Reductions in the Frequency of Going Out Due to the COVID-19 Pandemic Negatively Affect Patients with Spinal Disorders.
Reductions in the Frequency of Going Out Due to the COVID-19 Pandemic Negatively Affect Patients with Spinal Disorders.
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DOI：
10.22603/ssrr.2021-0088
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发表时间：
2021
影响因子：
1.2
通讯作者：
Nakamura H
中科院分区：
文献类型：
--
作者：
Terai H;Iwamae M;Tamai K;Takahashi S;Hori Y;Ohyama S;Yabu A;Hoshino M;Nakamura H
2019冠状病毒病（COVID-19）大流行由于需要防止疾病传播，极大地改变了个人的生活方式。在全球范围内，各国政府已经实施了各种政策，包括旅行禁令、隔离、居家隔离和封锁，作为安全措施。因此，个人外出的频率减少了。这项调查旨在评估因COVID-19大流行而减少外出频率对脊柱疾病患者的影响。这项多中心横断面问卷调查包括因任何症状到四家私人脊柱诊所就诊的患者。参与者在大流行前和大流行后完成问卷调查，评估以下主题：离家频率、运动习惯、机车综合征和健康相关生活质量（HRQOL）。根据观察到的外出频率变化，将患者分为外出频率减少组和未减少组。使用单变量和多变量逻辑回归分析对两组进行统计比较，以确定与外出频率相关的因素。在855名患者中，160名（18.7%；减少组）报告他们外出频率较低，695名（81.3%；未减少组）报告他们在大流行后和前离家的频率相同。多因素分析显示，与未减少组相比，减少组运动习惯显著降低（调整优势比(aOR) = 2.67, p = 0.004），运动综合征发生率显著升高（aOR = 2.86, p = 0.012）， HRQOL显著恶化（aOR = 4.14, p < 0.001）。COVID-19大流行导致的外出限制显著降低了运动频率，增加了运动综合征的发生，并与脊柱疾病患者HRQOL恶化相关。尽管存在COVID-19大流行，但脊柱外科医生鼓励脊柱疾病患者以与大流行前相似的频率离开家，同时避免拥挤的地区，这可能是有益的。
The coronavirus disease 2019 (COVID-19) pandemic has greatly changed the lifestyles of individuals due to the need to prevent disease spread. Globally, governments have enforced various policies, including travel bans, quarantine, home confinement, and lockdowns, as safety measures. Consequently, the frequency of individuals going out has decreased. This survey aimed to assess how decreasing the frequency of going out due to the COVID-19 pandemic impacts patients with spinal disorders. This multicenter cross-sectional questionnaire survey included patients who visited four private spine clinics for any symptoms. Participants completed questionnaires pre- and post-pandemic that assessed the following topics: frequency of leaving home, exercise habits, locomotive syndrome, and health-related quality of life (HRQOL). Patients were divided into decreased and non-decreased frequency of going out groups, according to observed changes in their frequencies of leaving home. Both groups were statistically compared using univariate and multivariate logistic regression analyses to identify factors associated with the frequency of going out. Among 855 patients, 160 (18.7%; the decreased group) reported that they went out less frequently, and 695 (81.3%; the non-decreased group) reported that they left home equally frequently post- versus pre-pandemic. Multivariate analyses showed that exercise habits significantly decreased (adjusted odds ratio (aOR) = 2.67, p = 0.004), the incidence of locomotive syndrome significantly increased (aOR = 2.86, p = 0.012), and HRQOL significantly deteriorated (aOR = 4.14, p < 0.001) in the decreased group compared to the non-decreased group. Restrictions regarding leaving home due to the COVID-19 pandemic significantly decreased exercise frequency, increased the occurrence of locomotive syndrome, and were associated with deterioration of HRQOL in patients with spine disorders. It may be beneficial for spine surgeons to encourage patients with spinal disorders to leave home at a frequency similar to what they did pre-pandemic while avoiding crowded areas, despite the presence of the COVID-19 pandemic.
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