老年人的空间分布和COVID-19后的健康并发症:一项巴西队列研究
Franciele Aline Machado de Brito1, Carlos Laranjeira2,3,4, Stéfane Lele Rossoni5
1Department of Postgraduate Nursing, State University of Maringá, Avenida Colombo, 5790-Campus Universitário, Maringá 87020-900, Brazil.
Journal of clinical medicine
|July 12, 2025
概括
老年人面临长期COVID的重大风险,心血管和代谢疾病是最常见的. 长期使用药物和并发症增加了这些COVID-19后健康并发症的可能性.
科学领域:
- 老年学是一门学科.
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- COVID-19 流行病不成比例地影响着老龄化人口,增加了对严重急性疾病和长期COVID的脆弱性.
- 人口老龄化是一个同时发生的全球趋势,加剧了老年人在COVID-19感染期间和之后的风险.
研究的目的:
- 分析2020年巴西帕拉纳州COVID-19后老年人健康并发症的发生率和空间分布.
- 在这个人口群体中确定与心血管,神经,呼吸道和代谢疾病相关的因素.
主要方法:
- 观察性,回顾性研究,涉及893名老年人 (≥60岁) 在COVID-19感染后12个月.
- 通过电话问卷 (2021年3月至12月) 收集的数据.
- 统计分析包括莫兰的I测试,逻辑回归和Poisson模型.
主要成果:
- 心血管疾病 (39.5%) 和代谢疾病 (27.3%) 是最常见的并发症.
- 长期使用药物与代谢 (aOR=9.8),心血管 (aOR=6.6) 和多系统疾病 (aOR=3.2) 有关.
- 独自生活 (aOR=2.5) 和年龄 (≥80岁,aOR=2.4) 分别与神经和心血管并发症有关. 空间分布是随机的.
结论:
- 后COVID-19并发症在老年人中普遍存在,特别是那些患有并发症和长期服用药物的老年人.
- 对这一高风险群体来说,持续监测和针对康复和预防的公共卫生政策至关重要.
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