在患有COVID-19后症状的患者中新诊断的隐性内分泌疾病
Yasuhiro Nakano1, Naruhiko Sunada2, Kazuki Tokumasu2
1Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kitaku, Okayama, 700-8558, Japan. y-nakano@okayama-u.ac.jp.
Scientific reports
|March 5, 2024
概括
诊断长期COVID需要排除其他条件. 这项研究发现,6.8%的患者有新的诊断,老年人患病率更高,突出了差异诊断的必要性.
科学领域:
- 内部医学 内部医学
- 传染性疾病 传染性疾病
- 老年病的医生 老年病的医生
背景情况:
- 长期COVID诊断需要排除其他条件.
- 关于这些替代诊断的特征的数据有限.
- 后COVID-19症状可以与其他各种疾病重叠.
研究的目的:
- 调查COVID-19后症状患者的替代诊断的流行率和特征.
- 确定患有替代诊断风险较高的患者群体.
- 为长期COVID的临床管理策略提供信息.
主要方法:
- 单中心回顾性研究.
- 从2021年2月到2023年6月访问特定诊所的门诊患者的分析.
- 审查COVID-19后持续症状患者新诊断的医疗记录.
主要成果:
- 731名患者中有50名 (6.8%) 接受了52种不同的疾病的新诊断.
- 16名患者 (占总数的2.2%) 需要在长期COVID中对新诊断的疾病进行治疗优先.
- 新诊断的比例随着年龄的增长而增加,在60岁及以上的患者中达到15.7%.
- 内分泌,代谢,血液和呼吸系统疾病是最常见的新诊断.
- 67%的新疾病在症状上与长期COVID有关,内分泌/代谢疾病显示的关联最少.
结论:
- 很大一部分长期COVID症状患者有替代的,可治疗的诊断.
- 长期COVID症状的老年患者特别容易患其他重大疾病.
- 对于有效的长期COVID管理,彻底评估和与替代诊断的区分至关重要.
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