长期COVID脏病:一个全面的审查
Marcella M Frediani1, Heitor S Ribeiro1, Geraldo F Busatto2
1Laboratório de Investigação 12, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
Kidney medicine
|August 1, 2025
概括
长期的COVID可能导致脏问题,如慢性脏病 (CKD) 的发展和进展. 在COVID-19感染期间的急性损伤 (AKI) 可能会增加长期COVID的风险,需要在康复后监测功能.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 冠状病毒疾病2019 (COVID-19) 对脏健康的长期影响,称为脏长期COVID,尚未完全理解.
- 有证据表明,COVID-19感染和随后的脏并发症之间存在潜在联系.
研究的目的:
- 进行范围审查,描述对脏长期COVID的现有证据.
- 综合了长期COVID的成年COVID-19幸存者的脏相关结果的研究结果.
主要方法:
- 根据乔安娜·布里格斯研究所和PRISMA-ScR指南进行全面的范围审查.
- 从MEDLINE开始到2025年2月,搜索了MEDLINE,Embase和其他数据库,以研究长期COVID数据的成年COVID-19幸存者的脏结果.
主要成果:
- 分析了37项研究 (38份报告),包括超过130万个人.
- 慢性病 (CKD) 的发病率在0.4%-45%之间,进展率在8%-49%之间.
- 报告急性损伤 (AKI) 频率较高的研究显示,性长期COVID的发病率增加.
结论:
- 脏长期COVID,包括CKD的发展和进展,是潜在的COVID-19后并发症.
- 在急性COVID-19期间,急性损伤 (AKI) 可能与性长期COVID的风险增加有关.
- 建议在COVID-19后长期监测功能,以进行早期诊断和干预.
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