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Outcomes

The severity of virus associated illnesses range person to person: 

  • 7.7% of COVID-19 patients in Canada end up in the hospital for treatment:
    • 20.2% of these patients required intensive care  
    • 4.5% of all COVID-19 patients in intensive care required ventilators to sustain their respiratory capacity 
  • Elderly individuals aged 70 or older are more likely to die from the virus if it is contracted:
    • 71% of all COVID-19 patients aged 80 or older have passed away  
    • 18.4% of all COVID-19 patients aged 70 – 79 have passed away 

A serious concern regarding the contraction of SARS-CoV-2 is Acute Respiratory Distress Syndrome (ARDS). When the virus enters the body and moves through the upper airway, it can attach to the alveoli that are responsible for gas exchange and damage the lungs. This can cause difficulty breathing, confusion, dizziness, and a rapid heart rate, with most symptoms occurring due to a lack of oxygen in the blood. Progressive damage will cause excess fluid buildup in the lungs and activate the inflammatory response, exacerbating the symptoms of ARDS and COVID-19.  

ARDS can be very severe, with the mortality rate ranging from 40 to 50%. Patients experiencing ARDS are ventilated and treated with diuretics to prevent fluid accumulation, however even certain ventilation practices can worsen the damage on the lungs. This complication highlights the importance of treating ARDS on a case-to-case basis. 

The recovery time from the virus differs between each person; some people need only 2 weeks to make a full recovery, while others may take over 4 weeks.  Viral infection with COVID-19 can have many lasting effects on the body:  

  • Fatigue and shortness of breath 
  • A lingering cough 
  • Joint or chest pain 
  • Muscle pain and headaches  
  • Increased heart rate or palpitations
  • Organ damage to heart, lungs, or brain 
  • Blood clots and blood vessel problems  

This list is not exhaustive due to the novelty of the virus, and patients may experience one or several of these complications at once. It is likely that, with continued research, a more complete list of chronic health effects will be available in the near future.  

An infographic that says "Potential impacts of COVID-19 on organ function. 1. Brain - neurological - memory, sleep, and concentration problems. Issues with smell and taste (CDC, 2020). Psychiatric - Anxiety, mood fluctuation, depression (CDC, 2020). 2. Lungs - Respiratory failure: The lungs lose their ability to exchange oxygen for carbon dioxide. This reduces the amount of oxygen in the bloodstream slowing its delivery to the tissues. This also results in carbon dioxide buildup (National Heart, Lung, and Blood Institute). Acute Respiratory Distress Syndrome: Fluid builds up in the alveoli of the lungs. This causes surfactants to break down preventing the lungs from fully expanding which impairs the movement of oxygen into the blood stream (National Heart, Lung, and Blood Institute). 3. Myocarditis: Inflammation of the heart muscles disrupts the hearts ability to pump blood. This can potentially cause arrhythmias (Keihanian and Bigdelu, 2020). Cardiomyocyte Damage: Heart cells can be damaged which increases the risk of heart complications and subsequent failure (Siddiq et al., 2020). 4. Kidney - Acute kidney injury: The kidney's ability to filter the blood can be reduced due to structural damage and impairment (Makris and Spanou, 2016). 5. Skin - Rash: Skin can become irritated, itchy, painful and red in appearance (CDC, 2020). Hair loss: Hair loss can occur on the head and/or the body (CDC, 2020). 6. Musculoskeletal - Muscle and Joint Pain: Muscle fibers can be damaged causing aches throughout the body (WHO, 2020). 7. Blood Vessels - Thromboembolism: Blood clots can form in the blood vessels and enter circulation. These can lead to blockages and disrupt the delivery of oxygen and nutrients to other organs (Keihanian and Bigdelu, 2020). Sepsis: In response to the infection the body releases chemicals into the bloodstream. This can induce a chain reaction leading to tissue damage, organ failure and possible death. (WHO, 2020).
Infographic provided by Dufault, Howes, Issa, Johnson, and Whitten