在老年COVID-19幸存者中脆弱性的变化
Benjamin Seligman1,2, Katherine D Wysham3,4,5, Troy Shahoumian6
1Geriatric Research, Education, and Clinical Center, VA Greater Los Angeles Health Care System, Los Angeles, California, USA.
Journal of the American Geriatrics Society
|November 9, 2024
概括
幸存下来的老年人COVID-19经历了显著增加的脆弱性,积累了比未感染同龄人更多的健康缺陷. 这表明COVID-19感染后的长期脆弱性和残疾风险.
科学领域:
- 老年学是一门学科.
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 老年人面临COVID-19后出现新疾病的风险增加.
- 脆弱性测量提供了一种全面的方法,以了解感染对老年人群多病症的长期健康的影响.
研究的目的:
- 调查COVID-19感染与老年退伍军人的脆弱性变化之间的关联.
- 量化COVID-19对12个月新增卫生赤字累积的影响.
主要方法:
- 利用了退伍军人事务 (VA) COVID-19观察研究协作室的数据.
- 包括COVID-19感染的退伍军人和匹配的未感染的对照,在基线和12个月使用VA脆弱性指数 (VA-FI) 评估脆弱性.
- 采用负二项式回归,对共变量进行调整,以比较新的脆弱性赤字的速度.
主要成果:
- 分析了超过91,000个COVID-19病例和对照.
- 在12个月的时间里,COVID-19幸存者的新脆弱性缺陷比未感染的对照人多1.54倍.
- 常见的新缺陷包括疲劳,贫血,肌肉缩,步态异常和关节炎.
结论:
- COVID-19感染与老年退伍军人的脆弱性显著增加有关.
- 这些发现强调了COVID-19后老年人脆弱性和残疾的长期影响.
- 需要有针对性地关注功能障碍,如疲劳和移动性问题.
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