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患者的新冠后/长期新冠症状、疫苗接种及功能状态——一项全州范围在线筛查研究的结果

Patients' Post-/Long-COVID Symptoms, Vaccination and Functional Status-Findings from a State-Wide Online Screening Study.

作者信息

Lippke Sonia, Rinn Robin, Derksen Christina, Dahmen Alina

机构信息

School of Business, Social & Decision Sciences, Constructor University Bremen, 28759 Bremen, Germany.

Klinikum Wolfsburg, 38440 Wolfsburg, Germany.

出版信息

Vaccines (Basel). 2023 Mar 17;11(3):691. doi: 10.3390/vaccines11030691.

Abstract

(1) Background: Better understanding of post-/long-COVID and limitations in daily life due to the symptoms as well as the preventive potential of vaccinations is required. It is unclear whether the number of doses and timepoint interrelate with the trajectory of post-/long-COVID. Accordingly, we examined how many patients positively screened with post-/long-COVID were vaccinated and whether the vaccination status and the timepoint of vaccination in relation to the acute infection were related to post-/long-COVID symptom severity and patients' functional status (i.e., perceived symptom severity, social participation, workability, and life satisfaction) over time. (2) Methods: 235 patients suffering from post-/long-COVID were recruited into an online survey in Bavaria, Germany, and assessed at baseline (T1), after approximately three weeks (T2), and approximately four weeks (T3). (3) Results: 3.5% were not vaccinated, 2.3% were vaccinated once, 20% twice, and 53.3% three times. Overall, 20.9% did not indicate their vaccination status. The timepoint of vaccination was related to symptom severity at T1, and symptoms decreased significantly over time. Being vaccinated more often was associated with lower life satisfaction and workability at T2. (4) Conclusions: This study provides evidence to get vaccinated against SARS-CoV-2, as it has shown that symptom severity was lower in those patients who were vaccinated prior to the infection compared to those getting infected prior to or at the same time of the vaccination. However, the finding that being vaccinated against SARS-CoV-2 more often correlated with lower life satisfaction and workability requires more attention. There is still an urgent necessity for appropriate treatment for overcoming long-/post-COVID symptoms efficiently. Vaccination can be part of prevention measures, and there is still a need for a communication strategy providing objective information about the usefulness and risks of vaccinations.

摘要

(1) 背景:需要更好地了解新冠康复期/长期新冠情况、症状导致的日常生活限制以及疫苗接种的预防潜力。目前尚不清楚疫苗接种剂量和时间点是否与新冠康复期/长期新冠的病程相关。因此,我们研究了新冠康复期/长期新冠筛查呈阳性的患者中有多少人接种了疫苗,以及疫苗接种状况和与急性感染相关的接种时间点是否与新冠康复期/长期新冠症状严重程度和患者功能状态(即感知症状严重程度、社会参与度、工作能力和生活满意度)随时间的变化有关。(2) 方法:235名患有新冠康复期/长期新冠的患者被纳入德国巴伐利亚州的一项在线调查,并在基线(T1)、大约三周后(T2)和大约四周后(T3)进行评估。(3) 结果:3.5%未接种疫苗,2.3%接种过一次,接种两次的占20%,接种三次的占53.3%。总体而言,20.9%未表明其疫苗接种状况。接种时间点与T1时的症状严重程度相关,且症状随时间显著减轻。接种次数较多与T2时较低的生活满意度和工作能力相关。(4) 结论:本研究为接种新冠疫苗提供了证据,因为研究表明,与在接种疫苗之前或同时感染的患者相比,在感染之前接种疫苗的患者症状严重程度较低。然而,接种新冠疫苗次数较多与较低的生活满意度和工作能力相关这一发现需要更多关注。仍然迫切需要适当的治疗方法来有效克服长期新冠症状。疫苗接种可以作为预防措施的一部分,并且仍然需要一种沟通策略来提供关于疫苗接种的益处和风险的客观信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28df/10051253/842caefd51cf/vaccines-11-00691-g001.jpg

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