Epidemiolgia (Basel, Switzerland)最新文献

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Prevention and Control Strategies for Non-Communicable Disease: Goldberger, Pellagra and Rose Revisited. 非传染性疾病的预防和控制策略:重新审视戈德伯格、糙皮病和玫瑰病。
Epidemiolgia (Basel, Switzerland) Pub Date : 2022-04-06 DOI: 10.3390/epidemiologia3020015
John W Frank
{"title":"Prevention and Control Strategies for Non-Communicable Disease: Goldberger, Pellagra and Rose Revisited.","authors":"John W Frank","doi":"10.3390/epidemiologia3020015","DOIUrl":"https://doi.org/10.3390/epidemiologia3020015","url":null,"abstract":"<p><p>This paper argues that the public health conceptual framework of epidemiologist Geoffrey Rose, first published as \"Sick Individuals and Sick Populations\" in 1985, provides a useful way to critically analyze prevention and control options for modern non-communicable diseases (NCD) and their forerunner, obesity, a pandemic now engulfing Lower-and-Middle-Income-Countries. That framework is based on the notions of primordial, primary, secondary and tertiary prevention-the full spectrum of \"more upstream and more downstream\" approaches, each with its pros and cons. These are illustrated using the pellagra epidemic in the southeastern USA from 1900 to the 1940s, which still has much to teach us about these same basic policy options for controlling the modern NCD pandemic. In particular, Rose's dictum, \"Seek the causes of (population) incidence, not of (individual) cases\", points up the compelling advantages of upstream prevention for controlling both epidemics.</p>","PeriodicalId":72944,"journal":{"name":"Epidemiolgia (Basel, Switzerland)","volume":"3 2","pages":"191-198"},"PeriodicalIF":0.0,"publicationDate":"2022-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9620930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10690451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Incidence, Mortality, and Risk Factors of COVID-19 in Nursing Homes. 疗养院中COVID-19的发病率、死亡率和危险因素
Epidemiolgia (Basel, Switzerland) Pub Date : 2022-03-28 DOI: 10.3390/epidemiologia3020014
Alberto Arnedo-Pena, Maria Angeles Romeu-Garcia, Juan Carlos Gascó-Laborda, Noemi Meseguer-Ferrer, Lourdes Safont-Adsuara, Laura Prades-Vila, Matilde Flores-Medina, Viorica Rusen, Maria Dolores Tirado-Balaguer, Susana Sabater-Vidal, Maria Gil-Fortuño, Oscar Pérez-Olaso, Noelia Hernández-Pérez, Rosario Moreno-Muñoz, Juan Bellido-Blasco
{"title":"Incidence, Mortality, and Risk Factors of COVID-19 in Nursing Homes.","authors":"Alberto Arnedo-Pena,&nbsp;Maria Angeles Romeu-Garcia,&nbsp;Juan Carlos Gascó-Laborda,&nbsp;Noemi Meseguer-Ferrer,&nbsp;Lourdes Safont-Adsuara,&nbsp;Laura Prades-Vila,&nbsp;Matilde Flores-Medina,&nbsp;Viorica Rusen,&nbsp;Maria Dolores Tirado-Balaguer,&nbsp;Susana Sabater-Vidal,&nbsp;Maria Gil-Fortuño,&nbsp;Oscar Pérez-Olaso,&nbsp;Noelia Hernández-Pérez,&nbsp;Rosario Moreno-Muñoz,&nbsp;Juan Bellido-Blasco","doi":"10.3390/epidemiologia3020014","DOIUrl":"10.3390/epidemiologia3020014","url":null,"abstract":"<p><p>During the period from March 2020 to January 2021, we performed an analysis of incidence, mortality, and risk factors of COVID-19 in nursing homes (NHs) in two health departments (HDs) of Castellon (Spain) 2021 through epidemiological surveillance and an ecological design. Laboratory-confirmed COVID-19 cases, cumulative incidence rate (CIR), and mortality rate (MR) of 27 NHs were collected. Information of residents, staff, and facilities was obtained by questionnaire. Multilevel Poisson regression models were applied. All NHs in the HDs participated with 2229 residents (median: 83 years old, 67.3% women) and 1666 staff. Among residents, 815 cases (CIR: 34.8 per 100) and 202 deaths (MR: 8.7 per 100, case fatality 21.0%) were reported and, among staff, 296 cases (CIR: 19.2 per 100) without deaths. Residents' CIR and MR increased with staff CIR, age of the building, residents/staff ratios, occupancy rate, and crowding index; CIR increased with private NH ownership, large NH size, large urban area, and the percentage of women residents; and MR was associated with residents' severe disabilities. In conclusion, several risk factors of COVID-19 incidence and mortality can be prevented by improving infection and quality controls, ameliorating residents/staff ratios, improving structural facilities, and increasing NH public ownership to avoid new outbreaks.