德国国家大流行病队列网络跨部门平台 (NAPKON-SUEP) 对感染 SARS-CoV-2 变体 delta 和 omicron 的患者在 COVID-19 后症状的比较。

IF 5.4 2区 医学 Q1 INFECTIOUS DISEASES
Infection Pub Date : 2024-12-01 Epub Date: 2024-05-03 DOI:10.1007/s15010-024-02270-5
Sina M Hopff, Katharina S Appel, Olga Miljukov, Johannes Schneider, Marylyn M Addo, Robert Bals, Sven Bercker, Sabine Blaschke, Isabel Bröhl, Nikolaus Büchner, Hiwa Dashti, Johanna Erber, Anette Friedrichs, Ramsia Geisler, Siri Göpel, Marina Hagen, Frank Hanses, Björn-Erik Ole Jensen, Maria Keul, Adalbert Krawczyk, Bettina Lorenz-Depiereux, Patrick Meybohm, Milena Milovanovic, Lazar Mitrov, Carolin Nürnberger, Wilfried Obst, Christoph Römmele, Christian Schäfer, Christian Scheer, Margarete Scherer, Julia Schmidt, Kristina Seibel, Shimita Sikdar, Johannes Josef Tebbe, Phil-Robin Tepasse, Philipp Thelen, Maria J G T Vehreschild, Christina Weismantel, J Janne Vehreschild
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引用次数: 0

摘要

目的:SARS-CoV-2新变种对COVID-19后病情(PCC)的影响仍未得到解答。因此,我们研究了感染 SARS-CoV-2 变体 delta 或 omicron 的患者中 PCC 相关症状的流行率和预测因素:我们比较了德国国家大流行病队列网络跨部门平台的δ型和Ω型感染者在初次感染(3MFU)三个月后出现急性和 PCC 相关症状的流行率和风险因素。健康相关生活质量(HrQoL)由 EQ-5D-5L 指数评分确定,并计算出趋势组,以描述不同时间点之间 HrQoL 的变化:我们对 758 名患者进行了分析(delta:341 人;ocmicron:417 人)。与奥米克龙患者相比,德尔塔患者在 3MFU 时的 PCC 发生率相似(p = 0.354),其中疲劳发生率最高(n = 256,34%)。两组患者的 HrQoL 相当,发病时 EQ-5D-5L 指数得分最低(0.75,95% CI 0.73-0.78)。虽然大多数患者(69%,n = 348)的 HrQoL 从未下降,但有 37 名患者(7%)的 HrQoL 从急性期到 3MFU 阶段大幅下降,其中 27 人感染了奥米克龙:通过多中心队列的质量控制数据,我们发现至少在德国人群中,PCC 对于感染了 SARS-CoV-2 变体 delta 和 omicron 的患者来说是一个同样常见的挑战。根据 EQ-5D-5L 指数得分趋势分组显示,超过三分之二的患者在 3MFU 感染 SARS-CoV-2 后,其 HrQoL 没有受到任何限制:该队列已于 2021 年 2 月 24 日在 ClinicalTrials.gov 上注册(标识符:NCT04768998)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Comparison of post-COVID-19 symptoms in patients infected with the SARS-CoV-2 variants delta and omicron-results of the Cross-Sectoral Platform of the German National Pandemic Cohort Network (NAPKON-SUEP).

Comparison of post-COVID-19 symptoms in patients infected with the SARS-CoV-2 variants delta and omicron-results of the Cross-Sectoral Platform of the German National Pandemic Cohort Network (NAPKON-SUEP).

Purpose: The influence of new SARS-CoV-2 variants on the post-COVID-19 condition (PCC) remains unanswered. Therefore, we examined the prevalence and predictors of PCC-related symptoms in patients infected with the SARS-CoV-2 variants delta or omicron.

Methods: We compared prevalences and risk factors of acute and PCC-related symptoms three months after primary infection (3MFU) between delta- and omicron-infected patients from the Cross-Sectoral Platform of the German National Pandemic Cohort Network. Health-related quality of life (HrQoL) was determined by the EQ-5D-5L index score and trend groups were calculated to describe changes of HrQoL between different time points.

Results: We considered 758 patients for our analysis (delta: n = 341; omicron: n = 417). Compared with omicron patients, delta patients had a similar prevalence of PCC at the 3MFU (p = 0.354), whereby fatigue occurred most frequently (n = 256, 34%). HrQoL was comparable between the groups with the lowest EQ-5D-5L index score (0.75, 95% CI 0.73-0.78) at disease onset. While most patients (69%, n = 348) never showed a declined HrQoL, it deteriorated substantially in 37 patients (7%) from the acute phase to the 3MFU of which 27 were infected with omicron.

Conclusion: With quality-controlled data from a multicenter cohort, we showed that PCC is an equally common challenge for patients infected with the SARS-CoV-2 variants delta and omicron at least for the German population. Developing the EQ-5D-5L index score trend groups showed that over two thirds of patients did not experience any restrictions in their HrQoL due to or after the SARS-CoV-2 infection at the 3MFU.

Clinical trail registration: The cohort is registered at ClinicalTrials.gov since February 24, 2021 (Identifier: NCT04768998).

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来源期刊
Infection
Infection 医学-传染病学
CiteScore
12.50
自引率
1.30%
发文量
224
审稿时长
6-12 weeks
期刊介绍: Infection is a journal dedicated to serving as a global forum for the presentation and discussion of clinically relevant information on infectious diseases. Its primary goal is to engage readers and contributors from various regions around the world in the exchange of knowledge about the etiology, pathogenesis, diagnosis, and treatment of infectious diseases, both in outpatient and inpatient settings. The journal covers a wide range of topics, including: Etiology: The study of the causes of infectious diseases. Pathogenesis: The process by which an infectious agent causes disease. Diagnosis: The methods and techniques used to identify infectious diseases. Treatment: The medical interventions and strategies employed to treat infectious diseases. Public Health: Issues of local, regional, or international significance related to infectious diseases, including prevention, control, and management strategies. Hospital Epidemiology: The study of the spread of infectious diseases within healthcare settings and the measures to prevent nosocomial infections. In addition to these, Infection also includes a specialized "Images" section, which focuses on high-quality visual content, such as images, photographs, and microscopic slides, accompanied by brief abstracts. This section is designed to highlight the clinical and diagnostic value of visual aids in the field of infectious diseases, as many conditions present with characteristic clinical signs that can be diagnosed through inspection, and imaging and microscopy are crucial for accurate diagnosis. The journal's comprehensive approach ensures that it remains a valuable resource for healthcare professionals and researchers in the field of infectious diseases.
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