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立陶宛队列中既往合并症对轻度SARS-CoV-2感染后新发合并症及用药的影响。

The Impact of Previous Comorbidities on New Comorbidities and Medications after a Mild SARS-CoV-2 Infection in a Lithuanian Cohort.

作者信息

Važgėlienė Dovilė, Kubilius Raimondas, Bileviciute-Ljungar Indre

机构信息

Department of Physical Rehabilitation Medicine, Kaunas Clinic of the Lithuanian University of Health Sciences, 50161 Kaunas, Lithuania.

Department of Nursing, Lithuanian University of Health Sciences, 44307 Kaunas, Lithuania.

出版信息

J Clin Med. 2024 Jan 22;13(2):623. doi: 10.3390/jcm13020623.

Abstract

This cross-sectional study investigates new comorbidities and new medications after a mild SARS-CoV-2 infection. Data were collected after an acute SARS-CoV-2 infection by online survey in a Lithuanian cohort. Sociodemographic data, SARS-CoV-2-related symptoms, previous and new comorbidities, and medications were analysed. The results of 895 participants (mean age: 44 years) show that 91% were women, 58% had higher education, and 84% were working. Among those, 473 (52.8%) answered being "healthy" before infection; 823 (92%) indicated being positive on diagnostic tests; and 841 (94%) were non-hospitalized. Asymptomatic infection was reported by 17 participants (1.9%). Participants reporting any comorbidity before a SARS-CoV-2 infection reported more frequently having remaining symptoms compared to those who were "healthy", particularly in relation to neurological symptoms. Thirteen percent of participants reported new comorbidities, and thirty-five percent started new medication. Among new medications, an intake of vitamins/supplements (21%) and anti-inflammatory drugs (4%) was more often reported by "unhealthy" participants. Regression analysis revealed that new cardiovascular and pulmonary diagnoses predicted each other. Participants reporting prior neurological disorders tended to have an increased risk of intaking new vitamins/supplements and anti-inflammatory drugs after infection. The results indicate a significantly increased consumption of medication, particularly unprescribed substances, after SARS-CoV-2, indicating a need of more research in this area.

摘要

这项横断面研究调查了轻度SARS-CoV-2感染后的新合并症和新用药情况。通过在线调查收集了立陶宛队列中急性SARS-CoV-2感染后的相关数据。分析了社会人口统计学数据、与SARS-CoV-2相关的症状、既往和新的合并症以及用药情况。895名参与者(平均年龄:44岁)的结果显示,91%为女性,58%拥有高等教育学历,84%有工作。其中,473人(52.8%)在感染前回答自己“健康”;823人(92%)诊断检测呈阳性;841人(94%)未住院。17名参与者(1.9%)报告为无症状感染。与“健康”参与者相比,报告在SARS-CoV-2感染前有任何合并症的参与者更频繁地报告有残留症状,尤其是与神经症状有关的症状。13%的参与者报告有新的合并症,35%开始使用新药物。在新药物中,“不健康”参与者更常报告摄入维生素/补充剂(21%)和抗炎药(4%)。回归分析显示,新的心血管和肺部诊断相互预测。报告有既往神经疾病的参与者在感染后摄入新维生素/补充剂和抗炎药的风险往往增加。结果表明,SARS-CoV-2感染后用药量显著增加,尤其是非处方药,这表明该领域需要更多研究。

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