根据COVID-19状态的身体功能差异:从RECOVER成人队列的横截面分析
Grace L Kulik Née Ditzenberger1, Tianyu Zheng2, Sarah E Jolley1
1University of Colorado Anschutz Medical Campus, Aurora, CO, United States.
Physical therapy
|April 30, 2025
概括
在COVID-19后持续的身体功能障碍在RECOVER队列中是最小的. 客观评估显示,各组之间存在小差异,这表明个性化评估对于康复规划至关重要.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 康复医学 康复医学 康复医学
背景情况:
- 在SARS-CoV-2感染后的成年人中,持续的限制是常见的.
- 在COVID-19后3个月以上的客观身体功能障碍需要进一步调查.
研究的目的:
- 描述和比较有或没有SARS-CoV-2感染史的成年人的身体功能.
- 评估最近和远程COVID-19对客观身体功能的影响.
主要方法:
- 对"研究COVID以增强恢复 (RECOVER) "倡议进行回顾性,跨部门分析.
- 参与者 (18岁以上的成年人) 分为从未被诊断,最近的COVID-19 (≤12周),或远程的COVID-19 (>12周).
- 通过30秒的坐立测试 (30STS) 重复测量身体功能.
主要成果:
- 分析了11,578名参与者的30STS数据.
- 与对照组 (12.5 ± 4.7) 和最近的COVID-19 (12.2 ± 4.5) 相比,在远程COVID-19组 (11.5 ± 4.2) 观察到的重复率最低.
- 远程COVID-19与功能略低 (-0.61次重复) 相关;长COVID指数≥12也显示重复次数较少 (-1.6).
结论:
- 在COVID-19状态组或长COVID指数之间没有观察到身体功能的临床意义上的差异.
- 微小的整体差异表明,个体患者的反应和纵向跟踪对评估损伤更相关.
- 个性化评估对于指导COVID-19后的康复干预措施至关重要.
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