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从急性感染到长期健康后果:了解全球长新冠的健康差异和经济影响。

From Acute Infection to Prolonged Health Consequences: Understanding Health Disparities and Economic Implications in Long COVID Worldwide.

机构信息

Division of Cardiology, Department of Medicine, University of Illinois Chicago, Chicago, IL 60612, USA.

Department of Internal Medicine, Division of Rheumatology, School of Medicine, University of Jordan, Amman 11942, Jordan.

出版信息

Int J Environ Res Public Health. 2024 Mar 11;21(3):325. doi: 10.3390/ijerph21030325.


DOI:10.3390/ijerph21030325
PMID:38541324
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10970637/
Abstract

The COVID-19 pandemic has resulted in a growing number of patients experiencing persistent symptoms and physiological changes after recovering from acute SARS-CoV-2 infection, known as Long COVID. Long COVID is characterized by recurring symptoms and inflammation across multiple organ systems. Diagnosis can be challenging, influenced by factors like demographics, comorbidities, and immune responses. Long COVID impacts various organ systems and can have neuropsychological effects. Health disparities, particularly related to race, contribute to a higher burden of infection and ongoing symptoms in minority populations. Managing Long COVID entails addressing a spectrum of symptoms that encompass physical, cognitive, and psychological aspects. The recovery period for patients with Long COVID can vary significantly, influenced by factors like the severity of the disease, hospitalization, comorbidities, and age. Currently, there are no universally effective treatments, although certain interventions show promise, necessitating further research. Self-management and rehabilitation programs can provide relief, but more research is needed to establish their effectiveness. Preventive measures such as vaccination and the use of antiviral medications and metformin. It is imperative to conduct further research to develop evidence-based guidelines and gain a better understanding of the long-term implications of COVID-19. Long COVID could have substantial economic impact on the labor market, productivity, healthcare expenditures, and overall economic growth. To address the challenges patients with long-term complications face, there is a focus on strategies like promoting telework and flexible work arrangements to accommodate diverse symptoms, particularly chronic fatigue and other Long COVID effects. In conclusion, this review emphasizes the multifaceted complexity of Long COVID and the ongoing need to address its potential long-term health and economic impacts.

摘要

COVID-19 大流行导致越来越多的患者在急性 SARS-CoV-2 感染后出现持续症状和生理变化,称为长新冠。长新冠的特征是反复发作的症状和多个器官系统的炎症。诊断具有挑战性,受到人口统计学、合并症和免疫反应等因素的影响。长新冠影响各种器官系统,并可能产生神经心理学影响。健康差异,特别是与种族有关的差异,导致少数族裔人群感染和持续症状的负担更高。管理长新冠需要解决一系列症状,包括身体、认知和心理方面。长新冠患者的恢复期差异很大,受到疾病严重程度、住院、合并症和年龄等因素的影响。目前,虽然某些干预措施显示出希望,但还没有普遍有效的治疗方法,需要进一步研究。自我管理和康复计划可以提供缓解,但需要更多的研究来确定其效果。预防措施,如接种疫苗、使用抗病毒药物和二甲双胍。必须进行进一步的研究,以制定基于证据的指南,并更好地了解 COVID-19 的长期影响。长新冠可能对劳动力市场、生产力、医疗保健支出和整体经济增长产生重大的经济影响。为了应对长期并发症患者面临的挑战,重点关注促进远程办公和灵活工作安排等策略,以适应各种症状,特别是慢性疲劳和其他长新冠影响。总之,本综述强调了长新冠的多方面复杂性,以及应对其潜在长期健康和经济影响的持续需求。

相似文献

[1]
From Acute Infection to Prolonged Health Consequences: Understanding Health Disparities and Economic Implications in Long COVID Worldwide.

Int J Environ Res Public Health. 2024-3-11

[2]
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Scand J Work Environ Health. 2021-7-1

[3]
Beyond the acute illness: Exploring long COVID and its impact on multiple organ systems.

Physiol Int. 2023-12-18

[4]
Interplay between Comorbidities and Long COVID: Challenges and Multidisciplinary Approaches.

Biomolecules. 2024-7-11

[5]
Event rates and incidence of post-COVID-19 condition in hospitalised SARS-CoV-2 positive children and young people and controls across different pandemic waves: exposure-stratified prospective cohort study in Moscow (StopCOVID).

BMC Med. 2024-2-1

[6]
Epidemiology and organ specific sequelae of post-acute COVID19: A narrative review.

J Infect. 2021-7

[7]
Long COVID.

Przegl Epidemiol. 2022

[8]
Emerging trends in management of long COVID with a focus on pulmonary rehabilitation: A review.

Clin Respir J. 2024-5

[9]
Mental health among children with long COVID during the COVID-19 pandemic.

Eur J Pediatr. 2023-4

[10]
Letter to the Editor: THE IMPACT OF THE COVID-19 PANDEMIC ON SCHIZOPHRENIA PATIENTS.

Turk Psikiyatri Derg. 2021

引用本文的文献

[1]
A comprehensive review on computational metabolomics: Advancing multiscale analysis through approaches.

Comput Struct Biotechnol J. 2025-7-13

[2]
Host-Virus Interface in Persistent SARS-CoV-2 Infections: Viral Characteristic Evolution and Gene Expression Profiling Analysis.

Int J Mol Sci. 2025-6-27

[3]
Systems Thinking, Causal Loop Diagram, and Systems Dynamic in Public Health Challenges: Navigating Long COVID Syndrome and Sense of Smell in LGBTQIA+ Communities.

Public Health Chall. 2024-9-3

[4]
Long-COVID is associated with increased absenteeism from work.

PLoS One. 2025-6-6

[5]
Multidisciplinary collaborative guidance on the assessment and treatment of patients with Long COVID: A compendium statement.

PM R. 2025-4-22

[6]
Comparative Analysis of Virology and Pathogenesis of SARS-CoV-2 and HIV Infections: Implications for Public Health and Treatment Strategies.

Infect Drug Resist. 2025-1-15

[7]
Cerebromicrovascular mechanisms contributing to long COVID: implications for neurocognitive health.

Geroscience. 2025-2

[8]
Pre-or co-SARS-CoV-2 Infections Significantly Increase Severe Dengue Virus Disease Criteria: Implications for Clinicians.

Pathogens. 2024-7-10

本文引用的文献

[1]
Clinical effectiveness of rehabilitation in ambulatory care for patients with persisting symptoms after COVID-19: a systematic review.

BMC Infect Dis. 2023-6-21

[2]
Outpatient treatment of COVID-19 and incidence of post-COVID-19 condition over 10 months (COVID-OUT): a multicentre, randomised, quadruple-blind, parallel-group, phase 3 trial.

Lancet Infect Dis. 2023-10

[3]
Development of a Definition of Postacute Sequelae of SARS-CoV-2 Infection.

JAMA. 2023-6-13

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Long COVID risk and pre-COVID vaccination in an EHR-based cohort study from the RECOVER program.

Nat Commun. 2023-5-22

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J Med Virol. 2023-4

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Lancet Infect Dis. 2023-7

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The economic burden of the post-COVID-19 condition: Underestimated long-term consequences of neuropsychological deficits.

J Glob Health. 2023-5-5

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JAMA Intern Med. 2023-6-1

[9]
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J Med Life. 2023-2

[10]
Long-term gastrointestinal outcomes of COVID-19.

Nat Commun. 2023-3-7

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