</p>","PeriodicalId":72944,"journal":{"name":"Epidemiolgia (Basel, Switzerland)","volume":"3 2","pages":"179-190"},"PeriodicalIF":0.0,"publicationDate":"2022-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9620907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10690452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
Impact of COVID-19 on Food Security in Ethiopia. COVID-19 对埃塞俄比亚粮食安全的影响。
Epidemiolgia (Basel, Switzerland) Pub Date : 2022-03-22 DOI: 10.3390/epidemiologia3020013
Wenqin Zhang, Léo Persoz, Sandrine Hakiza, Loza Biru, Lemlem Girmatsion
{"title":"Impact of COVID-19 on Food Security in Ethiopia.","authors":"Wenqin Zhang, Léo Persoz, Sandrine Hakiza, Loza Biru, Lemlem Girmatsion","doi":"10.3390/epidemiologia3020013","DOIUrl":"10.3390/epidemiologia3020013","url":null,"abstract":"<p><p>Since the outbreak of COVID-19, its effects on different aspects of life have been subject to much research, including food security, a domain that has been of special concern in many low-income countries. Ethiopia has been facing many challenges related to food security for decades via drought, famine, and conflict. Within this context, this case study assessed the impact of the COVID-19 pandemic on food security in Ethiopia. Results show that the ongoing pandemic has negatively impacted different regions and at-risk groups in a heterogeneous manner. This has been mainly through disruptions in the Ethiopian food value chain and the relative failure of social security programmes to address the losses generated by COVID-19. The population in the capital city, Addis Ababa, was able to maintain the same level of food security despite income losses caused by the COVID-19 pandemic. However, at-risk groups such as refugees, internally displaced persons (IDPs), and conflict affected regions were seen to suffer significantly from food insecurity exacerbated by COVID-19. Furthermore, this paper particularly emphasizes the importance of considering contextual factors other than COVID-19, such as conflicts or climate change, when discussing the state of food security in Ethiopia.</p>","PeriodicalId":72944,"journal":{"name":"Epidemiolgia (Basel, Switzerland)","volume":"3 2","pages":"161-178"},"PeriodicalIF":0.0,"publicationDate":"2022-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9620917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10690450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trust in the U.S. Government and Its Health Agencies in the Time of COVID-19. COVID-19时期对美国政府及其卫生机构的信任
Epidemiolgia (Basel, Switzerland) Pub Date : 2022-03-22 DOI: 10.3390/epidemiologia3020012
Maraika Geisterfer-Black, Taylor Niemi, Leonie Neier, Victor G Rodwin
{"title":"Trust in the U.S. Government and Its Health Agencies in the Time of COVID-19.","authors":"Maraika Geisterfer-Black,&nbsp;Taylor Niemi,&nbsp;Leonie Neier,&nbsp;Victor G Rodwin","doi":"10.3390/epidemiologia3020012","DOIUrl":"https://doi.org/10.3390/epidemiologia3020012","url":null,"abstract":"<p><p>This article examines the factors affecting Americans' trust in their federal government and its health agencies during the COVID-19 public health crisis. More specifically, we examine the evolution of Americans' trust in their government and health system and how, in the context of the COVID-19 pandemic response, it has been affected by multiple factors. Several academic journals, government policy recommendations and public health polls were evaluated to understand the public's trust in the federal government and its health institutions. Public trust in institutions during a global pandemic is essential in influencing adherence to a pandemic response (both non-pharmaceutical and medical interventions). Americans' trust in institutions is built and maintained by a variety of factors. We focus on: political polarization and involvement, media influence and health communications, history of systemic racism and socioeconomic inequalities, and pandemic fatigue. Based on the interplay of these factors, we conclude with recommendations for future pandemic response strategies.