长期COVID对医疗保健利用的影响
Michael Gottlieb1, Erica S Spatz2,3,4, Huihui Yu2,4
1Department of Emergency Medicine, Rush University Medical Center, Chicago, Illinois, United States of America.
PloS one
|July 23, 2025
概括
长期COVID (LC) 患者经历了感染后医疗保健使用量的增加. 那些患有LC的人住院的次数更多,这凸显了长期COVID患者资源规划的必要性.
科学领域:
- 医疗保健资源利用情况
- 长期COVID研究研究
- 后病毒综合征 后病毒综合征
背景情况:
- 对长期COVID对医疗保健资源利用的影响的理解有限.
- 需要量化长期COVID和非长期COVID患者之间的医疗保健使用差异.
研究的目的:
- 确定长期COVID (LC) 患者与没有LC的患者相比,医疗保健利用的类型和数量.
- 分析医疗保健访问类型和长度在感染前和感染后的变化.
主要方法:
- 一个前性的,纵向的,多中心的美国研究的二次分析.
- 包括确诊COVID-19的成年参与者和180天的感染前/感染后EHR数据.
- 定义LC为3个月后≥3个感染后症状;在LC和非LC组之间比较访问类型和长度.
主要成果:
- 所有参与者都显示感染后医疗保健利用率增加.
- LC组的急诊室访问较少,但随后住院的病例较多.
- 在LC组中,办公室访问和住院时间更长,尽管在基线调整后,这种影响减少了.
结论:
- 感染SARS-CoV-2显著增加了医疗保健利用率.
- 长期COVID患者的重复住院率较高,影响了医疗保健资源规划.
- 需要进一步的研究来了解LC幸存者的长期医疗保健需求.
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