对COVID-19后续病例的风险预测因素的系统评估
Harshmeet Singh Gujral1, Tushar R Sahasrabudhe2, M A Nirmala3
1Respiratory Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D.Y. Patil Vidyapeeth, Pune, IND.
Cureus
|July 24, 2023
概括
长期的Covid可以导致持久的肺,精神和神经问题. 风险因素包括并发症,年龄较大,严重疾病和营养不良,需要对高风险个体进行长期随访.
科学领域:
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
- 神经学 神经学
- 精神病学是一个精神病学.
- 内分泌学 在内分泌学.
背景情况:
- 多系统参与和COVID-19后的后果,称为"长期Covid",是2019年冠状病毒疾病的已知的并发症.
- 了解长期影响和识别风险预测因素对于患者管理至关重要.
研究的目的:
- 调查急性COVID-19康复后12个月内患者经历的各种后果.
- 确定与这些后COVID-19后遗症发展相关的风险预测因素.
主要方法:
- 一项纵向观察性研究,涉及146名从COVID-19中康复的患者.
- 六个月的每月随访评估,包括详细的症状史,诊断和多系统评估 (生化,肺,心脏,神经,精神).
- 一年后的最终随访,随机病因按器官系统分类,并与风险预测因子相关联.
主要成果:
- 肺部连续病 (40%) 是最常见的,其次是精神病 (25%) 和神经问题 (21.7%).
- 长时间呼吸不全 (32.1%),新发糖尿病 (5%) 和肺纤维化 (21.7%) 是重要的发现.
- 风险因素包括并发症,年龄较大,BMI较高,严重疾病,营养不良,女性性别,住院和使用类固醇.
结论:
- 该研究提供了一个深入的客观和主观评估COVID-19后的后果.
- 统计学证实了特定后果的特定预测因素.
- 建议在COVID-19后恢复后对高风险个体进行长期随访.
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