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出院后48周COVID-19住院患者的长期症状——一项前瞻性队列研究

Long-Term Symptoms among Hospitalized COVID-19 Patients 48 Weeks after Discharge-A Prospective Cohort Study.

作者信息

Mølhave Martin, Leth Steffen, Gunst Jesper Damsgaard, Jensen-Fangel Søren, Østergaard Lars, Wejse Christian, Agergaard Jane

机构信息

Department of Infectious Diseases, Aarhus University Hospital, 8200 Aarhus, Denmark.

Department of Medicine, Regional Hospital Unit West Jutland, 7400 Herning, Denmark.

出版信息

J Clin Med. 2021 Nov 15;10(22):5298. doi: 10.3390/jcm10225298.

Abstract

Follow-up studies of COVID-19 survivors have been performed to characterize persistence of long-term symptoms, but data are scarce on one year of follow-up. This study provides data from 48 weeks of follow-up after discharge. All patients discharged from the Department of Infectious Diseases at Aarhus University Hospital, Denmark between 1 March and 1 July 2020 were followed for 48 weeks. In total, 45 of 66 eligible patients were interviewed after 48 weeks. The median age was 57 (IQR 51-70) years, the majority were female (53%) and Caucasian (87%). Median BMI was 28.1 (IQR 24.8-32.6) kg/m. One or more comorbidities were registered among 62% of the patients. In total, 39 out of 45 (87%) interviewed patients reported persistence of at least one symptom 48 weeks after hospitalization with COVID-19. Most frequently reported symptoms were fatigue, dyspnea, and concentration difficulties. This study provides new long-term data following COVID-19, contributing to the accumulating data of COVID-19 sequelae. Many patients suffer long-term sequelae and further research is urgently needed to gain further knowledge of the duration and therapeutic options.

摘要

对新冠病毒感染者的随访研究旨在明确长期症状的持续情况,但关于一年随访的数据较少。本研究提供了出院后48周的随访数据。丹麦奥胡斯大学医院传染病科在2020年3月1日至7月1日期间出院的所有患者均接受了48周的随访。48周后,66名符合条件的患者中共有45人接受了访谈。中位年龄为57岁(四分位距51 - 70岁),大多数为女性(53%)且是白种人(87%)。中位体重指数为28.1(四分位距24.8 - 32.6)kg/m²。62%的患者记录有一项或多项合并症。在45名接受访谈的患者中,共有39人(87%)报告在感染新冠病毒住院48周后仍存在至少一种症状。最常报告的症状是疲劳、呼吸困难和注意力不集中。本研究提供了新冠病毒感染后的新长期数据,为新冠病毒后遗症的积累数据做出了贡献。许多患者患有长期后遗症,迫切需要进一步研究以深入了解持续时间和治疗选择。

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