巴西南部成年人中长期 COVID 的患病率和相关因素:PAMPA 队列的研究结果

N. Feter, E. Caputo, J. S. Leite, F. M. Delpino, Luísa Silveira da Silva, Y. P. Vieira, Isabel de Almeida Paz, Juliana Quadros Santos Rocha, C. N. da Silva, N. Schröeder, M. C. da Silva, A. Rombaldi
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摘要

摘要:大多数COVID-19幸存者报告在感染后出现持续症状-这些类型的病例被称为长COVID。由于巴西是新冠疫情的重灾区,预计长期疫情负担会很大。本研究旨在通过分析PAMPA队列的数据,确定巴西南部成年人中长冠肺炎的患病率和相关因素。参与者在2022年6月填写了一份自我报告的在线问卷。这项研究仅包括COVID-19检测呈阳性的受试者。长冠状病毒的定义是在SARS-CoV-2感染后持续至少三个月的任何症状。使用具有稳健方差的泊松回归模型识别与长COVID相关的因素;结果以患病率(PR)和各自的95%置信区间(95% ci)报告。共有1001名参与者(77.4%为女性,平均年龄[SD] = 38.3[11.9]岁)被分析。长冠状病毒感染率为77.4% (95%CI: 74.7;79.9)。未接种疫苗的参与者长COVID的可能性更高(PR = 1.23, 95%CI: 1.06;1.42),慢性疾病患者(PR = 1.13, 95%CI: 1.04;1.24)和因COVID-19感染住院的患者(PR = 1.24, 95%CI: 1.16;1.32)。女性的患病率也更高(PR = 1.21, 95%CI: 1.09;1.33)比男性高。体力活动与COVID-19感染后出现持续症状的疲劳、神经系统并发症、咳嗽和头痛的可能性降低有关。结果发现,巴西南部四分之三的成年人经历了长时间的新冠肺炎。必须优先考虑旨在减轻长期COVID负担的公共政策,特别是在患这种有害疾病风险较高的群体中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence and factors associated with long COVID in adults from Southern Brazil: findings from the PAMPA cohort
Abstract: Most COVID-19 survivors have reported experiencing persistent symptoms after the infection - these types of cases are known as long COVID. Since Brazil was an epicenter of the COVID-19 pandemic, a high burden of long COVID is expected. This study aimed to identify the prevalence and factors associated with long COVID in adults in Southern Brazil, analyzing data from the PAMPA cohort. Participants filled out a self-reported online questionnaire in June 2022. This study only included subjects who tested positive for COVID-19. Long COVID was defined by any symptoms that persisted for at least three months after the SARS-CoV-2 infection. Poisson’s regression models with robust variance were used to identify factors associated with long COVID; and results were reported as prevalence ratios (PR) and respective 95% confidence intervals (95%CI). A total of 1,001 participants (77.4% women, mean age [SD] = 38.3 [11.9] years) were analyzed. The prevalence of long COVID among these patients was 77.4% (95%CI: 74.7; 79.9). The likelihood of long COVID was higher in unvaccinated participants (PR = 1.23, 95%CI: 1.06; 1.42), in those with chronic conditions (PR = 1.13, 95%CI: 1.04; 1.24), and in those who were hospitalized due to the COVID-19 infection (PR = 1.24, 95%CI: 1.16; 1.32). This prevalence was also higher in women (PR = 1.21, 95%CI: 1.09; 1.33) than in men. Physical activity was associated with a reduced likelihood of fatigue, neurological complications, coughing, and headaches as persistent symptoms after a COVID-19 infection. It was found that three out of four adults in Southern Brazil experienced long COVID. Public policies aiming to reduce the burden of long COVID must be prioritized, especially in groups that are at higher risk of developing this harmful condition.
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