长期COVID症状监测:来自为期两年的远程医疗研究的见解
Andrea Foppiani1,2, Chiara Montanari3,4, Sara Zanelli4
1Department of Food, Environmental and Nutritional Sciences (DeFENS), International Center for the Assessment of Nutritional Status (ICANS), University of Milan, Milan, Italy.
PloS one
|July 26, 2024
概括
在许多患者中,长期COVID症状在感染后两年内持续存在. 长期COVID和再感染是持续症状的关键风险因素,强调需要持续的远程医疗监测.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 数字健康数字健康
背景情况:
- 长期COVID呈现出多样化,具有影响力的症状,需要有效的患者监测策略.
- 远程医疗对于COVID-19后的随访和患者管理至关重要.
- 这项研究利用了通过COD19远程医疗平台监测的大型队列的数据.
研究的目的:
- 评估长期COVID症状的流行率和特征在2年的随访期.
- 为了确定与持续的长期COVID症状相关的风险因素.
- 评估远程医疗在长期监测COVID-19幸存者的作用.
主要方法:
- 一项前性队列研究,涉及重新接触最初在2020年2月至2020年5月期间监测的患者.
- 在两年后进行的采访以评估长期COVID症状.
- 在1年和2年的随访期间收集了关于第二次COVID-19感染和SARS-CoV-2疫苗接种状态的数据.
主要成果:
- 症状报告率从1年后的84%下降到2年后的61% (101/165名患者).
- 在2年后患有长期COVID的人中,有80人 (49%) 之前患有长期COVID,接种了疫苗,没有第二次感染.
- 1年后的长期COVID和随后的感染是2年长期COVID的重要风险因素.
结论:
- 这项研究提供了使用远程医疗的长期COVID症状的宝贵2年随访数据.
- 远程医疗是长期监测,早期诊断和长期COVID治疗的有效工具.
- 远程医疗为未来的医疗保健提供提供了重大机遇和挑战.
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