COVID-19 康复者的康复及其对心血管终点的影响:倾向得分匹配分析

G. K. Lasynova, I. Lakman, D. Gareeva, A. A. Agapitov, L. Sadikova, А. R. Sakhautdinov, V. Pavlov, N. Zagidullin
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引用次数: 0

摘要

由于冠状病毒病(COVID-19)后并发症较多,生活质量下降,因此患者的身体和心理康复非常重要。然而,康复对终点的有效性尚未得到证实。目的:确定不同康复方案对 COVID-19 住院患者出院 1 年后发生长期不良心血管事件的影响。在一项单中心、非随机观察研究中,COVID-19 患者住院后分为 3 组:I组--接受远程医疗康复治疗(118人),II组--在专业部门接受康复治疗(46人),III组--不接受康复治疗(175人)。随访一年后,对各组的以下终点进行比较:心血管死亡率、心肌梗死、中风、肺栓塞、心房颤动和心血管住院。采用倾向得分匹配分析优化比较组之间的差异。COVID-19患者住院后在医院和远程进行为期1年的康复有助于降低心血管病住院率。此外,远程康复还能降低心血管疾病死亡率。与不进行康复治疗相比,两种康复治疗方案都能降低心血管疾病的住院率。
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Rehabilitation of COVID-19 convalescents and its impact on cardiovascular endpoints: propensity score matching analysis
Due to the large number of complications and decreased quality of life after coronavirus disease (COVID-19), physical and psychological rehabilitation of patients is relevant. However, the effectiveness of rehabilitation on endpoints has not yet been demonstrated.Aim. To determine the effectiveness of different rehabilitation options in hospitalized patients with COVID-19 on the development of long-term adverse cardiovascular events 1 year after discharge.Material and methods. In a single-center, non-randomized observational study, 3 groups of patients were formed after hospitalization with COVID-19: I — with telemedicine rehabilitation (n=118), II — with rehabilitation in a specialized department (n=46) and III — without rehabilitation (n=175). After 1-year followup, groups were compared regarding following endpoints: cardiovascular mortality, myocardial infarction, stroke, pulmonary embolism, atrial fibrillation and cardiovascular hospitalization. Propensity score matching analysis was used to optimize differences between comparison groups.Results. Rehabilitation after hospitalization of patients with COVID-19, both in the hospital and remotely for 1 year, helps to reduce cardiovascular hospitalization rate. In addition, remote rehabilitation reduces cardiovascular mortality.Conclusion. Both rehabilitation options reduce the incidence of cardiovascular hospitalization compared to no rehabilitation.
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来源期刊
Russian Journal of Cardiology
Russian Journal of Cardiology Medicine-Cardiology and Cardiovascular Medicine
CiteScore
2.20
自引率
0.00%
发文量
185
审稿时长
1 months
期刊介绍: Russian Journal of Cardiology has been issued since 1996. The language of this publication is Russian, with tables of contents and abstracts of all articles presented in English as well. Editor-in-Chief: Prof. Eugene V.Shlyakhto, President of the Russian Society of Cardiology. The aim of the journal is both scientific and practical, also with referring to organizing matters of the Society. The best of all cardiologic research in Russia is submitted to the Journal. Moreover, it contains useful tips and clinical examples for practicing cardiologists. Journal is peer-reviewed, with multi-stage editing. The editorial board is presented by the leading cardiologists from different cities of Russia.
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