COVID-19 の病院生存者における1年間のアウトカム:縦断的なコホート研究
Lixue Huang1, Qun Yao2, Xiaoying Gu3
1Department of Pulmonary and Critical Care Medicine, Capital Medical University, Beijing, China; Department of Pulmonary and Critical Care Medicine, National Center for Respiratory Medicine, Center of Respiratory Medicine, National Clinical Research Center for Respiratory Diseases, China-Japan Friendship Hospital, Beijing, China.
Lancet (London, England)
|August 29, 2021
まとめ
ほとんどのCOVID-19生存者は身体的に回復し,1年以内に仕事に戻りました. しかし,呼吸不全や不安などの長期のCOVID-19症状は持続し,女性はより深刻な後遺症を経験しました.
科学分野:
- 医学 研究
- 感染症
- 肺科
背景:
- 退院後のCOVID-19の長期的な健康への影響は,まだ完全に理解されていません.
- この研究は,症状の発症後6カ月と12カ月で,COVID-19の生存者の健康上の影響を比較することを目的とした.
研究 の 目的:
- 6ヶ月と12ヶ月でCOVID-19の病院生存者の身体的,機能的,精神的な健康結果を包括的に評価し,比較する.
- COVID-19の生存者における持続的な症状と生活の質の低下の危険因子を特定するためです.
主な方法:
- 武漢病院から退院した1276人のCOVID-19生存者を対象とした両方向コホート研究.
- フォローアップには,症状と生活の質に関するアンケート,身体検査,機能検査 (6分歩行テスト),検査検査が含まれていました.
- 12ヶ月後にマッチした非COVID-19対照群との比較.
主要な成果:
- 6ヶ月で68%から12ヶ月で49%に減少した.
- 呼吸不全と不安/うつ病の割合は6~12ヶ月間でわずかに増加した.
- 女性は男性よりも疲労,不安/うつ,および拡散障害の確率が高いことが示されました.
結論:
- COVID-19の生存者は1年以内に身体的および機能的な状態が有意に回復し,大半は仕事に戻った.
- 全体の改善にもかかわらず,顕著な割合は持続的な症状を経験し,彼らの健康状態は一般の人々より低いままでした.
- 呼吸不全や精神的健康問題などの特定の症状は,COVID-19の生存者に対する継続的な監視と支援を保証します.
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