脊髓损伤患者长期COVID的症状反应和偶发性残疾:一个病例对照研究
Md Feroz Kabir1,2, Khin Nyein Yin1, Ohnmar Htwe3
1Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia.
PloS one
|June 28, 2024
概括
孟加拉国的脊髓损伤患者经历了12种长期COVID症状,包括疲劳和呼吸问题. 这种情况显著增加了他们的疾病负担和因残疾而丧失的生命年数.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 传染病流行病学 传染病流行病学
背景情况:
- 脊髓损伤 (SCI) 在全球范围内导致严重的残疾和健康并发症.
- 长期COVID (LC) 涵盖了感染后的神经肌肉骨,心血管和呼吸系统症状.
研究的目的:
- 在SCI患者中调查长期COVID的症状谱.
- 在SCI患者中评估与长期COVID相关的疾病负担.
主要方法:
- 一项涉及孟加拉国40名SCI患者的病例控制研究.
- 参与者根据使用WHO标准的长期COVID症状 (LCS) 的存在进行了分类.
- 维持了1:1的SCI患者和没有LCS的比例.
主要成果:
- 在SCI患者中确定了12种不同的LCS:疲劳,肌肉骨疼痛,记忆丧失,头痛,呼吸问题,焦虑,抑郁,失眠,日常生活活动 (ADL) 和工作中的困难,心和虚弱.
- 长期COVID发展的预测因素包括晚年,更高的BMI和SCI的更长时间.
- 由于残疾而丧失的生命年数 (YLD) 在两组之间有显著差异 (p<0.01).
结论:
- 孟加拉国SCI患者表现出12种常见的长期COVID症状.
- 与没有这些症状的人相比,长期COVID对脊髓损伤的个体造成了相当大的疾病负担.
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