自我报告的健康状况、持续症状和日常活动在COVID-19住院后2 年。

IF 4.2 3区 医学 Q2 NEUROSCIENCES
Frontiers in Cellular Neuroscience Pub Date : 2025-01-06 eCollection Date: 2024-01-01 DOI:10.3389/fncel.2024.1460119
Roda Alhasan, Lena Rafsten, Alexandra C Larsson, Katharina S Sunnerhagen, Hanna C Persson
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引用次数: 0

摘要

导言:自2019冠状病毒病大流行爆发以来,全球已报告7.75亿例病例。虽然许多人完全康复,但很大一部分人会出现持续的症状。许多研究调查了COVID-19的长期症状;然而,这些症状的全部范围和影响仍然没有得到充分的了解。本研究的目的是调查自我报告的持续症状的患病率,重点是呼吸系统症状和疲劳,以及对COVID-19住院2 年后功能状态的影响。方法:本研究是前瞻性的,纳入了一项纵向多中心队列研究,该研究随访了先前因COVID-19住院的患者(n = 211)。目前的研究包括2年的随访,采用住院后问卷调查。在出院前和2年随访时收集分析数据。参与者按年龄、性别和COVID-19严重程度分组,并进行了组间比较。采用Logistic回归分析研究功能损害。结果:因COVID-19出院2年后,125名参与者完成了2年随访。参与者的平均年龄为66 岁(SD 12.2), 68%为男性。在2年的随访中,大多数参与者报告出现呼吸道症状(n = 83,69%)和疲劳(n = 98,78%)。持续性呼吸道症状和疲劳对功能状态有显著影响(p = p = 0.028)。根据年龄、性别或COVID-19严重程度,各组之间没有观察到显着差异。结论:对于某些个体,无论年龄、性别或COVID-19严重程度如何,呼吸道症状和疲劳可能在COVID-19后持续长达2 年。因此,获得了解COVID-19的专业人员的支持至关重要。进一步的研究对于揭示COVID-19后长期症状的机制以及制定有效的治疗和康复干预措施至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Self-reported health, persistent symptoms, and daily activities 2 years after hospitalization for COVID-19.

Introduction: Since the onset of the COVID-19 pandemic, 775 million cases have been reported globally. While many individuals recover fully, a significant proportion develop persistent symptoms. Numerous studies have investigated the long-term symptoms of COVID-19; however, the full extent and impact of these symptoms remain inadequately understood. The aim of this study was to investigate the prevalence of self-reported persistent symptoms, focusing on respiratory symptoms and fatigue and the impact on functional status 2 years after hospitalization for COVID-19.

Methods: This study is prospective and includes participants from a longitudinal multi-center cohort that follows patients previously hospitalized due to COVID-19 (n = 211). The current study encompasses the 2-year follow-up, using post-hospitalization questionnaire surveys. Analyzed data were collected before discharge and at the 2-year follow-up. Participants were grouped by age, sex and COVID-19 severity and group comparisons where conducted. Logistic regression analysis was used to study functional impairment.

Results: Two years after hospital discharge due to COVID-19, 125 participants completed the 2-year follow-up. The mean age of participants was 66 years (SD 12.2), and 68% were male. The majority of participants reported present respiratory symptoms (n = 83, 69%) and fatigue (n = 98, 78%) at the 2-year follow-up. Persistent respiratory symptoms and fatigue impacted functional status substantially (p = <0.001, p = 0.028, respectively). No significant differences were observed among groups depending on age, sex, or severity of COVID-19.

Conclusion: For some individuals regardless of age, sex or COVID-19 severity, respiratory symptoms and fatigue may persist for up to 2 years following COVID-19. Hence, having available support from professionals knowledgeable about COVID-19 is imperative. Further research is important to unravel the mechanisms of long-term symptoms following COVID-19 and to develop effective therapeutic and rehabilitative interventions.

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来源期刊
CiteScore
7.90
自引率
3.80%
发文量
627
审稿时长
6-12 weeks
期刊介绍: Frontiers in Cellular Neuroscience is a leading journal in its field, publishing rigorously peer-reviewed research that advances our understanding of the cellular mechanisms underlying cell function in the nervous system across all species. Specialty Chief Editors Egidio D‘Angelo at the University of Pavia and Christian Hansel at the University of Chicago are supported by an outstanding Editorial Board of international researchers. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide.
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