Siriratnam Pakeeran, Chen Zhibin, McArthur Laura, Reddell Stephen, Zhang WenWen, Buzzard Katherine
Neurology Department, Alfred Health, Melbourne, VIC, Australia.
Department of Neuroscience, The Central Clinical School, Monash University, 55 Commercial Road, Melbourne, VIC, 3004, Australia.
Neurol Sci. 2025 Feb;46(2):539-548. doi: 10.1007/s10072-024-07934-6. Epub 2024 Dec 28.
INTRODUCTION/AIMS: Previous studies have demonstrated high morbidity and mortality in patients with myasthenia gravis (MG) who acquired COVID-19. We aimed to identify the impact of the pandemic on MG disease control, treatment and quality of life.
A prospective observational cohort study was conducted to identify the impact of the COVID-19 pandemic on Australian patients with MG. We conducted an online survey through Myasthenia Alliance Australia from May 2022 to July 2022.
Among the 229 patients who responded to the survey, most patients had three (80; 34.9%) or four (116; 50.7%) doses of the COVID-19 vaccines, 65 (28.4%) had contracted COVID-19, with 6 patients (9.4%) requiring hospitalisation. A large proportion of patients responded that the pandemic had no impact on their MG disease control (123; 53.7%) or treatment (111; 48.5%). Most patients felt the pandemic had either a mild (111; 48.5%) or moderate (50; 21.8%) impact on their mood.
Our study provides a snapshot of the types of impacts experienced by myasthenic patients during the pandemic, in particular the psychosocial effects. As we continue to live with COVID-19, clinicians should consider its various impacts in the holistic management of their patients.
引言/目的:先前的研究表明,感染新型冠状病毒肺炎(COVID-19)的重症肌无力(MG)患者具有较高的发病率和死亡率。我们旨在确定疫情对MG疾病控制、治疗及生活质量的影响。
开展一项前瞻性观察性队列研究,以确定COVID-19疫情对澳大利亚MG患者的影响。2022年5月至2022年7月,我们通过澳大利亚重症肌无力联盟进行了一项在线调查。
在229名回复调查的患者中,大多数患者接种了三剂(80名;34.9%)或四剂(116名;50.7%)COVID-19疫苗,65名(28.4%)感染了COVID-19,其中6名患者(9.4%)需要住院治疗。很大一部分患者表示,疫情对其MG疾病控制(123名;53.7%)或治疗(111名;48.5%)没有影响。大多数患者认为疫情对其情绪的影响为轻度(111名;48.5%)或中度(50名;21.8%)。
我们的研究呈现了疫情期间MG患者所经历的影响类型,尤其是心理社会影响。在我们继续与COVID-19共存的过程中,临床医生在对患者进行整体管理时应考虑其各种影响。