COVID-19幸存者的生活质量恶化:基于人口的队列研究
Tak Kyu Oh1,2, In-Ae Song1,2
1Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam 13620, Republic of Korea.
超过三分之一的2019年冠状病毒病 (COVID-19) 幸存者经历了生活质量 (QOL) 的恶化. 农村生活和ICU入院等因素增加了QOL下降,而疫苗接种提供了保护.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生经济学 卫生经济学
背景情况:
- 冠状病毒疾病2019 (COVID-19) 的长期健康后果越来越令人担忧.
- 了解影响COVID-19后生活质量 (QOL) 的因素对于幸存者支持至关重要.
研究的目的:
- 为了确定COVID-19幸存者的QOL恶化的患病率.
- 确定与COVID-19后QOL下降相关的人口,临床和社会经济因素.
主要方法:
- 基于人口的回顾性队列研究,利用韩国国家卫生和疾病控制机构的数据.
- 包括325,666名COVID-19幸存者的情况.
- 多变量逻辑回归分析以确定相关因素.
主要成果:
- 32.6%的COVID-19幸存者报告QOL恶化.
- 增加的质量生活恶化与农村居住,重症监护室 (ICU) 入院以及更高的自费医疗费用有关.
- 高龄和COVID-19疫苗接种 (第一剂和第二剂) 与降低QOL恶化有关.
结论:
- 很大一部分COVID-19幸存者经历了QOL的下降.
- 需要针对高风险群体进行有针对性的干预,包括农村地区的高风险群体,ICU患者和医疗费用增加的患者.
- 接种COVID-19疫苗可能在感染后维持QOL方面发挥保护作用.
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