</p>","PeriodicalId":72944,"journal":{"name":"Epidemiolgia (Basel, Switzerland)","volume":"3 2","pages":"148-160"},"PeriodicalIF":0.0,"publicationDate":"2022-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9620942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10690447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
The End of the Elimination Strategy: Decisive Factors towards Sustainable Management of COVID-19 in New Zealand. 消除战略的结束:新西兰实现COVID-19可持续管理的决定性因素。
Epidemiolgia (Basel, Switzerland) Pub Date : 2022-03-18 DOI: 10.3390/epidemiologia3010011
Alicia Blair, Mattia de Pasquale, Valentin Gabeff, Mélanie Rufi, Antoine Flahault
{"title":"The End of the Elimination Strategy: Decisive Factors towards Sustainable Management of COVID-19 in New Zealand.","authors":"Alicia Blair,&nbsp;Mattia de Pasquale,&nbsp;Valentin Gabeff,&nbsp;Mélanie Rufi,&nbsp;Antoine Flahault","doi":"10.3390/epidemiologia3010011","DOIUrl":"https://doi.org/10.3390/epidemiologia3010011","url":null,"abstract":"New Zealand has long been praised for the effectiveness of its COVID-19 elimination strategy. It resulted in fewer COVID-19-related deaths, better economic recovery, and less stringent policy measures within its borders compared with other OECD countries, which opted for mitigation or suppression. However, since September 2021, the rising number of infections has not been contained anymore by the contact tracing and self-isolation system in place and the government has shifted towards a policy strategy similar to suppression to manage the crisis. In this case study, we analyse the factors that led the government to switch policy and discuss why elimination became unsustainable to manage the COVID-19 epidemic in New Zealand. Results showed that the socioeconomic and political factors, along with the appearance of new variants and a delayed vaccination program, were accountable for the switch in strategy. This switch allows the country to better adapt to the evolving nature of the disease and to address the social and economic repercussions of the first year of measures. Our conclusion does not disregard elimination as an appropriate initial strategy to contain this pandemic in the absence of a vaccine or treatment, but rather suggests that borders cannot remain closed for long periods of time without creating social, economical, and political issues.","PeriodicalId":72944,"journal":{"name":"Epidemiolgia (Basel, Switzerland)","volume":"3 1","pages":"135-147"},"PeriodicalIF":0.0,"publicationDate":"2022-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9620908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10324203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
Ticks on the Run: A Mathematical Model of Crimean-Congo Haemorrhagic Fever (CCHF)-Key Factors for Transmission. 蜱在运行:克里米亚-刚果出血热(CCHF)的数学模型-传播的关键因素。
Epidemiolgia (Basel, Switzerland) Pub Date : 2022-03-11 DOI: 10.3390/epidemiologia3010010
Suman Bhowmick, Khushal Khan Kasi, Jörn Gethmann, Susanne Fischer, Franz J Conraths, Igor M Sokolov, Hartmut H K Lentz
