在SARS-CoV-2感染后长达两年的恢复和症状轨迹:基于人口的纵向队列研究
Tala Ballouz1, Dominik Menges1, Alexia Anagnostopoulos1
1Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.
概括
两年后,COVID-19后的情况影响了多达18%的感染者,显示出症状风险增加. 进一步的研究和干预对于管理长期健康结果至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 后COVID-19状况 (PCC) 是一个重大的公共卫生挑战.
- 了解PCC的长期健康结果和症状轨迹对于有效管理至关重要.
研究的目的:
- 评估SARS-CoV-2感染个体的长期症状和健康结果.
- 评估与未感染个体相比,PCC相关的症状风险过高.
主要方法:
- 在瑞士苏黎世的普通人口中进行了基于人口的纵向队列研究.
- 1106名未接种疫苗的成年人被证实感染SARS-CoV-2,以及628名未感染的成年人被跟踪24个月.
- 自我报告的健康状况和COVID-19相关症状在感染后的6,12,18和24个月被跟踪.
主要成果:
- 在感染者中,多达22.9%的人在6个月内没有完全康复,在24个月内下降到17.2%.
- 大多数参与者表现出康复或改善,但5.2%的健康状况恶化.
- 感染后六个月观察到过度症状风险,特别是改变味道/气味,炼后的不适,疲劳,呼吸障碍和认知问题.
结论:
- 在大量感染者中,COVID-19后的病情持续长达两年.
- 有证据表明,与对照组相比,症状风险过高,强调需要有效的干预措施.
- 临床试验设计应考虑康复率和症状异质性,以准确解释.
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