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本文引用的文献

1
Management and treatment of long COVID symptoms in general practices: An online-based survey.全科医学中长新冠症状的管理和治疗:一项基于网络的调查。
Front Public Health. 2022 Sep 13;10:937100. doi: 10.3389/fpubh.2022.937100. eCollection 2022.
2
SARS-CoV-2 infection and multi-organ system damage: A review.SARS-CoV-2 感染与多器官系统损伤:综述。
Biomol Biomed. 2023 Feb 1;23(1):37-52. doi: 10.17305/bjbms.2022.7762.
3
GP consultation rates for sequelae after acute covid-19 in patients managed in the community or hospital in the UK: population based study.英国社区或医院管理的急性新冠病毒后后遗症患者的全科医生就诊率:基于人群的研究。
BMJ. 2021 Dec 29;375:e065834. doi: 10.1136/bmj-2021-065834.
4
A clinical case definition of post-COVID-19 condition by a Delphi consensus.德尔菲共识对新冠后状况的临床病例定义。
Lancet Infect Dis. 2022 Apr;22(4):e102-e107. doi: 10.1016/S1473-3099(21)00703-9. Epub 2021 Dec 21.
5
More Than 100 Persistent Symptoms of SARS-CoV-2 (Long COVID): A Scoping Review.新型冠状病毒(新冠长期症状)的100多种持续症状:一项范围综述
Front Med (Lausanne). 2021 Nov 1;8:750378. doi: 10.3389/fmed.2021.750378. eCollection 2021.
6
Burdens of post-acute sequelae of COVID-19 by severity of acute infection, demographics and health status.COVID-19 急性感染严重程度、人口统计学和健康状况与新冠后急性后遗症负担的关系。
Nat Commun. 2021 Nov 12;12(1):6571. doi: 10.1038/s41467-021-26513-3.
7
Long COVID: current definition.长期新冠:当前定义。
Infection. 2022 Feb;50(1):285-286. doi: 10.1007/s15010-021-01696-5. Epub 2021 Sep 14.
8
Estimating the early impact of vaccination against COVID-19 on deaths among elderly people in Brazil: Analyses of routinely-collected data on vaccine coverage and mortality.评估新冠疫苗接种对巴西老年人死亡的早期影响:对疫苗接种覆盖率和死亡率的常规收集数据分析。
EClinicalMedicine. 2021 Aug;38:101036. doi: 10.1016/j.eclinm.2021.101036. Epub 2021 Jul 16.
9
Burden of post-COVID-19 syndrome and implications for healthcare service planning: A population-based cohort study.新冠后综合征负担及其对医疗服务规划的影响:基于人群的队列研究。
PLoS One. 2021 Jul 12;16(7):e0254523. doi: 10.1371/journal.pone.0254523. eCollection 2021.
10
Characteristics and predictors of acute and chronic post-COVID syndrome: A systematic review and meta-analysis.新冠后急性和慢性综合征的特征及预测因素:一项系统评价和荟萃分析
EClinicalMedicine. 2021 May 24;36:100899. doi: 10.1016/j.eclinm.2021.100899. eCollection 2021 Jun.

长新冠症状数量与不同医疗服务使用之间的剂量反应效应。

Dose-response effect between the number of long COVID symptoms and the use of different health services.

作者信息

Vieira Yohana Pereira, Rocha Juliana Quadros Santos, Dos Santos Ferreira Viero Vanise, Nunes Bruno Pereira, Facchini Luiz Augusto, Duro Suele Manjourany Silva, Neves Rosália Garcia, Fernández-de-Las-Peñas César, de Oliveira Saes Mirelle

机构信息

Postgraduate Programme in Health Sciences, Federal University of Rio Grande, Visconde de Paranaguá, 102, bairro Centro, Rio Grande, Rio Grande do Sul, 96203-900, Brazil.

Postgraduate in Health Sciences, Federal University of Rio Grande, Rio Grande, Rio Grande do Sul, Brazil.

出版信息

Sci Rep. 2025 Apr 16;15(1):13104. doi: 10.1038/s41598-024-72263-9.

DOI:10.1038/s41598-024-72263-9
PMID:40240378
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12003792/
Abstract

This study aims to identify the use of health services by individuals with long COVID residing in South Brazil 6 months after the acute phase of a SARS-CoV-2 infection. A cross-sectional cohort study of individuals who survived coronavirus disease was conducted in Rio Grande, Brazil. The participants were asked about their use of health services during the 6-10 months following recovery from SARS-CoV-2 infection. Data on the overall use of primary healthcare services, general practitioner services, emergency services, specialist doctors' services, and specialized services were collected. Individuals with long COVID reported more frequent use of primary healthcare services, emergency services, specialist doctors' services, and specialized services than those without long COVID. The musculoskeletal, neurological, and respiratory symptoms of long COVID were associated with frequent use of primary healthcare services, whereas the neurological, digestive, and respiratory symptoms were associated with frequent use of emergency services. Finally, the use of specialist doctors' services and specialized services was more frequent in participants with neurological symptoms than in those without these symptoms. Individuals with long COVID used more healthcare services than those without long COVID in South Brazil. Participants with a greater number of symptoms used more health services than those with fewer symptoms. Healthcare services use depends on the type of the long COVID symptoms. Health services in Brazil need to be reorganized and adapted to provide adequate treatment and care to people with long COVID.

摘要

本研究旨在确定巴西南部感染严重急性呼吸综合征冠状病毒2(SARS-CoV-2)急性期6个月后患有长期新冠的个体对医疗服务的使用情况。在巴西里奥格兰德对从冠状病毒病中康复的个体进行了一项横断面队列研究。参与者被问及在从SARS-CoV-2感染康复后的6至10个月内对医疗服务的使用情况。收集了关于初级医疗服务、全科医生服务、急诊服务、专科医生服务和专科服务总体使用情况的数据。与未患长期新冠的个体相比,患有长期新冠的个体报告更频繁地使用初级医疗服务、急诊服务、专科医生服务和专科服务。长期新冠的肌肉骨骼、神经和呼吸症状与频繁使用初级医疗服务相关,而神经、消化和呼吸症状与频繁使用急诊服务相关。最后,有神经症状的参与者比没有这些症状的参与者更频繁地使用专科医生服务和专科服务。在巴西南部,患有长期新冠的个体比未患长期新冠的个体使用更多的医疗服务。症状较多的参与者比症状较少的参与者使用更多的医疗服务。医疗服务的使用取决于长期新冠症状的类型。巴西的医疗服务需要进行重组和调整,以便为患有长期新冠的人提供充分的治疗和护理。