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[长期新冠:疾病分类学方面及临床流行病学]

[Long COVID: nosographic aspects and clinical epidemiology].

作者信息

Abrignani Maurizio G, Maloberti Alessandro, Temporelli Pier Luigi, Binaghi Giulio, Cesaro Arturo, Ciccirillo Francesco, Oliva Fabrizio, Gabrielli Domenico, Riccio Carmine, Gulizia Michele Massimo, Colivicchi Furio

机构信息

U.O. Cardiologia, P.O. S. Antonio Abate, Asp Trapani.

Cardiologia 4, ASST Grande Ospedale Metropolitano Niguarda, Milano.

出版信息

G Ital Cardiol (Rome). 2022 Sep;23(9):651-662. doi: 10.1714/3860.38447.

Abstract

Recent evidence shows that a range of persistent or new symptoms can manifest after 4-12 weeks in a subset of patients who have recovered from acute SARS-CoV-2 infection, and this condition has been coined long COVID by COVID-19 survivors among social support groups. Long COVID can affect the whole spectrum of people with COVID-19, from those with very mild acute disease to the most severe forms. Like the acute form, long COVID has multisystemic aspects. Patients can manifest with a very heterogeneous multitude of symptoms, including fatigue, post-exertional malaise, dyspnea, cognitive impairment, sleep disturbances, anxiety and depression, muscle pain, brain fog, anosmia/dysgeusia, headache, and limitation of functional capacity, which impact their quality of life. Because of the extreme clinical heterogeneity, and also due to the lack of a shared, specific definition, it is very difficult to know the real prevalence and incidence of this condition. Risk factors for developing long COVID would be female sex, initial severity, and comorbidities. Globally, with the re-emergence of new waves, the population of people infected with SARS-CoV-2 continues to expand rapidly, necessitating a more thorough understanding of potential sequelae of COVID-19. This review summarizes up to date definitions and epidemiological aspects of long COVID.

摘要

最近的证据表明,一部分从急性SARS-CoV-2感染中康复的患者在4至12周后会出现一系列持续或新出现的症状,在社会支持群体中,新冠康复者将这种情况称为“长期新冠”。长期新冠可影响各类新冠患者,从症状非常轻微的急性病患者到病情最严重的患者。与急性新冠一样,长期新冠也具有多系统的特点。患者会出现非常多样的症状,包括疲劳、劳累后不适、呼吸困难、认知障碍、睡眠障碍、焦虑和抑郁、肌肉疼痛、脑雾、嗅觉减退/味觉障碍、头痛以及功能能力受限,这些都会影响他们的生活质量。由于临床异质性极高,且缺乏统一的具体定义,很难确切知晓这种情况的实际患病率和发病率。患长期新冠的风险因素包括女性、初始病情严重程度以及合并症。在全球范围内,随着新一波疫情的再度出现,感染SARS-CoV-2的人群持续迅速扩大,因此有必要更全面地了解新冠的潜在后遗症。本综述总结了长期新冠的最新定义和流行病学情况。

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