@article {Hossaine006838, author = {Mohammad Anwar Hossain and K M Amran Hossain and Karen Saunders and Zakir Uddin and Lori Maria Walton and Veena Raigangar and Mohamed Sakel and Rubayet Shafin and Mohammad Sohrab Hossain and Md Feroz Kabir and Rafey Faruqui and Md Shohag Rana and Md Shahoriar Ahmed and Sonjit Kumar Chakrovorty and Md Anwar Hossain and Iqbal Kabir Jahid}, title = {Prevalence of Long COVID symptoms in Bangladesh: a prospective Inception Cohort Study of COVID-19 survivors}, volume = {6}, number = {12}, elocation-id = {e006838}, year = {2021}, doi = {10.1136/bmjgh-2021-006838}, publisher = {BMJ Specialist Journals}, abstract = {Background The objective of this study was to identify the prevalence of long COVID symptoms in a large cohort of people living with and affected by long COVID and identify any potential associated risk factors.Methods A prospective survey was undertaken of an inception cohort of confirmed people living with and affected by long COVID (aged 18{\textendash}87 years). 14392 participants were recruited from 24 testing facilities across Bangladesh between June and November 2020. All participants had a previously confirmed positive COVID-19 diagnosis, and reported persistent symptoms and difficulties in performing daily activities. Participants who consented were contacted by face-to-face interview, and were interviewed regarding long COVID, and restriction of activities of daily living using post COVID-19 functional status scale. Cardiorespiratory parameters measured at rest (heart rate, systolic blood pressure, diastolic blood pressure, oxygen saturation levels, maximal oxygen consumption, inspiratory and expiratory lung volume) were also measured.Results Among 2198 participants, the prevalence of long COVID symptoms at 12 weeks was 16.1\%. Overall, eight long COVID symptoms were identified and in descending order of prominence are: fatigue, pain, dyspnoea, cough, anosmia, appetite loss, headache and chest pain. People living with and affected by long COVID experienced between 1 and 8 long COVID symptoms with an overall duration period of 21.8{\textpm}5.2 weeks. Structural equation modelling predicted the length of long COVID to be related to younger age, female gender, rural residence, prior functional limitation and smoking.Conclusion In this cohort, at 31 weeks post diagnosis, the prevalence of long COVID symptoms was 16.1\%. The risk factors identified for presence and longer length of long COVID symptoms warrant further research and consideration to support public health initiatives.Data are available in a public, open access repository. All data collected in this study is confidential to the study and will be shared anonymously or following ethical principle and made available to others according to the necessity of the study. Data will be available at a public repository [https://www.kaggle.com/kmamranhossain/long-covid-bd].}, URL = {https://gh.bmj.com/content/6/12/e006838}, eprint = {https://gh.bmj.com/content/6/12/e006838.full.pdf}, journal = {BMJ Global Health} }