日本的2019年后冠状病毒疾病综合征:使用医学数据库的观察研究
Yasuha Kinugasa1, Mara Anais Llamas-Covarrubias1, Katsuhiko Ozaki2
1National Institutes of Biomedical Innovation, Health and Nutrition (NIBIOHN), Ibaraki, Japan.
JMA journal
|November 9, 2023
概括
在日本,增加的COVID-19疫苗接种与较少的急性和后COVID-19症状相关. 然而,老年人经历了生活质量下降和感染后更高的护理需求.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 老年学是一门学科.
背景情况:
- 关于日本COVID-19后综合征的临床数据,包括护理需求,很少.
- 了解不同SARS-CoV-2菌株和疫苗接种状态的症状发生率至关重要.
研究的目的:
- 为了调查急性和COVID-19后症状的发生率.
- 评估在日本COVID-19感染后的护理护理需求.
- 分析与病毒菌株和疫苗接种覆盖率有关的趋势.
主要方法:
- 对122,045名COVID-19患者 (2020年1月至2022年6月) 的电子健康记录的回顾性分析.
- 数据分为三个时期,反映病毒菌株 (原始,阿尔法,三角形,奥米克朗) 和疫苗接种状态.
- 国际疾病分类10码用于识别急性 (≤2周) 和COVID-19后 (2-12周) 症状和护理需求.
主要成果:
- 头痛,疲劳,抑郁和失效综合征是常见的急性和COVID-19后症状.
- 在COVID-19后,抑郁症和失用综合征的发生率随着年龄的增长而增加,特别是在60-85岁的年龄组中.
- 高龄成年人 (60-85岁) 在COVID-19后显示了高水平护理护理需求的增加.
结论:
- 在日本,更高的疫苗接种覆盖率与急性和COVID-19后症状的发病率较低有关.
- 病毒菌株的变异可能会影响症状的发生率.
- 在COVID-19之后,老年人面临着长期生活质量下降和护理需求增加,需要有针对性的干预措施.
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