预测COVID-19后病情的预后因素,在门诊患者中预测COVID-19后病情
Myeong Geun Choi1, Young Woong Joo2, Min-Ho Kim3
1Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Ewha Womans University Mokdong Hospital, Ewha Womans University College of Medicine, Seoul, Korea.
Journal of Korean medical science
|January 16, 2024
概括
不使用抗病毒药物和低维生素D水平是延长COVID-19症状的关键因素. 早期的抗病毒治疗和维生素D补充剂可能会缩短症状持续时间并减少COVID-19后的情况.
科学领域:
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
- 公共卫生 公共卫生
背景情况:
- 对非住院COVID-19患者症状持续时间的预后因素的有限理解.
- 需要确定长期后COVID-19条件的预测因素.
研究的目的:
- 调查影响COVID-19门诊患者症状持续时间的预后因素.
- 确定开发后COVID-19条件的预测因素.
主要方法:
- 来自257名轻度COVID-19门诊患者的数据分析 (2022年4月至12月).
- 从诊断到解决的症状持续时间.
- 收集了实验室和肺功能测试数据.
主要成果:
- 症状持续时间的中位数为57天.
- 长时间的症状与不使用抗病毒药物,白细胞瘤,低25(OH) D3,减少FVC (<90%),呼吸障碍和焦虑/抑郁相关.
- 不使用抗病毒药物,低维生素D和呼吸障碍是独立的不良预后因素.
结论:
- 不使用抗病毒药物,维生素D低,白细胞病,减少FVC,呼吸不全和焦虑/抑郁症预测COVID-19后的情况.
- 在急性阶段使用抗病毒药物和维生素D可以减少症状持续时间.
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