在COVID-19患者的疼痛投诉和输管风险:一个回顾性的横截面分析
Michael Reimer1, Victor Lee2, Oluseyi Obadeyi3
1Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, USA.
Cureus
|May 5, 2025
概括
在COVID-19感染期间报告疼痛的患者不太可能需要输管. 没有疼痛可能表明预后较差,因此需要对这些人进行更密切的监测.
科学领域:
- 医学研究 医学研究
- 流行病学 流行病学
- 临床信息学是一种临床信息学.
背景情况:
- 随着COVID-19的爆发,人们越来越需要了解疾病严重程度的标志物.
- 疼痛是一种常见的症状,但它与输管等关键护理需求的相关性未得到充分研究.
- 现有的研究往往忽视了疼痛报告在预测COVID-19患者结果中的意义.
研究的目的:
- 调查COVID-19患者报告的疼痛与需要输管治疗的可能性之间的关系.
- 分析疼痛抱怨作为疾病严重程度和需要维持生命治疗的潜在指标.
- 探索不同类型的疼痛和不同年龄组之间的这种关系的变化.
主要方法:
- 来自Epic Cosmos数据库 (2020年2月 - 2023年4月) 的超过240万份COVID-19患者记录的回顾性横截面分析.
- 使用验证的计费代码来分类疼痛投诉 (腹痛,胸痛,肌痛,头痛) 和输管状态.
- 采用皮尔森的千平方分析和几率比计算,按年龄组分层.
主要成果:
- 在疼痛存在和输管状态之间发现了统计学上显著的关系 (p < 0.00001).
- 报告任何疼痛的患者被直管的可能性较小 (或0.58).
- 特定的疼痛类型显示输管可能性降低:肌痛 (OR 0.26),头痛 (OR 0.31),腹痛 (OR 0.61) 和胸痛 (OR 0.86).
结论:
- COVID-19患者的疼痛投诉与紧急输管治疗的需要有负相关性.
- 没有疼痛可能表明预后较差,尽管需要进一步的研究.
- 没有疼痛的住院COVID-19患者可能需要更密切的临床监测,因为预后可能不佳.
关键词:
腹部疼痛 腹部疼痛胸部疼痛 胸部疼痛 胸部疼痛冠状病毒 (COVID) 已经成为一种常见的疾病.在COVID-19中,有很多人.头痛是一种头痛.医院 医院 医院 医院输入管道是输入管道的方法.骨髓疼痛是什么情况疼痛 疼痛 疼痛 疼痛这是SARS-CoV-2病毒.更多相关视频
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