在美国成年人中评估喘,喘控制和长期COVID之间的关联
Chun-Tse Hung1, Yu-Chien Hung2, Chi-Won Suk3
1School of Pharmacy, College of Pharmacy, Taipei Medical University, Taipei, Taiwan.
Infection
|June 25, 2025
概括
患有喘的成年人患长期COVID的几率更高. 控制不良的喘,以发作或急救诊所为标志,进一步增加了这种风险,突出了主动管理的必要性.
科学领域:
- 流行病学 流行病学
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
背景情况:
- 长期COVID是SARS-CoV-2感染后的一种持续性疾病,影响了相当一部分成年人群.
- 喘是一种常见的慢性呼吸道疾病,其对长期COVID发展和严重性的潜在影响是一个越来越感兴趣的领域.
研究的目的:
- 调查喘与美国成年人长期COVID感染的可能性之间的关联.
- 检查喘控制,特别是喘发作和急诊室访问如何影响喘患者长期COVID的风险.
主要方法:
- 利用了2023年国家健康访谈调查的数据,包括超过2.58亿美国成年人 (18岁以上).
- 采用多变量逻辑回归来评估关联,并根据相关的共变量进行调整.
- 根据长期COVID严重程度进行了敏感性分析.
主要成果:
- 与没有喘的成年人相比,患有喘的成年人患长期COVID的几率高1.58倍 (95% CI,1.37-1.83).
- 控制不良的喘,以喘发作 (OR,1.47;95% CI,1.09-1.97) 或急救诊所 (OR,1.52;95% CI,1.02-2.27) 为证据,与长期COVID的几率增加显著相关.
- 喘和长期COVID之间的关联在长期COVID的不同严重程度上保持一致.
结论:
- 喘是长期COVID的重要危险因素之一.
- 控制不良喘的人面临长期COVID的风险增加.
- 临床重点应该是识别患有长期COVID风险较高的喘患者,特别是患有并发症的患者,以实现及时干预.
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