{"title":"Ticks on the Run: A Mathematical Model of Crimean-Congo Haemorrhagic Fever (CCHF)-Key Factors for Transmission.","authors":"Suman Bhowmick,&nbsp;Khushal Khan Kasi,&nbsp;Jörn Gethmann,&nbsp;Susanne Fischer,&nbsp;Franz J Conraths,&nbsp;Igor M Sokolov,&nbsp;Hartmut H K Lentz","doi":"10.3390/epidemiologia3010010","DOIUrl":"https://doi.org/10.3390/epidemiologia3010010","url":null,"abstract":"<p><p>Crimean-Congo haemorrhagic fever (CCHF) is a zoonotic disease caused by the Crimean-Congo hemorrhagic fever virus (CCHFV). Ticks of the genus <i>Hyalomma</i> are the main vectors and represent a reservoir for the virus. CCHF is maintained in nature in an endemic vertebrate-tick-vertebrate cycle. The disease is prevalent in wide geographical areas including Asia, Africa, South-Eastern Europe and the Middle East. It is of great importance for the public health given its occasionally high case/fatality ratio of CCHFV in humans. Climate change and the detection of possible CCHFV vectors in Central Europe suggest that the establishment of the transmission in Central Europe may be possible in future. We have developed a compartment-based nonlinear Ordinary Differential Equation (ODE) system to model the disease transmission cycle including blood sucking ticks, livestock and human. Sensitivity analysis of the basic reproduction number R0 shows that decreasing the tick survival time is an efficient method to control the disease. The model supports us in understanding the influence of different model parameters on the spread of CCHFV. Tick-to-tick transmission through co-feeding and the CCHFV circulation through transstadial and transovarial transmission are important factors to sustain the disease cycle. The proposed model dynamics are calibrated through an empirical multi-country analysis and multidimensional plot reveals that the disease-parameter sets of different countries burdened with CCHF are different. This information may help decision makers to select efficient control strategies.</p>","PeriodicalId":72944,"journal":{"name":"Epidemiolgia (Basel, Switzerland)","volume":"3 1","pages":"116-134"},"PeriodicalIF":0.0,"publicationDate":"2022-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9620928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10384482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Impact of the COVID-19 Pandemic on Infectious Diseases in Brazil: A Case Study on Dengue Infections. COVID-19 大流行对巴西传染病的影响:登革热感染案例研究。
Epidemiolgia (Basel, Switzerland) Pub Date : 2022-03-02 DOI: 10.3390/epidemiologia3010009
Federico Borre, Juliette Ildiko Borri, Yuval Zoy Cohen, Mariana Gasparoto, Tsewang Bhumchok Gurung
{"title":"Impact of the COVID-19 Pandemic on Infectious Diseases in Brazil: A Case Study on Dengue Infections.","authors":"Federico Borre, Juliette Ildiko Borri, Yuval Zoy Cohen, Mariana Gasparoto, Tsewang Bhumchok Gurung","doi":"10.3390/epidemiologia3010009","DOIUrl":"10.3390/epidemiologia3010009","url":null,"abstract":"<p><p>Brazil is known for being a breeding ground for emerging infectious diseases (EIDs), such as Zika, dengue, and chikungunya. Given that it has been one of the countries most affected by the SARS-CoV-2 pandemic, this article aims to analyze the impact that the COVID-19 pandemic has had on the burden of infectious diseases in Brazil, especially that of dengue. Brazil is a unique territory with a heterogeneous population living in a tropical, wet climate favorable to infectious diseases. In addition, despite being one of the largest emerging economies in the world, the country has been exposed to political instability and a public health system that suffers from large funding shortfalls and a lack of coherent regulation. The findings from this study are multilayered. Firstly, as cases of COVID-19 rose at the start of the pandemic, cases of dengue declined drastically. This may be due, in part, to factors such as seasonal climate and distancing measures. Furthermore, the findings indicate that the diversion of resources away from dengue and other infectious diseases, and mobilization for COVID-19 testing and treatment, likely resulted in a serious underreporting of dengue. While Brazil has incorporated some of the lessons learned from past EID experience in responding to the COVID-19 pandemic, the analysis highlights how the country's structural problems present pitfalls in the epidemiological fight. It was concluded that in a country such as Brazil, where infectious disease outbreaks are only a matter of time, pandemic preparedness should be prioritized over pandemic response.</p>","PeriodicalId":72944,"journal":{"name":"Epidemiolgia (Basel, Switzerland)","volume":"3 1","pages":"97-115"},"PeriodicalIF":0.0,"publicationDate":"2022-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9620889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10324207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Treatment of Respiratory Viral Coinfections. 呼吸道病毒合并感染的治疗。
