在COVID住院后的症状轨迹和老年人症状负担的危险因素:一个纵向队列研究
概括
女性性,抑郁,焦虑和较少的社会支持与老年人持续的COVID后症状有关. 老年疾病,如妄想和虚弱也显著增加症状负担.
科学领域:
- 老年医学 老年医学
- 传染性疾病 传染性疾病
- 心理学 心理学 心理学
背景情况:
- 对影响老年人持续的COVID后症状的心理社会因素和老年病情的理解有限.
- 需要评估症状负担并确定住院后老年人长期COVID后疾病的风险因素.
研究的目的:
- 在老年人中评估COVID-19住院后的症状负担.
- 确定与持续的COVID后症状相关的社会人口,临床,心理和老年风险因素.
主要方法:
- 对281名住院感染SARS-CoV-2的老年人进行前性研究.
- 在出院后的多个时间点使用修改后的埃德蒙顿症状评估系统进行症状评估.
- 轨迹分析和多项逻辑回归以确定症状负担的风险因素.
主要成果:
- 确定了三个症状负担轨迹:低,中等和高.
- 女性性别,较高的抑郁/焦虑和较低的社会支持与中度/高症状负担相关.
- 妄想,虚弱,身体功能障碍和视力障碍与高症状负担相关.
结论:
- 女性性别,心理社会因素和老年疾病与六个月以上的老年人中增加的COVID后症状负担有关.
- 需要进一步的研究来探索这些关联背后的生物心理社会机制.
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