{"title":"日常活动变化与COVID-19合并感染患者急性闭角的发生有关。","authors":"Xiaojie Wang, Aijun Tian, Shaodan Zhang, Bo Qu, Lijun Zhao, Xiaojing Pan, Peng Lu, Xinqi Chang, Lu Yang, Shaoping Ha, Jibing Wang, Jiangang Yang, Xiaohui Wang, Peng Yao, Yuxia Yang, Wenzong Zhou, Zhaoyi Wang, Juntao Zhang, Chuanqi Lin, Junhua Li, Yanhua Jiang, Zhongxia Cheng, Zhixiang Ding, Siying Xiong, Cong Ye, Houyu Zhao, Nathan Congdon, Yuanbo Liang","doi":"10.1186/s12886-024-03769-z","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To analyze the influence of daily activity-related factors associated with COVID-19 infection on the occurrence of acute angle closure (AAC).</p><p><strong>Methods: </strong>A multicenter hospital-based study was conducted at 23 ophthalmic centers in 17 provincial-level regions across China to recruit patients with confirmed AAC during the post-lockdown time of COVID-19 (P-TOC) from Dec 7, 2022, to Jan 17, 2023, and three lockdown time of COVID-19 (TOC) periods, which included the TOC-2022 (Sep 7, 2022 - Dec 6, 2022), TOC-2021(Sep 7, 2021 - Jan 6, 2022) and TOC-2020 (Sep 7, 2020 - Jan 6, 2021). Patient information, including demographic, a questionnaire on daily activity changes during the AAC period, COVID-19 history, and eye examination results, was collected.</p><p><strong>Results: </strong>The study involved 3216 AAC cases, with 76.2% being female and 78.9% aged over 60 years. AAC occurrences during P-TOC was nearly tripled compared to the corresponding months in TOC-2021 and TOC-2020. Patients with AAC comorbidity and COVID-19 had significantly higher water intake (37.3% vs. 2.2%, p < 0.001) and poorer sleep quality (49.16% vs. 4.07%, p < 0.001) than those without COVID-19 comorbidity, while about 58.4% of these patients received antipyretic analgesic drugs for symptom management. The COVID-19 group showed higher intraocular pressure as well as worse uncorrected distance visual acuity, when compared to non-COVID-19 patients.</p><p><strong>Conclusions: </strong>The relationship between AAC occurrence and daily activity factors associated with COVID-19 suggests that patient management should account for changes in daily activities.</p>","PeriodicalId":9058,"journal":{"name":"BMC Ophthalmology","volume":"24 1","pages":"546"},"PeriodicalIF":1.7000,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11667840/pdf/","citationCount":"0","resultStr":"{\"title\":\"Daily activities change is linked to acute angle closure occurrence in COVID-19 co-infected patients.\",\"authors\":\"Xiaojie Wang, Aijun Tian, Shaodan Zhang, Bo Qu, Lijun Zhao, Xiaojing Pan, Peng Lu, Xinqi Chang, Lu Yang, Shaoping Ha, Jibing Wang, Jiangang Yang, Xiaohui Wang, Peng Yao, Yuxia Yang, Wenzong Zhou, Zhaoyi Wang, Juntao Zhang, Chuanqi Lin, Junhua Li, Yanhua Jiang, Zhongxia Cheng, Zhixiang Ding, Siying Xiong, Cong Ye, Houyu Zhao, Nathan Congdon, Yuanbo Liang\",\"doi\":\"10.1186/s12886-024-03769-z\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>To analyze the influence of daily activity-related factors associated with COVID-19 infection on the occurrence of acute angle closure (AAC).</p><p><strong>Methods: </strong>A multicenter hospital-based study was conducted at 23 ophthalmic centers in 17 provincial-level regions across China to recruit patients with confirmed AAC during the post-lockdown time of COVID-19 (P-TOC) from Dec 7, 2022, to Jan 17, 2023, and three lockdown time of COVID-19 (TOC) periods, which included the TOC-2022 (Sep 7, 2022 - Dec 6, 2022), TOC-2021(Sep 7, 2021 - Jan 6, 2022) and TOC-2020 (Sep 7, 2020 - Jan 6, 2021). Patient information, including demographic, a questionnaire on daily activity changes during the AAC period, COVID-19 history, and eye examination results, was collected.