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关于新冠病毒感染后急性后遗症的单一和多重关联:6个月前瞻性队列研究

On the single and multiple associations of COVID-19 post-acute sequelae: 6-month prospective cohort study.

作者信息

Jiménez-Rodríguez Beatriz María, Gutiérrez-Fernández José, Ramos-Urbina Eldis Maria, Romero-Ortiz Ana Dolores, García-Flores Paula Isabel, Santiago-Puertas Maria Inmaculada, Martín-López Maria José, López-Milena Genaro, Fabregas Rene, Morales-García Concepción

机构信息

Department of Pneumology, University Hospital Virgen de Las Nieves, Granada, Spain.

Department of Microbiology, School of Medicine and PhD Program in Clinical Medicine and Public Health, University of Granada-IBS, 18010, Granada, Spain.

出版信息

Sci Rep. 2022 Mar 1;12(1):3402. doi: 10.1038/s41598-022-07433-8.

Abstract

Medical research is progressing to clarify the full spectrum of sub-acute and long-term effects of the post-COVID-19 syndrome. However, most manuscripts published to date only analyze the effects of post-COVID-19 in patients discharged from hospital, which may induce significant bias. Here, we propose a pioneering study to analyze the single and multiple associations between post-COVID-19 characteristics with up to 6-months of follow-up in hospitalized and non-hospitalized COVID-19 patients. The cohort study was conducted from May to October 2020 at the University Hospital Virgen de la Nieves, the leading hospital assigned for patients with COVID-19 in Granada, Spain. A total of 372 and 217 patients-with 217 and 207 included in the first and second follow-up visits-were referred 2 and 6 months after diagnosing COVID-19, respectively. We find out that post-COVID-19 clinical and mental health impairment symptoms are correlated with patient gender. Logistic adjustments showed strong statistically robust single and multiple associations of demographic, clinical, mental health, X-ray, laboratory indices, and pulmonary function variables. The functional lung tests are good predictors of chest CT imaging abnormalities in elderly patients. Bilateral lung involvement, subpleural reticulum, ground-glass opacity, peripheral lung lesions, and bronchiectasis were the most common findings of the high-resolution computed tomography images. Non-hospitalized patients suffer more severe thromboembolic events and fatigue than those hospitalized.

摘要

医学研究正在不断推进,以明确新冠后综合征的亚急性和长期影响的全貌。然而,迄今为止发表的大多数手稿仅分析了新冠后对出院患者的影响,这可能会导致显著偏差。在此,我们提出一项开创性研究,以分析新冠患者住院和未住院情况下,新冠后特征与长达6个月随访之间的单一和多重关联。这项队列研究于2020年5月至10月在西班牙格拉纳达负责新冠患者的主要医院——比维斯圣母大学医院进行。共有372名和217名患者,分别在新冠确诊后2个月和6个月接受复诊,第一次和第二次随访分别纳入217名和207名患者。我们发现,新冠后临床和心理健康损害症状与患者性别相关。逻辑调整显示,人口统计学、临床、心理健康、X线、实验室指标和肺功能变量之间存在强大的统计学稳健单一和多重关联。肺功能测试是老年患者胸部CT成像异常的良好预测指标。双侧肺受累、胸膜下网状结构、磨玻璃影、外周肺病变和支气管扩张是高分辨率计算机断层扫描图像中最常见的表现。未住院患者比住院患者遭受更严重的血栓栓塞事件和疲劳。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0575/8888754/846c2db1ff93/41598_2022_7433_Fig1_HTML.jpg

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