GI symptoms, factors associated with their occurrence, and variation at 1 month. METHODS: The GI-COVID-19 is a prospective, multicenter, controlled study. Patients with and without COVID-19 diagnosis were recruited at hospital admission and asked for GI symptoms at admission and after 1 month, using the validated Gastrointestinal Symptom Rating Scale questionnaire. RESULTS: The study included 2036 hospitalized patients. A total of 871 patients (575 COVID+ and 296 COVID-) were included for the primary analysis. GI symptoms occurred more frequently in patients with COVID-19 (59.7%; 343/575 patients) than in the control group (43.2%; 128/296 patients) (P < 0.001). Patients with COVID-19 complained of higher presence or intensity of nausea, diarrhea, loose stools, and urgency as compared with controls. At a 1-month follow-up, a reduction in the presence or intensity of GI symptoms was found in COVID-19 patients with GI symptoms at hospital admission. Nausea remained increased over controls. Factors significantly associated with nausea persistence in COVID-19 were female sex, high body mass index, the presence of dyspnea, and increased C-reactive protein levels. DISCUSSION: The prevalence of GI symptoms in hospitalized patients with COVID-19 is higher than previously reported. Systemic and respiratory symptoms are often associated with GI complaints. Nausea may persist after the resolution of COVID-19 infection.