之前的门诊轻症冠状病毒病2019年不会增加急性山病的风险
Elan Small1, Caleb Phillips2, William Bunzel3
1Department of Emergency Medicine, Stanford University School of Medicine, Palo Alto, California, USA.
High altitude medicine & biology
|June 12, 2023
概括
之前的2019年轻型冠状病毒病 (COVID-19) 不会增加急性山病 (AMS) 的风险. 这一发现表明,轻度COVID-19病史不应阻止个人前往高海拔地区.
科学领域:
- 高度医学 高度医学
- 传染病流行病学 传染病流行病学
背景情况:
- 了解2019年新冠肺炎疾病 (COVID-19) 对健康的长期影响,对于登上前的风险评估至关重要.
- 急性山病 (AMS) 是高海拔旅行者常见的担忧.
研究的目的:
- 调查先前的轻度COVID-19病史是否会影响患有AMS的易感性.
- 为计划高海拔探险的个人提供风险分层信息.
主要方法:
- 在尼泊尔的Lobuje (4,940米) 和Manang (3,519米) 进行了前性观察研究.
- 通过使用2018年莱克路易斯问卷标准诊断出急性山病 (AMS).
- 根据世界卫生组织的标准评估了COVID-19的严重程度.
主要成果:
- 在Lobuje (n=2,027),有46.2%的人在COVID-19之前报告;AMS患病率为25.7%. 在之前的轻度COVID-19和AMS之间没有发现显著的关联 (p=0.6).
- 在Manang (n=908),在COVID-19之前报告的42.8%;AMS流行率为14.7%. 在之前的轻度COVID-19和AMS之间没有发现显著的关联 (p=0.3).
- 自COVID-19感染以来的平均时间在两个队伍中都超过6个月.
结论:
- 之前的门诊轻度COVID-19感染与患急性山病的风险增加无关.
- 具有轻度COVID-19病史的个人可以安全地进行高海拔旅行,而不会增加AMS风险.
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