An analysis of patient self-reported COVID-19 symptoms during the first wave of the pandemic in Ireland.
An analysis of patient self-reported COVID-19 symptoms during the first wave of the pandemic in Ireland.
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DOI：
10.1007/s11845-021-02598-z
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发表时间：
2022-04
影响因子：
2.1
通讯作者：
Simpkin AJ
中科院分区：
文献类型：
--
作者：
Gibbons C;Hussain M;O'Keeffe DT;Simpkin AJ
自2019年12月COVID-19爆发以来，全球已有超过1. 15亿例病例（1）。COVID-19的症状差异很大，临床表现的谱尚未完全表征（2）。许多国家都详细介绍了他们对COVID-19的早期经验，重点是这种疾病的临床特征。然而，据我们所知，没有这样的研究详细说明爱尔兰人口的症状。我们的目标是描述爱尔兰人群在COVID-19大流行开始时的COVID-19症状，并比较报告阳性和阴性检测结果的人群之间的症状。位于高威的爱尔兰国立大学的研究人员于2020年4月创建了一个网页MyCovidSymptoms.ie，以调查爱尔兰的COVID-19症状。该网页邀请参与者自我报告RT-PCR测试结果数据（阳性，阴性，未经测试），体温和一系列症状（咳嗽，呼吸急促，疲劳，味觉丧失，嗅觉丧失）。123名爱尔兰参与者接受了COVID-19的RT-PCR检测，记录了他们的症状。84名患者报告他们的COVID-19检测呈阳性，39名患者报告COVID-19检测呈阴性。在我们的COVID-19检测呈阳性的受访者队列中，49/84（58%）的受访者报告了咳嗽。在COVID-19检测呈阴性的39名受访者中，17人（44%）报告有咳嗽。在有和没有COVID-19的情况下，温度分布相似。两组患者自我报告的疲劳程度都很高，65/84（77%）的COVID-19阳性患者报告疲劳，30/39（77%）的COVID-19阴性患者报告疲劳。数据收集时出现的新症状包括味觉和嗅觉丧失。我们证明，与报告阴性结果的患者相比，报告阳性结果的患者嗅觉（p = 0.02）和味觉（p = 0.01）丧失的比例更高。这些数据代表了爱尔兰人群中COVID-19临床特征的早期情况。它还强调了在全球范围内使用自我报告数据作为帮助应对这一流行病的有力工具的可能性。
Since the outbreak of COVID-19 in December 2019, there have been more than 115 million cases worldwide (1). Symptoms of COVID-19 vary widely and the spectrum of clinical presentation has yet to be fully characterised (2). Many countries have detailed their early experience with COVID-19, with a focus on the clinical characteristics of the disease. However, to our knowledge, there has been no such study detailing symptoms in the Irish population. Our aim is to describe COVID-19 symptoms in the Irish population at the beginning of the COVID-19 pandemic and compare symptoms between those reporting positive and negative test results. A Web page MyCovidSymptoms.ie was created by researchers at the National University of Ireland, Galway, in April 2020 to investigate COVID-19 symptoms in Ireland. The Web page invited participants to self-report RT-PCR test outcome data (positive, negative, untested), temperature and a range of symptoms (cough, shortness of breath, fatigue, loss of taste, loss of smell). One hundred and twenty-three Irish participants who had a RT-PCR test for COVID-19 logged their symptoms. Eighty-four patients reported that they tested positive for COVID-19, and 39 patients reported a negative COVID-19 test. In our cohort of respondents with a positive COVID-19 test, 49/84 (58%) respondents reported a cough. Of the 39 respondents with a negative COVID-19 test, 17 (44%) reported having a cough. The distribution of temperature was similar in both those with and without COVID-19. Levels of self-reported fatigue were high in both groups with 65/84 (77%) of COVID-19-positive patients reporting fatigue and 30/39 (77%) of those who were COVID-19-negative reporting fatigue. New symptoms emerging at the time of data collection included loss of taste and smell. We demonstrated a higher proportion of loss of smell (p = 0.02) and taste (p = 0.01) in those reporting a positive result, compared to those reporting a negative result. These data represents an early picture of the clinical characteristics of COVID-19 in an Irish population. It also highlights the potential use of self-reported data globally as a powerful tool in helping with the pandemic.
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