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一般实践注册人员对长期COVID患者的评估,这些患者表现出疲劳
David Wilkins1, Amanda Tapley2, Jason Dizon3
1Discipline of General Practice, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, SA, Australia.
Australian journal of primary health
|January 30, 2025
概括
一般医生经常认为长期COVID (COVID-19后的持续症状) 是疲劳. 远程医疗咨询增加了这种诊断的可能性,而澳大利亚培训的注册人员不太可能考虑它.
科学领域:
- 一般的做法一般的做法
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 长期COVID是一种流行病,在COVID-19感染后出现持续症状.
- 关于全科医生如何评估长期COVID,特别是疲劳的证据有限.
- 了解诊断实践对于有效的患者管理至关重要.
研究的目的:
- 为了调查GP注册人员考虑长期COVID疲劳的频率.
- 确定影响长期COVID作为诊断的考虑和可能性的因素.
- 探索与这些诊断决定相关的患者,注册员,实践和咨询特征.
主要方法:
- 利用了注册员在培训中的临床接触 (ReCEnT) 研究 (2022-2023) 的数据.
- 在969名GP注册医生中分析了3193次涉及疲劳的诊断,其中疲劳作为一种症状.
- 采用多变量逻辑回归来识别显著的关联.
主要成果:
- 在80%的疲劳咨询中,长期COVID被认为是差异诊断.
- 登记人员在18%的病例中确定长期COVID是疲劳的可能原因.
- 远程医疗咨询与考虑长期COVID的几率更高有关;澳大利亚训练有素的注册人员的几率较低.
结论:
- 一般医生注册人员通常会考虑长期COVID的疲劳表现.
- 远程医疗咨询与考虑和诊断长期COVID显著相关.
- 对其他长期COVID症状的诊断方法需要进一步研究.
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