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新冠康复患者三个月后身体残疾状况评估:一项横断面研究。

Assessment of Physical Disability After Three Months in Patients Recovered From COVID-19: A Cross-Sectional Study.

作者信息

Gaur Ravi, Asthana Satyasheel, Yadav Rajkumar, Ghuleliya Rambeer, Kumar Deepak, Akhtar Minhaj, Gonnade Nitesh, Choudhary Arun, Mathew Merrin M, Gaur Neeru

机构信息

Physical Medicine and Rehabilitation, All India Institute of Medical Sciences, Jodhpur, IND.

Physical Medicine and Rehabilitation, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, IND.

出版信息

Cureus. 2022 Jan 25;14(1):e21618. doi: 10.7759/cureus.21618. eCollection 2022 Jan.

Abstract

PURPOSE

This study was done to assess the extent of disability in coronavirus disease 2019 (COVID-19) survivors using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0).

MATERIAL AND METHODS

This was a cross-sectional study with convenient sampling. Institutional ethical clearance was taken. Informed consent was taken from all patients. Disability assessment was done using WHODAS 2.0. All patients were initial reverse transcriptase-polymerase chain reaction (RT-PCR) positive for COVID-19. Patients with neuromuscular deficits or who were taking medication for psychiatric illness before getting infected with COVID-19 were excluded from the study.

RESULTS

Fatigue followed by dyspnea was the most common reported symptom after three months of COVID-19 infection. COVID-19 survivors with fatigue or dyspnea had a more significant disability as compared to other patients. Females had a more significant disability when compared to males. We did not find any significant disability in COVID-19 survivors after three months of disease based on body mass index, hospitalization, diabetes, and oxygen requirements.

CONCLUSION

COVID-19 survivors suffered from significant disability after three months of disease especially females and survivors with fatigue or dyspnea. Recognizing post-COVID-19 sequelae and the availability of rehabilitation services will be critical in preventing another public health crisis after acute COVID-19 infection.

摘要

目的

本研究旨在使用世界卫生组织残疾评定量表2.0(WHODAS 2.0)评估2019冠状病毒病(COVID-19)幸存者的残疾程度。

材料与方法

这是一项采用方便抽样的横断面研究。已获得机构伦理批准。所有患者均已签署知情同意书。使用WHODAS 2.0进行残疾评定。所有患者最初的新型冠状病毒逆转录聚合酶链反应(RT-PCR)检测均为COVID-19阳性。患有神经肌肉缺陷或在感染COVID-19之前正在服用精神疾病药物的患者被排除在研究之外。

结果

COVID-19感染三个月后,最常报告的症状是疲劳,其次是呼吸困难。与其他患者相比, 有疲劳或呼吸困难的COVID-19幸存者的残疾程度更严重。女性比男性的残疾程度更严重。在患病三个月后,我们未发现COVID-19幸存者在体重指数、住院情况、糖尿病和氧气需求方面存在任何显著残疾。

结论

COVID-19幸存者在患病三个月后存在明显残疾,尤其是女性以及有疲劳或呼吸困难症状的幸存者。认识到COVID-19后遗症以及康复服务的可获得性对于预防急性COVID-19感染后的另一场公共卫生危机至关重要。

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