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J INTERN MED:COVID-19幸存者短期神经精神病学结局和生活质量

2021-02-08 MedSci原创 MedSci原创

住院的COVID-19幸存者在短期内表现出相当常见的神经认知障碍、精神疾病发病率和较差的生活质量。

COVID-19的临床影响越来越受到重视。然而,它对急性期后幸存者的神经认知、精神健康和生活质量(QoL)的影响尚未明确。近日,内科学领域权威杂志Journal of Internal Medicine上发表一篇研究文章,研究人员旨在评估COVID-19幸存者出院后不久的神经认知功能、精神症状和生活质量。

这是针对一项前瞻性研究进行的横断面分析,研究对象为出院后随访2个月的COVID-19幸存者。研究人员采用一系列标准化工具通过电话采访评估了研究对象的神经认知功能、精神疾病发病率和生活质量(精神和身体成分)。

在229名筛查患者中,179名研究对象被纳入最终分析。在幸存者中,即时语言记忆和学习中度受损的患病率为38%,延迟语言记忆(11.8%)、语言流畅性(34.6%)和工作记忆(执行功能,6.1%)。此外,58.7%的患者存在至少一种功能的神经认知障碍。焦虑、抑郁和创伤后应激障碍的阳性筛查率分别为29.6%、26.8%和25.1%。此外,39.1%的患者有精神疾病。身体和精神方面生活质量较低的患者分别占44.1%和39.1%。谵妄和精神疾病的发病率与神经认知障碍有关,女性与精神疾病的发病率有关。

由此可见,住院的COVID-19幸存者在短期内表现出相当常见的神经认知障碍、精神疾病发病率和较差的生活质量。目前尚未确定这些影响是否会长期持续存在。

原始出处:

Raúl Méndez.et al.Short‐term Neuropsychiatric Outcomes and Quality of Life in COVID‐19 Survivors.J INTERN MED.2021.https://onlinelibrary.wiley.com/doi/10.1111/joim.13262

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    2021-02-14 12314969m72暂无昵称

    赞赞赞赞赞

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    2021-02-09 Yilia

    对于新冠肺炎带来的影响会越来越多,希望一切 向好

    0

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