Postdischarge rheumatic and musculoskeletal symptoms following hospitalization for COVID-19: prospective follow-up by phone interviews.

Postdischarge rheumatic and musculoskeletal symptoms following hospitalization for COVID-19: prospective follow-up by phone interviews.
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DOI:
10.1007/s00296-021-04882-8
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发表时间:
2021-07
影响因子:
4
通讯作者:
Kardeş S
Kardeş S
中科院分区:
医学3区
文献类型:
--
作者:
Karaarslan F;Demircioğlu Güneri F;Kardeş S

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描述 2019 年冠状病毒病 (COVID-19) 住院时的风湿和肌肉骨骼症状及其出院后的持续性/严重程度,并确定年龄、性别、体重指数 (BMI) 和住院时间是否与这些症状的持续存在相关。在这项由 300 名参与者组成的单中心队列研究中,进行了两次电话访谈(住院后 2 周和 1 个月),并使用标准化表格询问症状。该表格包括肌肉骨骼症状和其他 COVID-19 症状。考虑到所有症状(肌肉骨骼和其他),住院时、2周和1个月时,分别有100.0%、86.7%和72.0%的患者报告了一种或多种症状。仅考虑肌肉骨骼症状,分别有 92.3%、72.7% 和 56.3% 的患者在住院时、2 周和 1 个月报告有任何肌肉骨骼症状。肌肉骨骼症状包括疲劳(44.3%的患者报告)、背痛(22.7%)、关节痛(22.0%)、肌痛(21.0%)、腰痛(16.3%)和颈痛(10.3%);其他症状为1个月时呼吸急促(26.3%)、味觉丧失(15.0%)、咳嗽(14.0%)、嗅觉丧失(12.3%)、食欲不振(10.3%)、头痛(8.7%)、咽喉痛(3.0%)、腹泻(1.3%)、头晕(1.3%)和发烧(0.3%)。 BMI 增加与 1 个月时持续疲劳(OR:1.08、1.03 至 1.13)、肌痛(OR:1.08、1.01 至 1.14)和关节痛(OR:1.07、1.02 至 1.14,p = 0.012)的几率较高相关。近四分之三的患者报告了一种或多种症状,超过一半的患者在 1 个月时报告了任何肌肉骨骼症状。最常见的肌肉骨骼症状是疲劳,其次是背痛、关节痛、肌痛、腰痛和颈部疼痛。疲劳、肌痛和关节痛的持续性与BMI有关。研究结果增加了我们对 COVID-19 谱系的了解,进而可能为 COVID-19 幸存者提供更有效、更好的护理。 在线版本包含可在 10.1007/s00296-021-04882-8 获取的补充材料。
To describe the rheumatic and musculoskeletal symptoms at hospitalization as well as their persistence/severity after discharge with coronavirus disease 2019 (COVID-19) and to identify whether age, sex, body mass index (BMI), and length of hospital stay are associated with persistence of these symptoms. In this single-center cohort study, comprising 300 participants, two phone interviews were conducted (2-week and 1-month after hospitalization) and symptoms were queried with a standardized form. This form included musculoskeletal symptoms and other COVID-19 symptoms. Considering all symptoms (musculoskeletal and other), 100.0%, 86.7%, and 72.0% of patients reported one or more symptoms, at hospitalization, 2-week, and 1-month, respectively. Considering only musculoskeletal symptoms, 92.3%, 72.7%, and 56.3% of patients reported any musculoskeletal symptom at hospitalization, 2-week, and 1-month, respectively. The musculoskeletal symptoms were fatigue (44.3% of patients reported), back pain (22.7%), arthralgia (22.0%), myalgia (21.0%), low back pain (16.3%), and neck pain (10.3%); the other symptoms were shortness of breath (26.3%), loss of taste (15.0%), cough (14.0%), loss of smell (12.3%), loss of appetite (10.3%), headache (8.7%), sore throat (3.0%), diarrhea (1.3%), dizziness (1.3%), and fever (0.3%) at 1-month. Increasing BMI was associated with higher odds of persistence of fatigue (OR: 1.08, 1.03 to 1.13), myalgia (OR: 1.08, 1.01 to 1.14), and arthralgia (OR: 1.07, 1.02 to 1.14, p = 0.012) at 1-month. Nearly three-quarters reported one or more symptoms, with more than half of patients reported any musculoskeletal symptom at 1 month. The most common musculoskeletal symptom was fatigue, followed by back pain, arthralgia, myalgia, low back pain, and neck pain. The persistence of fatigue, myalgia, and arthralgia was related to BMI. The study results increase our understanding of the spectrum of COVID-19, which, in turn, may lead to more efficient and better care for COVID-19 survivors. The online version contains supplementary material available at 10.1007/s00296-021-04882-8.
DOI: 10.1007/s00296-020-04728-9
发表时间: 2021-03
影响因子: 4
作者:
Kardeş S;Kuzu AS;Raiker R;Pakhchanian H;Karagülle M
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DOI: 10.1016/j.jinf.2021.01.004
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期刊: The Journal of infection
影响因子: --
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影响因子: 4
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期刊: OBESITY REVIEWS
影响因子: 8.9
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