COVID-19幸存者出院两年后自我报告的神经系统症状

IF 2.8 Q2 NEUROSCIENCES Journal of Alzheimer's disease reports Pub Date : 2023-10-17 DOI:10.3233/adr-230078
Jing-Juan Wang, Qiao-Feng Zhang, Di Liu, Qing Du, Cheng Xu, Quan-Xin Wu, Yi Tang, Wang-Sheng Jin
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摘要

背景:COVID-19急性期常表现为神经系统症状。目的:本研究旨在探讨对幸存者的长期神经系统影响。方法:本研究从武汉市招募新冠肺炎幸存者1546例,其中非重症1119例,重症427例。参与者在出院两年后接受采访,报告他们的神经症状。比较严重和非严重COVID-19幸存者的COVID-19神经系统症状。结果:在1546例COVID-19幸存者中,44.24%的人发现至少一种神经系统症状。最常见的自我报告症状为疲劳(28.33%)、记忆缺陷(13.26%)、注意力缺陷(9.96%)、肌痛(8.34%)、头晕(3.82%)和头痛(2.52%)。重度患者的疲劳、肌痛、记忆缺陷、注意力缺陷发生率高于非重度患者。年龄较大、严重的COVID-19和合并症负担与长期神经系统症状相关。结论:神经系统症状在COVID-19幸存者中很常见,尤其是重症患者。
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Self-Reported Neurological Symptoms Two Years After Hospital Discharge Among COVID-19 Survivors
Background: The acute stage of COVID-19 often presents with neurological manifestations. Objective: This study aims to investigate the long-term neurological effects on survivors. Methods: This study recruited 1,546 COVID-19 survivors from Wuhan, including 1,119 nonsevere cases and 427 severe survivors. Participants were interviewed two years after discharge to report their neurological symptoms. The neurological symptoms of COVID-19 were compared between survivors of severe and nonsevere COVID-19. Results: Among the 1,546 COVID-19 survivors, 44.24% discovered at least one neurological symptom. The most prevalent self-reported symptom was fatigue (28.33%), memory deficit (13.26%), attention deficit (9.96%), myalgia (8.34%), dizziness (3.82%), and headache (2.52%). Severe cases had higher incidences of fatigue, myalgia, memory deficit, attention deficit than nonsevere cases. Older age, severe COVID-19, and comorbidity burden were associated with long-term neurological symptoms. Conclusion: Neurological symptoms are common among COVID-19 survivors, especially in severe cases.
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