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新冠后综合征:一项针对 1007 名 COVID-19 康复患者的单中心问卷调查研究。

Post-COVID syndrome: A single-center questionnaire study on 1007 participants recovered from COVID-19.

机构信息

Department of Infectious Disease and Clinical Microbiology, Ankara City Hospital, Ankara Yildirim Beyazit University, Ankara, Turkey.

Department of Infectious Disease and Clinical Microbiology, Ankara City Hospital, Ankara, Turkey.

出版信息

J Med Virol. 2021 Dec;93(12):6566-6574. doi: 10.1002/jmv.27198. Epub 2021 Jul 28.

Abstract

Post recovery manifestations have become another concern in patients who have recovered from coronavirus disease 2019 (COVID-19). Numerous reports have shown that COVID-19 has a variety of long-term effects on almost all systems including respiratory, cardiovascular, gastrointestinal, neurological, psychiatric, and dermatological systems. We aimed to investigate the prevalence and characteristics of the post-COVID syndrome among COVID-19 survivors and to determine the factors associated with persistent symptoms. This prospective study enrolled in patients with COVID-19 followed in hospital or outpatient clinics in Ankara City Hospital. We performed a special questionnaire to inquire about the presence of persistent symptoms beyond 12 weeks from the first diagnosis. Demographic data, comorbid diseases, characteristics of acute COVID-19, presence of persistent symptoms by systems, and knowledge about outpatient clinic visits after recovery were assessed. Of a total of 1007 participants, 39.0% had at least one comorbidity, and 47.5% had persistent symptoms. Fatigue/easy fatigability, myalgia, and loss of weight were the most frequent persistent symptoms (overall 29.3%) followed by respiratory symptoms (25.4%). A total of 235 participants had visited outpatient clinics due to several reasons during the post-COVID-19 period, and 17 of them were hospitalized. Severe acute COVID-19, hospitalization, and presence of comorbidity were independent factors for the development of persistent symptoms. Fully understanding the spectrum of the post-COVID syndrome is essential for appropriate management of all its long-term effects. Our study once again underlined the fact that the prevalence of post-COVID syndrome is higher than expected and concerns many systems, and a multidisciplinary follow-up should be provided to COVID-19 survivors in the post recovery period.

摘要

新冠病毒疾病 2019(COVID-19)康复患者出现的恢复期表现已成为另一个关注点。大量报告显示,COVID-19 对几乎所有系统(包括呼吸系统、心血管系统、胃肠道系统、神经系统、精神科和皮肤科系统)都有各种长期影响。我们旨在调查 COVID-19 幸存者中 COVID 后综合征的流行率和特征,并确定与持续症状相关的因素。这项前瞻性研究纳入了在安卡拉城市医院住院或门诊接受 COVID-19 随访的患者。我们进行了一项特殊的问卷调查,询问从首次诊断后超过 12 周是否存在持续症状。评估了人口统计学数据、合并症、急性 COVID-19 的特征、各系统持续症状的存在以及康复后门诊就诊的知识。在总共 1007 名参与者中,39.0%有至少一种合并症,47.5%有持续症状。疲劳/易疲劳、肌痛和体重减轻是最常见的持续症状(总体为 29.3%),其次是呼吸系统症状(25.4%)。共有 235 名参与者因多种原因在 COVID-19 后期间就诊于门诊,其中 17 名住院。严重急性 COVID-19、住院和合并症是持续症状发展的独立因素。充分了解 COVID 后综合征的范围对于管理其所有长期影响至关重要。我们的研究再次强调了 COVID 后综合征的流行率高于预期并涉及许多系统的事实,应在康复后为 COVID-19 幸存者提供多学科随访。

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