SARS-CoV-2感染后两年与健康相关的生活质量:一项描述性队列研究

IF 2.5 4区 医学 Q3 INFECTIOUS DISEASES
Elias A M Abucar, Mascha Kern, Tobias Kurth, Anne Meierkord, Maximilian Gertler, Joachim Seybold, Stefanie Theuring, Frank P Mockenhaupt
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引用次数: 0

摘要

COVID-19背景下与健康相关的生活质量(HRQoL)尚未完全了解。我们使用患者报告结局测量信息系统®测量方法评估了559名前COVID-19患者和298名未感染个体的HRQoL。HRQoL在初始测试后2年内被捕获一次。此外,我们描述了特征与HRQoL受损的关联。总体而言,前患者的HRQoL评分较差。在疲劳(3.1)、睡眠障碍(3.5)和呼吸困难(3.7)测试后12个月,至少有3个t评分点的有意义的组差异才被发现。即使在感染后18个月,认知功能也表现出这种差异(3.3)。二分类后,观察到HRQoL受损在身体(前感染者19.2%,未感染者7.3%)和认知功能(前感染者37.6%,未感染者16.5%)方面存在显著差异。前患者最常受影响的领域是抑郁(34.9%)、疲劳(37.4%)和认知功能。与原患者HRQoL受损相关的因素包括年龄(OR≤2.1)、受教育程度较低(OR≤5.3)、新冠肺炎相关住院(OR≤4.7)等。这些数据强调,科学界需要继续关注,进一步调查COVID-19后潜在的长期健康限制,最终为受影响的人建立适当的筛查和管理方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Health-related quality of life up to 2 years after SARS-CoV-2 infection: a descriptive cohort study.

Health-related quality of life (HRQoL) in the context of COVID-19 is not fully understood. We assessed HRQoL using Patient-Reported Outcomes Measurement Information System® measures among 559 former COVID-19 patients and 298 non-infected individuals. HRQoL was captured once up to 2 years after the initial test. Additionally, we described associations of characteristics with impaired HRQoL. Overall, HRQoL scores were inferior among former patients. A meaningful group difference of at least three T-score points was discernible until 12 months after testing for fatigue (3.1), sleep disturbance (3.5), and dyspnoea (3.7). Cognitive function demonstrated such difference even at >18 months post-infection (3.3). Following dichotomization, pronounced differences in impaired HRQoL were observed in physical (19.2% of former patients, 7.3% of non-infected) and cognitive function (37.6% of former patients, 16.5% of non-infected). Domains most commonly affected among former patients were depression (34.9%), fatigue (37.4%), and cognitive function. Factors that associated with HRQoL impairments among former patients included age (OR ≤2.1), lower education (OR ≤5.3), and COVID-19-related hospitalization (OR ≤4.7), among others. These data underline the need for continued attention of the scientific community to further investigate potential long-term health limitations after COVID-19 to ultimately establish adequate screening and management options for those affected.

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来源期刊
Epidemiology and Infection
Epidemiology and Infection 医学-传染病学
CiteScore
4.10
自引率
2.40%
发文量
366
审稿时长
3-6 weeks
期刊介绍: Epidemiology & Infection publishes original reports and reviews on all aspects of infection in humans and animals. Particular emphasis is given to the epidemiology, prevention and control of infectious diseases. The scope covers the zoonoses, outbreaks, food hygiene, vaccine studies, statistics and the clinical, social and public-health aspects of infectious disease, as well as some tropical infections. It has become the key international periodical in which to find the latest reports on recently discovered infections and new technology. For those concerned with policy and planning for the control of infections, the papers on mathematical modelling of epidemics caused by historical, current and emergent infections are of particular value.
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