住院后COVID-19患者的一年生活质量
Ignacio Pérez Catalán1, Celia Roig Martí1, Sergio Fabra Juana1
1Internal Medicine Service, University General Hospital of Castellon, Castellón de la Plana, Spain.
Frontiers in public health
|October 23, 2023
概括
在COVID-19住院一年后,与健康有关的生活质量受到显著影响,特别是一般健康,活力和心理健康. 女性性别,纤维肌痛/慢性疲劳和肥胖与较差的长期结果有关.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 感染SARS-CoV-2的长期影响在很大程度上是未知的.
- 了解影响COVID-19恢复的因素对于患者管理至关重要.
- 住院后评估与健康相关的生活质量 (HRQoL) 提供了对患者福祉的洞察力.
研究的目的:
- 在COVID-19住院一年后评估HRQoL.
- 确定与减少HRQoL相关的人口和临床因素.
- 为改善从严重的COVID-19中长期恢复的战略提供信息.
主要方法:
- 这是一项回顾性观察性研究,涉及486名因SARS-CoV-2感染住院的患者.
- 收集的数据包括人口统计,病史,临床结果和疫苗接种情况.
- 通过电话采访,通过SF-36问卷评估与健康有关的生活质量.
主要成果:
- 患者在一般健康 (中位数65%),活力 (中位数65%) 和心理健康 (中位数73.5%) 中报告了最低的HRQoL得分.
- 多变量分析确定了女性性别,纤维肌痛/慢性疲劳和肥胖症是影响多个HRQoL领域负面影响的因素.
- 高龄和高并发症得分与身体功能和一般健康状况的恶化有关,而高C反应蛋白与较低的活力相关.
结论:
- COVID-19住院治疗对一年后的生活质量产生了持久的负面影响,特别影响了整体健康,活力和精神健康.
- 女性性别,先前存在的纤维肌痛或慢性疲劳,以及肥胖是较差的长期生活质量结果的重要预测因素.
- 这些发现凸显了针对性干预和支持弱势患者群体的需要,以减轻COVID-19的长期后果.
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