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新冠病毒感染康复后的功能状态:与年龄、吸烟、住院情况及既往合并症的关系。

Post-COVID-19 functional status: Relation to age, smoking, hospitalization, and previous comorbidities.

作者信息

Mohamed Hussein Aliae Ar, Saad Mahmoud, Zayan Hossam E, Abdelsayed Mustafa, Moustafa Mohamed, Ezzat Abdel Rahman, Helmy Radwa, Abd-Elaal Howaida, Aly Karim, Abdelrheem Shaimaa, Sayed Islam

机构信息

Department of Chest, Assiut University Hospitals, Assiut, Egypt.

Faculty of Medicine, Assiut Faculty of Medicine, Assiut University, Assiut, Egypt.

出版信息

Ann Thorac Med. 2021 Jul-Sep;16(3):260-265. doi: 10.4103/atm.atm_606_20. Epub 2021 Jul 20.

Abstract

RATIONAL

Recently, a new "Post-COVID-19 Functional Status (PCFS) scale" is recommended in the current COVID-19 pandemic. It is proposed that it could be used to display direct retrieval and the functional sequelae of COVID-19.

AIM OF THE STUDY

The aim of the study was to assess the PCFS and to evaluate if age, gender, smoking, hospitalization, and comorbidities have any effect on functional limitations in recovered COVID-19 patients.

METHODS

A total of 444 registered confirmed COVID-19 patients were included. They were interviewed in our follow-up clinics and filled an Arabic translated PCFS scale as well as their demographic and clinical data.

RESULTS

Eighty percent of COVID-19 recovered cases have diverse degrees of functional restrictions ranging from negligible (63.1%), slight (14.4%), moderate (2%), to severe (0.5%) based on PCFS. Furthermore, there was a substantial variance between the score of PCFS with age ( = 0.003), gender ( = 0.014), the duration since the onset of the symptoms of COVID-19 ( < 0.001), need for oxygen supplementation ( < 0.001), need for intensive care unit (ICU) admittance ( = 0.003), previous periodic influenza vaccination ( < 0.001), smoking status ( < 0.001), and finally, the presence of any comorbid disorder ( < 0.001).

CONCLUSIONS

Most of the COVID-19 recovered cases have diverse degrees of functional restrictions ranging from negligible to severe based on PCFS. These restrictions were affected by age, gender, periodic influenza vaccination, smoking, duration since symptoms onset, need for oxygen or ICU admittance, and finally the presence of coexisting comorbidity.

摘要

理论依据

最近,在当前的新冠疫情中,一种新的“新冠后功能状态(PCFS)量表”被推荐使用。有人提出它可用于显示新冠病毒的直接检索结果及其功能后遗症。

研究目的

本研究的目的是评估PCFS量表,并评估年龄、性别、吸烟、住院情况和合并症对康复的新冠患者功能受限是否有任何影响。

方法

共纳入444例登记确诊的新冠患者。他们在我们的随访诊所接受访谈,并填写一份阿拉伯语翻译版的PCFS量表以及他们的人口统计学和临床数据。

结果

根据PCFS量表,80%的新冠康复病例有不同程度的功能受限,从可忽略不计(63.1%)、轻微(14.4%)、中度(2%)到重度(0.5%)。此外,PCFS量表得分在年龄(P = 0.003)、性别(P = 0.014)、新冠症状出现后的持续时间(P < 0.001)、是否需要吸氧(P < 0.001)、是否需要入住重症监护病房(ICU)(P = 0.003)、之前是否定期接种流感疫苗(P < 0.001)、吸烟状况(P < 0.001)以及最后是否存在任何合并症(P < 0.001)方面存在显著差异。

结论

根据PCFS量表,大多数新冠康复病例有不同程度的功能受限,从可忽略不计到重度不等。这些受限情况受年龄、性别、定期接种流感疫苗、吸烟、症状出现后的持续时间、是否需要吸氧或入住ICU以及最后是否存在合并症的影响。

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