非住院患者的长期COVID症状:一项回顾性研究
Andreia M Oliveira1, Catarina Ferreira Coelho1, Filipa Lourenço1
1Unidade de Saúde Familiar Ria Formosa. Agrupamento de Centro de Saúde Central. Administração Regional de Saúde do Algarve. Faro. Portugal.
Acta medica portuguesa
|August 29, 2023
概括
急性COVID-19症状,特别是厌氧和疲劳,显著预测长期COVID症状,并对生活质量产生负面影响. 了解这些联系是有效的后COVID护理策略的关键.
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:
- 由于COVID-19的流行,迫切需要对其长期健康后果进行研究.
- 了解COVID-19的后果对于制定有效的医疗保健策略至关重要.
研究的目的:
- 描述COVID-19在初级卫生保健环境中的流行率和特征.
- 为了确定急性COVID-19症状和长期COVID的发展之间的关联.
主要方法:
- 在2020年3月至2022年4月期间,对284名被诊断为COVID-19的成年人进行了回顾性队列研究.
- 通过监测记录,问卷 (包括WHOQOL-BREF) 和电子健康记录收集的数据.
- 排除标准包括怀孕,少数民族,养老院住院,住院和死亡.
主要成果:
- 发烧,疲劳和肌痛是最常见的急性症状.
- 神经症状和持续的疲劳是最常见的长期COVID症状.
- 特定的急性症状,如厌氧和疲劳,与长期的COVID结局密切相关,并对生活质量产生负面影响.
结论:
- 较高的急性症状负担与持续的长期COVID症状 (≥12周) 相相关.
- 特定的急性COVID-19症状预示着长期COVID的发展.
- 在急性和长期COVID中增加的症状负担显著降低了整体生活质量,突出了针对性后COVID护理的需要.
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