查看分数:一种早期预警分数,用于检测COVID-19患者可能出现的并发症
Meenakshi Bhakare1, Rajkumar Nikalje2, Reshma Patil3
1Department of Respiratory Medicine, Symbiosis Medical College for Women and Symbiosis University Hospital and Research Centre, Symbiosis International (Deemed University), Pune, Maharashtra, India.
Journal of family medicine and primary care
|February 16, 2024
概括
家庭螺旋测量有效监测COVID-19肺功能恢复,FEV1水平在感染后42天左右恢复正常. 这种自我监测工具有助于预测并发症,并减少医疗保健系统的负担.
科学领域:
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
- 医疗技术 医疗技术 医学技术
背景情况:
- 肺功能监测对于了解COVID-19病理生理学至关重要.
- 评估COVID-19后的肺功能恢复对于患者管理至关重要.
研究的目的:
- 在6周内评估COVID-19患者的螺旋计指数 (FVC,FEV1,FEV1/FVC) 的变化.
- 为了将螺旋计结果与临床指标如氧和等相关联.
- 评估机器学习衍生的VIEWTM评分对预测COVID-19并发症的有用性.
主要方法:
- 一项为期6周的前性观察性研究,涉及25名轻度/无症状的COVID-19患者.
- 使用的家用连接螺旋计 (SpiroPRO®),脉冲氧计和温度计.
- 训练有素的患者和专业人员每天两次进行螺旋计,通过移动应用程序访问数据;使用ML算法计算VIEWTM得分.
主要成果:
- 一秒内强迫呼气量 (FEV1) 显示轻微减少至21-28天,正常化42天.
- 视觉得分在第21天增加,在第42天下降,较高的得分表明并发症风险增加.
- 观察到VIEWTM得分和FEV1.1之间存在显著的相关性.
结论:
- 在家进行螺旋测量是预测COVID-19患者肺部并发症的有效工具.
- 肺功能自我监测有助于早期检测和管理COVID-19后的呼吸系统问题.
- 这种方法可以通过实现远程患者监控来减少医疗保健系统的负担.
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