{"doi":"10.1093/ofid/ofad320","title":"Respiratory, Cardiac, and Neuropsychiatric Manifestations of Postacute Sequelae of Coronavirus Disease 2019 in Lima, Peru","abstract":"Background: Few studies have examined the burden of postacute sequelae of coronavirus disease 2019 (COVID-19) (PASC) in low- and middle-income countries. We sought to characterize PASC with self-reported questionnaires and clinical examinations of end-organ function in Lima, Peru. Methods: From January to July 2021, we recruited participants at least 8 weeks after COVID-19 diagnosis from a case registry in Lima, Peru. We evaluated participants for PASC with questionnaires, neuropsychiatric evaluations, chest X-ray, spirometry, electrocardiogram, and echocardiogram. We used multivariable models to identify risk factors for PASC. Results: We assessed 989 participants for PASC at a median 4.7 months after diagnosis. Clinically significant respiratory symptoms were reported by 68.3% of participants, particularly those who had been severely ill during acute COVID-19, and were associated with cardiac findings of ventricular hypertrophy or dilation on echocardiogram. Neuropsychiatric questionnaires were consistent with depression in 20.7% and cognitive impairment in 8.0%. Female sex and older age were associated with increased risk of respiratory (adjusted odds ratio [aOR], 2.36 [95% confidence interval {CI}, 1.69-3.31] and aOR, 1.01 [95% CI, 1.00-1.03], respectively) and neuropsychiatric sequelae (aOR, 2.99 [95% CI, 2.16-4.18] and aOR, 1.02 [95% CI, 1.01-1.03], respectively). Conclusions: COVID-19 survivors in Lima, Peru, experienced frequent postacute respiratory symptoms and depression, particularly among older and female participants. Clinical examinations highlighted the need for cardiopulmonary rehabilitation among persons with severe COVID-19; psychosocial support may be required among all COVID-19 survivors.","journal":"Open Forum Infectious Diseases","year":2023,"id":379706,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.6279,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":796983,"name":"Marco Tovar","orcid":"0000-0002-8474-4319","position":1,"is_corresponding":false},{"id":796984,"name":"Jesús Peinado","orcid":"0000-0003-2015-3170","position":2,"is_corresponding":false},{"id":1144835,"name":"J. Santiago Palomino","orcid":null,"position":3,"is_corresponding":false},{"id":1144387,"name":"Claudio C. Ramı́rez","orcid":"0000-0002-6110-3973","position":4,"is_corresponding":false},{"id":1144388,"name":"Fernando Llanos-Zavalaga","orcid":"0000-0001-6050-6001","position":5,"is_corresponding":false},{"id":1144836,"name":"Ernesto Peralta","orcid":null,"position":6,"is_corresponding":false},{"id":1144837,"name":"Gissela Valderrama","orcid":null,"position":7,"is_corresponding":false},{"id":1144389,"name":"Lourdes Ramos","orcid":"0000-0002-9132-4902","position":8,"is_corresponding":false},{"id":1144838,"name":"Lucero I Sanchez Cortez","orcid":null,"position":9,"is_corresponding":false},{"id":1144839,"name":"German Rodriguez","orcid":null,"position":10,"is_corresponding":false},{"id":1144840,"name":"Allison N. LaHood","orcid":null,"position":11,"is_corresponding":false},{"id":376978,"name":"Molly F. Franke","orcid":"0000-0002-4890-5728","position":12,"is_corresponding":false},{"id":765792,"name":"Carole D. Mitnick","orcid":"0000-0002-3455-658X","position":13,"is_corresponding":false},{"id":376976,"name":"Leonid Lecca","orcid":"0000-0003-1363-3985","position":14,"is_corresponding":false},{"id":331296,"name":"Gustavo E. Velásquez","orcid":"0000-0003-1438-0692","position":15,"is_corresponding":false},{"id":453395,"name":"Rifat Rahman","orcid":"0000-0002-3331-9312","position":0,"is_corresponding":true}],"reference_count":42,"raw_metadata":null,"created_at":"2026-07-19T01:16:56.650289Z","pmid":"37496609","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}