Melinte Oana Elena, Robu Popa Daniela, Dobrin Mona Elisabeta, Cernomaz Andrei Tudor, Grigorescu Cristina, Nemes Alexandra Floriana, Gradinaru Adina Catinca, Vicol Cristina, Todea Doina Adina, Vulturar Damiana Maria, Cioroiu Ionel Bogdan, Trofor Antigona Carmen
Discipline of Pneumology, III-rd Medical Department, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.
Clinical Hospital of Pulmonary Diseases, 700116 Iasi, Romania.
J Pers Med. 2023 Dec 22;14(1):21. doi: 10.3390/jpm14010021.
Long COVID-19 or post-COVID infection (PCI) refers to the prolongation of symptoms in people who have been infected with the SARS-CoV-2 virus. Some meta-analysis studies have shown that patients with comorbidities, such as diabetes, obesity or hypertension, have severe complications after infection with the SARS-CoV-2 virus. The presence of chronic respiratory diseases such as bronchial asthma, COPD, pulmonary hypertension or cystic fibrosis increases the risk of developing severe forms of the COVID-19 disease. The risk of developing the severe form of COVID-19 was observed in patients with bronchial asthma being treated with corticosteroids, but also in those hospitalized with severe asthma. The biological variables determined in patients with PCI infection showed changes, especially in the hematological parameters, but also in some inflammatory markers. The aim of this study was to investigate some biological predictors in post-COVID-19 infection in patients with asthma and various comorbidities. In the case of patients diagnosed with moderate and severe forms of COVID-19, the variation in biological tests has shown high concentrations for serum glucose, lactate dehydrogenase and C-reactive protein. Additionally, the calculation of the relative risk (RR) based on the associated comorbidities in patients with PCI points to higher values for patients with asthma, hypertension, diabetes and obesity (RR moderate/severe form = 0.98/1.52), compared to patients with PCI and asthma (RR moderate/severe form = 0.36/0.63). Based on the statistical results, it can be concluded that the alanine aminotransferase (ALT) activity ( = 0.006) and the age of patients ( = 0.001) are the variables that contribute the most to the separation of the four classes of comorbidities considered.
新冠后综合征或新冠感染后(PCI)是指感染严重急性呼吸综合征冠状病毒2(SARS-CoV-2)病毒的人症状持续存在。一些荟萃分析研究表明,患有合并症(如糖尿病、肥胖或高血压)的患者在感染SARS-CoV-2病毒后会出现严重并发症。支气管哮喘、慢性阻塞性肺疾病(COPD)、肺动脉高压或囊性纤维化等慢性呼吸道疾病的存在会增加患重症新冠疾病的风险。在接受皮质类固醇治疗的支气管哮喘患者以及因重度哮喘住院的患者中都观察到了患重症新冠的风险。PCI感染患者所测定的生物学变量出现了变化,尤其是血液学参数,一些炎症标志物也有变化。本研究的目的是调查哮喘及各种合并症患者新冠感染后的一些生物学预测指标。对于诊断为中度和重度新冠的患者,生物学检测结果显示血清葡萄糖、乳酸脱氢酶和C反应蛋白浓度较高。此外,根据PCI患者的相关合并症计算相对风险(RR)发现,与患有PCI和哮喘的患者(RR中度/重度形式 = 0.36/0.63)相比,哮喘、高血压、糖尿病和肥胖患者的RR值更高(RR中度/重度形式 = 0.98/1.52)。根据统计结果,可以得出结论,丙氨酸转氨酶(ALT)活性( = 0.006)和患者年龄( = 0.001)是对所考虑的四类合并症的区分贡献最大的变量。