</p><p><strong>Results: </strong>The study involved 3216 AAC cases, with 76.2% being female and 78.9% aged over 60 years. AAC occurrences during P-TOC was nearly tripled compared to the corresponding months in TOC-2021 and TOC-2020. Patients with AAC comorbidity and COVID-19 had significantly higher water intake (37.3% vs. 2.2%, p < 0.001) and poorer sleep quality (49.16% vs. 4.07%, p < 0.001) than those without COVID-19 comorbidity, while about 58.4% of these patients received antipyretic analgesic drugs for symptom management. The COVID-19 group showed higher intraocular pressure as well as worse uncorrected distance visual acuity, when compared to non-COVID-19 patients.</p><p><strong>Conclusions: </strong>The relationship between AAC occurrence and daily activity factors associated with COVID-19 suggests that patient management should account for changes in daily activities.</p>\",\"PeriodicalId\":9058,\"journal\":{\"name\":\"BMC Ophthalmology\",\"volume\":\"24 1\",\"pages\":\"546\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2024-12-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11667840/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"BMC Ophthalmology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s12886-024-03769-z\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"OPHTHALMOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Ophthalmology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12886-024-03769-z","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
目的：分析与COVID-19感染相关的日常活动相关因素对急性闭角（AAC）发生的影响。方法：在全国17个省级地区的23个眼科中心开展多中心医院研究，招募新冠肺炎封城后（2022年12月7日至2023年1月17日）和三个新冠肺炎封城期（TOC -2022年9月7日至2022年12月6日）、TOC-2021年（2021年9月7日至2022年1月6日）和TOC-2020年（2020年9月7日至2021年1月6日）确诊的AAC患者。收集患者信息，包括人口统计、AAC期间日常活动变化问卷、COVID-19病史和眼科检查结果。结果：本研究共纳入3216例AAC病例，其中76.2%为女性，78.9%为60岁以上。与TOC-2021和TOC-2020的相应月份相比，P-TOC期间的AAC发生率几乎增加了两倍。AAC合并症和COVID-19患者的饮水量明显增加（37.3% vs. 2.2%, p）。结论：AAC的发生与与COVID-19相关的日常活动因素之间的关系表明，患者管理应考虑日常活动的变化。
Daily activities change is linked to acute angle closure occurrence in COVID-19 co-infected patients.
Objectives: To analyze the influence of daily activity-related factors associated with COVID-19 infection on the occurrence of acute angle closure (AAC).
Methods: A multicenter hospital-based study was conducted at 23 ophthalmic centers in 17 provincial-level regions across China to recruit patients with confirmed AAC during the post-lockdown time of COVID-19 (P-TOC) from Dec 7, 2022, to Jan 17, 2023, and three lockdown time of COVID-19 (TOC) periods, which included the TOC-2022 (Sep 7, 2022 - Dec 6, 2022), TOC-2021(Sep 7, 2021 - Jan 6, 2022) and TOC-2020 (Sep 7, 2020 - Jan 6, 2021). Patient information, including demographic, a questionnaire on daily activity changes during the AAC period, COVID-19 history, and eye examination results, was collected.
Results: The study involved 3216 AAC cases, with 76.2% being female and 78.9% aged over 60 years. AAC occurrences during P-TOC was nearly tripled compared to the corresponding months in TOC-2021 and TOC-2020. Patients with AAC comorbidity and COVID-19 had significantly higher water intake (37.3% vs. 2.2%, p < 0.001) and poorer sleep quality (49.16% vs. 4.07%, p < 0.001) than those without COVID-19 comorbidity, while about 58.4% of these patients received antipyretic analgesic drugs for symptom management. The COVID-19 group showed higher intraocular pressure as well as worse uncorrected distance visual acuity, when compared to non-COVID-19 patients.
Conclusions: The relationship between AAC occurrence and daily activity factors associated with COVID-19 suggests that patient management should account for changes in daily activities.
期刊介绍：
BMC Ophthalmology is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of eye disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
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