Epidemiolgia (Basel, Switzerland) Pub Date : 2022-02-23 DOI: 10.3390/epidemiologia3010008
Paul Alexander, Hana M Dobrovolny
{"title":"Treatment of Respiratory Viral Coinfections.","authors":"Paul Alexander, Hana M Dobrovolny","doi":"10.3390/epidemiologia3010008","DOIUrl":"10.3390/epidemiologia3010008","url":null,"abstract":"<p><p>With the advent of rapid multiplex PCR, physicians have been able to test for multiple viral pathogens when a patient presents with influenza-like illness. This has led to the discovery that many respiratory infections are caused by more than one virus. Antiviral treatment of viral coinfections can be complex because treatment of one virus will affect the time course of the other virus. Since effective antivirals are only available for some respiratory viruses, careful consideration needs to be given on the effect treating one virus will have on the dynamics of the other virus, which might not have available antiviral treatment. In this study, we use mathematical models of viral coinfections to assess the effect of antiviral treatment on coinfections. We examine the effect of the mechanism of action, relative growth rates of the viruses, and the assumptions underlying the interaction of the viruses. We find that high antiviral efficacy is needed to suppress both infections. If high doses of both antivirals are not achieved, then we run the risk of lengthening the duration of coinfection or even of allowing a suppressed virus to replicate to higher viral titers.</p>","PeriodicalId":72944,"journal":{"name":"Epidemiolgia (Basel, Switzerland)","volume":"3 1","pages":"81-96"},"PeriodicalIF":0.0,"publicationDate":"2022-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9620919/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10384479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Estimating Risk of Introduction of Ebola Virus Disease from the Democratic Republic of Congo to Tanzania: A Qualitative Assessment. 估计埃博拉病毒病从刚果民主共和国传入坦桑尼亚的风险:一项定性评估。
Epidemiolgia (Basel, Switzerland) Pub Date : 2022-02-11 DOI: 10.3390/epidemiologia3010007
Sima Rugarabamu, Janeth George, Kennedy M Mbanzulu, Gaspary O Mwanyika, Gerald Misinzo, Leonard E G Mboera
{"title":"Estimating Risk of Introduction of Ebola Virus Disease from the Democratic Republic of Congo to Tanzania: A Qualitative Assessment.","authors":"Sima Rugarabamu,&nbsp;Janeth George,&nbsp;Kennedy M Mbanzulu,&nbsp;Gaspary O Mwanyika,&nbsp;Gerald Misinzo,&nbsp;Leonard E G Mboera","doi":"10.3390/epidemiologia3010007","DOIUrl":"https://doi.org/10.3390/epidemiologia3010007","url":null,"abstract":"<p><p>Between April 2018 and November 2020, the Democratic Republic of Congo (DRC) experienced its 11th Ebola virus disease (EVD) outbreak. Tanzania's cross-border interactions with DRC through regular visitors, traders, and refugees are of concern, given the potential for further spread to neighboring countries. This study aimed to estimate the risk of introducing EVD to Tanzania from DRC. National data for flights, boats, and car transport schedules from DRC to Tanzania covering the period of May 2018 to June 2019 were analyzed to describe population movement via land, port, and air travel and coupled with available surveillance data to model the risk of EVD entry. The land border crossing was considered the most frequently used means of travel and the most likely pathway of introducing EVD from DRC to Tanzania. High probabilities of introducing EVD from DRC to Tanzania through the assessed pathways were associated with the viability of the pathogen and low detection capacity at the ports of entry. This study provides important information regarding the elements contributing to the risk associated with the introduction of EBV in Tanzania. It also indicates that infected humans arriving via land are the most likely pathway of EBV entry, and therefore, mitigation strategies including land border surveillance should be strengthened.