持续的COVID-19症状和相关因素在泰国的三级医院
Dujrath Somboonviboon1, Pattanapol Aramareerak1, Amornchai Lertamornpong1
1Division of Pulmonary and Critical Care Medicine, Department of Medicine, Phramongkutklao Hospital, Bangkok, 10400, Thailand.
Journal of infection in developing countries
|January 26, 2025
概括
持续症状在COVID-19后很常见,影响了80%以上的患者. 女性性别和氧气治疗与长期的COVID有关,呼吸障碍是最常见的症状.
科学领域:
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
- 神经学 神经学
背景情况:
- 冠状病毒疾病2019 (COVID-19) 可能导致持续的症状,但整个谱系尚未明确定义.
- 了解COVID-19的长期影响对于患者管理至关重要.
研究的目的:
- 为了确定COVID-19后持续症状的流行率.
- 在COVID-19后的临床环境中识别与这些长期症状相关的因素.
主要方法:
- 一个横截面的观察性研究医院住院的严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2) 感染患者.
- 使用多变量分析分析持续症状 (>感染后4周) 和相关因素的分析.
主要成果:
- 277名患者中有80.9%报告至少一种持续症状,最常见的是呼吸障碍 (48.2%),失眠 (42.4%) 和肌痛 (42.1%).
- 女性性别 (OR 3.41) 和氧气治疗 (OR 3.39) 独立地与持续症状相关.
- 高灵敏度C反应蛋白 (HsCRP) 和氧疗法被确定为呼吸障碍,疲劳和神经问题等特定症状的危险因素.
结论:
- 持续的COVID-19症状的患病率很高,呼吸障碍是最常见的.
- 女性的性别和氧气补充是重要的相关因素.
- 对长期出现COVID症状的患者进行持续的跟踪是必要的.
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