新冠后诊所患者的全科医疗就诊情况：一项试点研究。
General practice attendances among patients attending a post-COVID-19 clinic: a pilot study.
作者信息
Broughan John, McCombe Geoff, Avramovic Gordana, Crowley Des, Downey Cheyenne, Downey O'Sullivan Joanne, Fawsitt Ronan, McHugh Tina, O'Connor Eileen, Perrotta Carla, Cotter Aoife G, Lambert John S, Cullen Walter
机构信息
School of Medicine, University College Dublin, Dublin, Ireland
School of Medicine, University College Dublin, Dublin, Ireland.
出版信息
BJGP Open. 2021 Jun 30;5(3). doi: 10.3399/BJGPO.2021.0016. Print 2021 Jun.
BACKGROUND
About 10-35% of people with COVID-19 need medical care within 3 weeks of infection. However, the prevalence of ongoing care needs among those experiencing severe COVID-19 illness is unclear.
AIM
This pilot study aimed to address this knowledge gap by examining GP attendance trends among patients attending a post-COVID-19 hospital follow-up clinic, 3-6 months after an initial clinic visit.
DESIGN & SETTING: Data were collected from adult patients attending a post-COVID-19 follow-up clinic at the Mater Misericordiae University Hospital (MMUH), Dublin, Ireland.
METHOD
Participants completed questionnaires outlining their demographics; medical histories; emergency hospital admissions and readmissions where applicable; and, where relevant, GP attendances following hospital discharge. Analyses were conducted using descriptive and inferential statistics.
RESULTS
Participants' ( = 153) median age was 43.5 years (interquartile range [IQR] = 30.9-52.1 years). There were 105 females (68.6%, 95% confidence interval [CI] = 61.3% to 75.9%). Various medical histories were reported among participants. Sixty-seven (43.2%, 95% CI = 35.9% to 51.6%) received emergency COVID-19 hospital care. Older adults, males, intensive care unit [ICU] admissions, and readmissions were common among hospital attendees. Of the hospital attendees, 16 (24%, 95% CI = 13.7% to 34.2%) attended GPs within 7 days of hospital discharge, and 26 (39%, 95% CI = 27.3% to 50.7%) within 30 days. Older adults, people with pre-existing medical conditions, and individuals admitted to ICU and/or readmitted to hospital were common among general practice attendees.
CONCLUSION
Persistent health issues appear to be common among patients with severe COVID-19, particularly those who are older adults, have pre-existing health problems, and who had been in ICU and/or readmission care. Larger scale studies of ongoing COVID-19 care needs in primary care and general practice are required.
背景
约10%-35%的新冠病毒病患者在感染后3周内需要医疗护理。然而，重症新冠病毒病患者持续护理需求的患病率尚不清楚。
目的
这项试点研究旨在通过调查初次就诊3-6个月后在新冠病毒病后医院随访诊所就诊的患者中全科医生（GP）的就诊趋势，来填补这一知识空白。
设计与背景
数据收集自爱尔兰都柏林仁慈大学医院（MMUH）新冠病毒病后随访诊所的成年患者。
方法
参与者完成问卷，概述其人口统计学特征、病史、适用情况下的急诊住院和再入院情况，以及出院后（如相关）的全科医生就诊情况。使用描述性和推断性统计进行分析。
结果
参与者（n = 153）的年龄中位数为43.5岁（四分位间距[IQR]=30.9-52.1岁）。有105名女性（68.6%，95%置信区间[CI]=61.3%至75.9%）。参与者报告了各种病史。67人（43.2%，95%CI = 35.9%至51.6%）接受了新冠病毒病急诊住院治疗。老年人、男性、重症监护病房（ICU）入院和再入院在住院患者中很常见。在住院患者中，16人（24%，95%CI = 13.7%至34.2%）在出院后7天内就诊于全科医生，26人（39%，95%CI = 27.3%至50.7%）在30天内就诊。老年人、有基础疾病的人以及入住ICU和/或再次住院的人在全科医疗就诊者中很常见。
结论
持续性健康问题在重症新冠病毒病患者中似乎很常见，尤其是那些老年人、有基础健康问题以及曾在ICU和/或接受再入院治疗的患者。需要对初级保健和全科医疗中新冠病毒病持续护理需求进行更大规模的研究。
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