</p>","PeriodicalId":72944,"journal":{"name":"Epidemiolgia (Basel, Switzerland)","volume":"3 1","pages":"68-80"},"PeriodicalIF":0.0,"publicationDate":"2022-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9620938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10384480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Complications Post-COVID-19 and Risk Factors among Patients after Six Months of a SARS-CoV-2 Infection: A Population-Based Prospective Cohort Study. SARS-CoV-2感染6个月后患者在COVID-19后出现的并发症及风险因素:基于人群的前瞻性队列研究。
Epidemiolgia (Basel, Switzerland) Pub Date : 2022-02-10 DOI: 10.3390/epidemiologia3010006
Salvador Domènech-Montoliu, Joan Puig-Barberà, Maria Rosario Pac-Sa, Paula Vidal-Utrillas, Marta Latorre-Poveda, Alba Del Rio-González, Sara Ferrando-Rubert, Gema Ferrer-Abad, Manuel Sánchez-Urbano, Laura Aparisi-Esteve, Gema Badenes-Marques, Belen Cervera-Ferrer, Ursula Clerig-Arnau, Claudia Dols-Bernad, Maria Fontal-Carcel, Lorna Gomez-Lanas, David Jovani-Sales, Maria Carmen León-Domingo, Maria Dolores Llopico-Vilanova, Mercedes Moros-Blasco, Cristina Notari-Rodríguez, Raquel Ruíz-Puig, Sonia Valls-López, Alberto Arnedo-Pena
{"title":"Complications Post-COVID-19 and Risk Factors among Patients after Six Months of a SARS-CoV-2 Infection: A Population-Based Prospective Cohort Study.","authors":"Salvador Domènech-Montoliu, Joan Puig-Barberà, Maria Rosario Pac-Sa, Paula Vidal-Utrillas, Marta Latorre-Poveda, Alba Del Rio-González, Sara Ferrando-Rubert, Gema Ferrer-Abad, Manuel Sánchez-Urbano, Laura Aparisi-Esteve, Gema Badenes-Marques, Belen Cervera-Ferrer, Ursula Clerig-Arnau, Claudia Dols-Bernad, Maria Fontal-Carcel, Lorna Gomez-Lanas, David Jovani-Sales, Maria Carmen León-Domingo, Maria Dolores Llopico-Vilanova, Mercedes Moros-Blasco, Cristina Notari-Rodríguez, Raquel Ruíz-Puig, Sonia Valls-López, Alberto Arnedo-Pena","doi":"10.3390/epidemiologia3010006","DOIUrl":"10.3390/epidemiologia3010006","url":null,"abstract":"<p><p>In October 2020, we conducted a population-based prospective cohort study to determine post-COVID-19 complications, recovery, return to usual health, and associated risk factors in 536 cases of COVID-19 outbreak in Borriana (Spain) by administering an epidemiological questionnaire via phone interviews. A total of 484 patients participated (90.3%), age mean 37.2 ± 17.1 years, and 301 females (62.2%). Mild illness was the most common COVID-19 manifestation. After six months, 160 patients (33.1%) suffered at least one complication post-COVID-19, and 47 (29.4%) of them sought medical assistance. The most frequent persistent symptoms were hair loss, fatigue, loss of smell or taste, and headache. Risk factors associated with a complication were female sex (adjusted relative risk, [aRR] = 1.93 95% confidence interval [CI] 1.41-2.65), age 35 years and above (aRR = 1.50 95% CI 1.14-1.99), B blood group (aRR = 1.51 95% CI 1.04-2.16), current smoker (RR = 1.61 95% CI 1.02-2.54), and at least a COVID-19 exposure (aRR = 2.13 95% CI 1.11-4.09). Male sex, age younger than 35 years, and low COVID-19 exposures were associated with better recovery and return to usual health. A third of patients presented persistent symptoms compatible with the long-COVID-19 syndrome. In conclusion, an active medical follow-up of post-COVID-19 patients must be implemented.</p>","PeriodicalId":72944,"journal":{"name":"Epidemiolgia (Basel, Switzerland)","volume":"3 1","pages":"49-67"},"PeriodicalIF":0.0,"publicationDate":"2022-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9620887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10384484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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