Frequency of chronic joint pain following chikungunya virus infection: a colombian cohort study

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dc.contributor.authorChang, Aileen Y.
dc.contributor.authorEncinales, Liliana
dc.contributor.authorPorras-Ramírez, Alexandra
dc.contributor.authorPacheco, Nelly
dc.contributor.authorReid, Patrick
dc.contributor.authorO. Martins, Karen A.
dc.contributor.authorPacheco, Shamila
dc.contributor.authorBravo, Eyda
dc.contributor.authorNavarno, Marianda
dc.contributor.authorRico Mendoza, Alejandro
dc.contributor.authorAmdur, Richard
dc.contributor.authorKamalapathy, Priyanka
dc.contributor.authorFirestein, Gary S.
dc.contributor.authorBethony, Jeffrey M.
dc.contributor.authorSimon, Gary L.
dc.contributor.orcidPorras-Ramírez, Alexandra [0000-0002-0800-1388]
dc.date.accessioned2020-07-30T13:39:27Z
dc.date.available2020-07-30T13:39:27Z
dc.date.issued2018
dc.description.abstractenglishObjective To estimate the frequency of chronic joint pain after infection with chikungunya virus in a Latin American cohort. Methods A cross‐sectional follow‐up of a prospective cohort of 500 patients from the Atlántico Department, Colombia who were clinically diagnosed as having chikungunya virus during the 2014–2015 epidemic was conducted. Baseline symptoms and follow‐up symptoms at 20 months were evaluated in serologically confirmed cases. Results Among the 500 patients enrolled, 485 had serologically confirmed chikungunya virus and reported joint pain status. Patients were predominantly adults (mean ± SD age 49 ± 16 years) and female, had an education level of high school or less, and were of Mestizo ethnicity. The most commonly affected joints were the small joints, including the wrists, ankles, and fingers. The initial virus symptoms lasted a median of 4 days (interquartile range [IQR] 3–8 days). Sixteen percent of the participants reported missing school or work (median 4 days [IQR 2–7 days]). After 20 months, one‐fourth of the participants had persistent joint pain. A multivariable analysis indicated that significant predictors of persistent joint pain included college graduate status, initial symptoms of headache or knee pain, missed work, normal activities affected, ≥4 days of initial symptoms, and ≥4 weeks of initial joint pain. Conclusion This is the first report to describe the frequency of chikungunya virus–related arthritis in the Americas after a 20‐month follow‐up. The high frequency of chronic disease highlights the need for the development of prevention and treatment methods.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1002/art.40384
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn2326-5205
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlhttps://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/3609
dc.language.isoeng
dc.publisherWileyspa
dc.publisher.journalArthritis and Rheumatologyspa
dc.relation.ispartofseriesArthritis and Rheumatology, 2326-5205, Vol. 70, Nro. 4, 2018, p. 578-584spa
dc.relation.urihttps://onlinelibrary.wiley.com/doi/full/10.1002/art.40384
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightsAcceso abierto
dc.rights.creativecommons2017-12-20
dc.rights.localAcceso abiertospa
dc.subject.decsVirosisspa
dc.subject.decsArticulacionesspa
dc.subject.decsAmérica Latina -- Estudios de cohortesspa
dc.titleFrequency of chronic joint pain following chikungunya virus infection: a colombian cohort studyspa
dc.title.translatedFrequency of chronic joint pain following chikungunya virus infection: a colombian cohort studyspa
dc.type.coarhttps://purl.org/coar/resource_type/c_6501
dc.type.driverinfo:eu-repo/semantics/article
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localArtículo de revista

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