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新冠康复者及新冠后综合征患者的纵向症状分析

Longitudinal Symptom Analysis of COVID-19 Survivors and Post-COVID Syndrome Patients.

作者信息

de Faria Eduarda Martins, de Sá Sousa Cíntia Moraes, de Oliveira Ribeiro Caroline, Bóia Márcio Neves, Lopes Agnaldo José, de Melo Pedro Lopes

机构信息

Biomedical Instrumentation Laboratory, Institute of Biology and Faculty of Engineering, State University of Rio de Janeiro, Rio de Janeiro 20550-013, Brazil.

Infectious Parasitic Diseases Sector, Faculty of Medical Sciences, State University of Rio de Janeiro, Rio de Janeiro 20551-030, Brazil.

出版信息

Biomedicines. 2025 May 29;13(6):1334. doi: 10.3390/biomedicines13061334.

Abstract

The present study aimed to analyze changes in symptom intensity during the recovery period of COVID-19 survivors and patients with post-COVID syndrome. Initially, we described a new remote patient monitoring system to track the intensity of specific symptoms in individuals' home environments. Remote patient monitoring (RPM) was implemented over 15 days in a cohort of 133 individuals aged 20 to 78 years, divided into four groups: mild (MG, n = 40), Hospital Discharge Without Invasive Mechanical Ventilation (WIMV, n = 40), Hospital Discharge With Invasive Mechanical Ventilation (IMV, n = 13), and reinfected (RG, n = 40). The most prevalent symptoms reported across all groups, based on average intensity, were shortness of breath, fatigue, cough, headache, and body pain. The WIMV group exhibited the highest average intensities in six symptoms ( < 0.01), while the IMV group reported the highest averages in four symptoms ( < 0.05). Fatigue was the symptom with the highest overall intensity, followed by memory lapses. The hospitalized groups demonstrated the highest intensities and most persistent symptoms ( < 0.05). Blood pressure was significantly higher in the MG group compared to the RG group ( < 0.0001), although all values remained within the normal range. These results provide novel insights, revealing distinct differences in the symptom profiles among the studied groups. These findings hold significant implications for developing more personalized care strategies and informing future pandemic preparedness and response efforts.

摘要

本研究旨在分析新冠病毒感染者康复期及新冠后综合征患者症状强度的变化。最初,我们描述了一种新的远程患者监测系统,用于在个体家庭环境中跟踪特定症状的强度。对133名年龄在20至78岁之间的个体进行了为期15天的远程患者监测(RPM),这些个体分为四组:轻症组(MG,n = 40)、无创机械通气出院组(WIMV,n = 40)、有创机械通气出院组(IMV,n = 13)和再感染组(RG,n = 40)。基于平均强度,所有组报告的最常见症状为呼吸急促、疲劳、咳嗽、头痛和身体疼痛。WIMV组在六种症状中表现出最高的平均强度(<0.01),而IMV组在四种症状中报告的平均值最高(<0.05)。疲劳是总体强度最高的症状,其次是记忆减退。住院组表现出最高的强度和最持久的症状(<0.05)。与RG组相比,MG组的血压显著更高(<0.0001),尽管所有值均保持在正常范围内。这些结果提供了新的见解,揭示了研究组之间症状特征的明显差异。这些发现对于制定更个性化的护理策略以及为未来的大流行防范和应对工作提供信息具有重要意义。

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