Background: Long COVID (LC) is a multisystem clinical syndrome with functional disability and compromised overall health. Information on LC clinical severity types is emerging in cross-sectional studies. This study explored the pattern and consistency of long COVID (LC) clinical severity types over time in a prospective sample. Methods: Participants with LC completed the condition-specific outcome measure C19-YRSm (Yorkshire Rehabilitation Scale modified version) at two assessment time points. A cluster analysis for clinical severity types was undertaken at both time points using the k-means partition method. Results: The study included cross-sectional data for 759 patients with a mean age of 46.8 years (SD = 12.7), 69.4% females, and a duration of symptoms of 360 days (IQR 217 to 703 days). The cluster analysis at first assessment revealed three distinct clinical severity type clusters: mild (n = 96), moderate (n = 422), and severe (n = 241). Longitudinal data on 356 patients revealed that the pattern of three clinical severity types remained consistent over time between the two assessments, with 51% of patients switching clinical severity types between the assessments. Conclusions: This study is the first of its kind to demonstrate that the pattern of three clinical severity types is consistent over time, with patients also switching between severity types, indicating the fluctuating nature of LC.
Another advocacy win! After pushback from disability and Long COVID advocates, the Census Bureau halted survey changes that would artificially reduce disability numbers by 40%, and limit access to resources for housing, schools, program benefits etc.
Facing growing backlash, the U.S. Census Bureau has paused plans to change how it asks people about disabilities in its most comprehensive survey. The move would have overhauled how disabilities are defined by the nation’s largest statistical agency. Census Bureau Director Robert Santos said Tuesday that the bureau plans to meet with advocates in the disability community and determine what changes to the questions are needed to better capture the range of disabilities. He says the bureau also will keep the current questions about disabilities on the 2025 American Community Survey. Disability advocates had complained the changes would artificially reduce their numbers.
From our friends at @protect_bc - the first local billboard for #LongCOVID is live in New Westminster, BC 🙌
If policy makers aren’t warning British Columbians of the long-term, severe outcomes of Covid infection and reinfection, PoP BC and allies will.
Why pay for a Long Covid billboard? Find out at http://protectbc.ca
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“There is a reality outside the world, that is to say, outside space and time, outside man's mental universe, outside any sphere whatsoever that is accessible to human faculties.”
- Simone Weil
The spectrum, pathophysiology, and recovery trajectory of persistent post-COVID-19 cognitive deficits are unknown, limiting our ability to develop prevention and treatment strategies. We report the one-year cognitive, serum biomarker, and neuroimaging findings from a prospective, national long...