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Sci Rep . New-onset gastrointestinal disorders in COVID-19 patients 3.5 years post-infection in the inner-city population in the Bronx

tetano

Editor, Senior Moderator
Sci Rep


. 2024 Dec 30;14(1):31850.
doi: 10.1038/s41598-024-83232-7. New-onset gastrointestinal disorders in COVID-19 patients 3.5 years post-infection in the inner-city population in the Bronx

Sagar Changela[SUP] 1 [/SUP], Samad Ashraf[SUP] 1 [/SUP], Justin Y Lu[SUP] 1 [/SUP], Kevin E Duong[SUP] 1 [/SUP], Sonya Henry[SUP] 1 [/SUP], Stephen H Wang[SUP] 1 2 [/SUP], Tim Q Duong[SUP] 3 4 [/SUP]



Affiliations
Abstract

This study examined the incidence, characteristics, and risk factors of new gastrointestinal disorders (GID) associated with SARS-CoV-2 infection up to 3.5 years post-infection. This retrospective study included 35,102 COVID-19 patients and 682,594 contemporary non-COVID-19 patients without past medical history of GID (controls) from the Montefiore Health System in the Bronx (3/1/2020 to 7/31/2023). Comparisons were made with unmatched and propensity-matched (1:2) controls. The primary outcome was new GID which included peptic ulcer, inflammatory bowel disease, irritable bowel syndrome, diverticulosis, diverticulitis, and biliary disease. Multivariate Cox proportional hazards model analysis was performed with adjustment for covariates. There were 2,228 (6.34%) COVID-19 positive patients who developed new GID compared to 38,928 (5.70%) controls. COVID-19 patients had an elevated risk of developing new GID (adjusted HR = 1.18 (95% CI 1.12-1.25) compared to propensity-matched controls, after adjusting for confounders that included smoking, obesity, diabetes, hypertension. These findings underscore the need for additional research and follow-up of at-risk individuals for developing GID post infection.

Keywords: SARS-CoV-2; health disparity; long covid; post-acute sequelae of COVID-19 (PASC).

 
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