Etemad Koorosh, Hatami Hossein, Nikpeyma Mahnaz, Mowla Forough, Fallah Atatalab Fatemeh
Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti university of medical sciences, Tehran, Iran.
Safety Promotion and Injury Prevention Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Arch Acad Emerg Med. 2023 Jan 9;11(1):e17. doi: 10.22037/aaem.v11i1.1785. eCollection 2023.
Although the lungs are the main target of coronavirus disease (COVID-19), infection is also associated with a high rate of extra-pulmonary complications. This study aimed to evaluate the one-year incidence of long-term COVID-19 complications among the nursing staff.
This study is a retrospective longitudinal study. All nursing staff working in public hospitals affiliated with Shahid Beheshti University of Medical Sciences who had been affected with COVID-19 were included in the study via convenience sampling method. The patients were recruited from 20 February 2020 to 20 March 2021.
1762 nursing staff with a mean age of 35.08 ± 8.02 (Range: 22-66) years were studied (73.5% female). The results showed that among those who reported at least one type of complication, the duration of complications was significantly longer than 1 week and the median was 8 weeks. The findings demonstrated that complications occurred in 65% of infected females. For men, this rate was 62.3%. Generalized pain, anxiety disorders, and skin complications were among the complications that were significantly more common in women than in men. Additionally, the incidence of anosmia, ageusia, anxiety disorders, and skin complications was significantly higher in younger people than in older people. The comparison of complications revealed that nurses were significantly more likely than other occupations to experience respiratory complications, anosmia and ageusia, generalized pain, and skin complications and that outpatients experienced significantly more complications than hospitalized patients.
The one-year cumulative incidence of long-term complications in nursing staff with COVID-19 was 64.3%. The most common complications were respiratory complications, generalized pain, anosmia, and ageusia, respectively.
尽管肺部是冠状病毒病（COVID-19）的主要靶器官，但感染还与肺外并发症的高发生率相关。本研究旨在评估护理人员中COVID-19长期并发症的一年发病率。
本研究为回顾性纵向研究。通过便利抽样法，纳入所有在设拉子医科大学附属公立医院工作且感染过COVID-19的护理人员。患者于2020年2月20日至2021年3月20日招募。
共研究了1762名护理人员，平均年龄为35.08±8.02（范围：22 - 66）岁，其中女性占73.5%。结果显示，在报告至少一种并发症的患者中，并发症持续时间显著长于1周，中位数为8周。研究结果表明，65%的感染女性出现了并发症。男性的这一比例为62.3%。全身疼痛、焦虑症和皮肤并发症在女性中比在男性中更为常见。此外，嗅觉丧失、味觉丧失、焦虑症和皮肤并发症的发生率在年轻人中显著高于老年人。并发症比较显示，护士比其他职业人员更易出现呼吸并发症、嗅觉丧失和味觉丧失、全身疼痛以及皮肤并发症，且门诊患者比住院患者出现的并发症更多。
COVID-19护理人员长期并发症的一年累积发病率为64.3%。最常见的并发症分别是呼吸并发症、全身疼痛、嗅觉丧失和味觉丧失。
