COVID-19 症状持续存在并不定期回访 COVID-19 评估中心的患者特征。

IF 2.9 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Diseases (Basel, Switzerland) Pub Date : 2024-08-30 DOI:10.3390/diseases12090199
Silvia Nica, Remus Iulian Nica, Horia Alexandru Nica, Daniela Miricescu, Mohamed Abuzied Ali Khattab Abdelfatah, Oana Maria Schiopu, Ioan Cristian Nedelcu, Danut Gheorghe Cimponeriu, Constantin Stefani, Iulia-Ioana Stanescu-Spinu, Mariana Cătălina Ciornei
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引用次数: 0

摘要

研究背景这项回顾性研究旨在评估长 COVID 综合征患者的特征。研究方法本研究纳入了 457 名感染 COVID-19 后至少有一种持续症状的成年人。研究结果最后一次 SARS-CoV-2 感染与急诊就诊之间的中位时间间隔为 3 个月。年龄较大的患者有合并症(61.7 岁对 44.9 岁,P < 0.0001)、中度或重度 COVID-19 (61.2 岁对 50.9 岁,P < 0.0001)和呼吸道症状(56.1 岁对 52.0 岁,P = 0.0027)。未接种疫苗的患者比接种疫苗的患者年龄大(56.0 岁对 51.5 岁,p = 0.0008),感染 COVID-19 后肺部有残留异常(51.5% 对 36.8%,p < 0.003)。与未接种疫苗的患者相比,接种疫苗的患者(3.2 个月对 3.9 个月,p < 0.0001)和轻型患者(3.3 个月对 4.12 个月,p = 0.0001)从最后一次感染 SARS-CoV-2 到接受医院评估的时间间隔较短。在最后一次感染 SARS-CoV-2 后,107 名患者出现空腹血糖受损、糖耐量受损或糖尿病,其中包括已患有已知慢性疾病的患者(p = 0.0002)或高血压患者(p = 0.001)。结论我们的研究指出了 COVID-19 后症状的异质性,这些症状与年龄、疫苗接种情况或 SARS-CoV-2 感染的严重程度有关。
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Characteristics of Patients with Persistent COVID-19 Symptoms and Unscheduled Return Visits to a Centre for COVID-19 Evaluation.

Background: This retrospective study aimed to evaluate the characteristics of patients with long COVID syndrome. Methods: This study included 457 adults who had at least one persistent symptom after COVID-19 infection. Results: The median time interval between the last SARS-CoV-2 infection and emergency room presentation was 3 months. Older patients had comorbidities (61.7 vs. 44.9 years, p < 0.0001), moderate or severe forms of COVID-19 (61.2 vs. 50.9 years, p < 0.0001), and respiratory symptoms (56.1 vs. 52.0 years, p = 0.0027). Non-vaccinated patients were older than vaccinated patients (56.0 vs. 51.5 years, p = 0.0008) and had residual lung abnormalities following COVID-19 infection (51.5% vs. 36.8%, p < 0.003). The time interval between the last SARS-CoV-2 infection and the hospital evaluation was shorter for vaccinated patients (3.2 vs. 3.9 months, p < 0.0001) and those with mild forms (3.3 vs. 4.12 months, p = 0.0001) versus non-vaccinated individuals. After the last SARS-CoV-2 infection, 107 patients developed impaired fasting glucose, impaired glucose tolerance, or diabetes mellitus, being patients with already known chronic diseases (p = 0.0002), or hypertension (p = 0.001). Conclusions: Our study pointed out the heterogeneity of symptoms following COVID-19, and they are associated with age, vaccination status, or severity of SARS-CoV-2 infection.

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