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新冠后综合征:2022 年卡塔尔的洞察——谁有风险,为什么?

Post-COVID-19 syndrome, who at risk and why: an insight from Qatar 2022.

机构信息

Specialist of Community and Preventive Medicine, Department of Community and Preventive Medicine, Hamad Medical Corporation (HMC), Doha, Qatar.

Specialist of Community and Preventive Medicine, Department of Wellness Program, Primary Health Care Corporation (PHCC), Doha, Qatar.

出版信息

Front Public Health. 2024 Apr 12;12:1368568. doi: 10.3389/fpubh.2024.1368568. eCollection 2024.

DOI:10.3389/fpubh.2024.1368568
PMID:38680936
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11048960/
Abstract

BACKGROUND

Despite the recovery from the COVID-19 pandemic, many people experience post-COVID-19 syndrome, which negatively impacts their health and function. This condition has become a significant public health problem that requires immediate attention.

OBJECTIVE

To study the prevalence, clinical characteristics, and predictors of post-COVID-19 Syndrome in Qatar during 2022.

METHODS

An analytic cross-sectional study was conducted among COVID-19 confirmed cases from January 2022 to July 2022 in Qatar. A simple random sample was employed to include ( = 588) participants from the list of cases and invited to participate in a telephone survey. The World Health Organization's standard case definition for PCS was adopted.

RESULTS

Out of 368, the prevalence of post-COVID-19 syndrome was 43.2% ( = 159). Most PCS cases were females (67.9%; = 108), married (73.6%; = 117), and university and higher educational level (83.6%; = 133). However, 78.7% ( = 125) reported poor to moderate levels of social support. Only 30.2% ( = 48) of PCS patients had a history of chronic diseases, and 5.7% ( = 9) required hospital admission during acute illness. Among PCS cases, the most commonly reported symptoms were fatigue (75.5%), followed by anxiety (49.1%), forgetfulness (46.5%), mood alteration (45.3%), and general weakness (39.6%). The logistic regression revealed that female gender (AOR: 2.58 95%CI: 1.58-4.225, < 0.0001), university and high educational level (AOR: 2.2, 95%CI: 1.256-3.98, < 0.006), poor level of social support (AOR: 2.45; 95%CI: 1.55-4.13; < 0.002), were significant predictors for PCS.

CONCLUSION

Post-COVID-19 syndrome may go under-recognized. More efforts are needed to raise awareness and mobilize the resources to respond to this ongoing public health problem.

摘要

背景

尽管 COVID-19 疫情有所缓解,但仍有许多人患有 COVID-19 后综合征,这对他们的健康和功能产生了负面影响。这种情况已成为一个重大的公共卫生问题,需要立即关注。

目的

研究 2022 年卡塔尔 COVID-19 确诊病例中 COVID-19 后综合征的流行率、临床特征和预测因素。

方法

采用横断面分析研究方法,对 2022 年 1 月至 7 月期间卡塔尔的 COVID-19 确诊病例进行了研究。采用简单随机抽样法从病例名单中抽取 588 名( = 588)参与者,并邀请他们参加电话调查。采用世界卫生组织 COVID-19 后综合征的标准病例定义。

结果

在 368 名患者中,COVID-19 后综合征的患病率为 43.2%( = 159)。大多数 COVID-19 后综合征患者为女性(67.9%; = 108)、已婚(73.6%; = 117)和具有大学及以上学历(83.6%; = 133)。然而,78.7%( = 125)的患者报告社会支持水平较差或中等。只有 30.2%( = 48)的 COVID-19 后综合征患者有慢性疾病史,5.7%( = 9)在急性疾病期间需要住院治疗。在 COVID-19 后综合征患者中,最常见的症状是疲劳(75.5%),其次是焦虑(49.1%)、健忘(46.5%)、情绪改变(45.3%)和全身无力(39.6%)。逻辑回归分析显示,女性(优势比[OR]:2.58,95%置信区间[CI]:1.58-4.225, < 0.0001)、大学及以上学历(OR:2.2,95%CI:1.256-3.98, < 0.006)、社会支持水平较差(OR:2.45;95%CI:1.55-4.13; < 0.002)是 COVID-19 后综合征的显著预测因素。

结论

COVID-19 后综合征可能未被充分认识。需要加大力度提高认识并调动资源来应对这一持续存在的公共卫生问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c345/11048960/b9af7dabfe91/fpubh-12-1368568-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c345/11048960/18c6dd40bf2a/fpubh-12-1368568-g001.jpg
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