medRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2024,
Номер
unknown
Опубликована: Июнь 21, 2024
Abstract
Introduction
Post-acute
sequelae
of
COVID-19
(PASC)
is
causing
a
silent
pandemic
in
the
U.S.
Gulf
South,
part
flyover
where
patients
are
quietly
withdrawing
from
workforce
and
largely
disconnected
advocacy
resources
growing
more
affluent
regions[1].
To
date,
there
no
clinical
test
to
diagnose
PASC
risk
factors
etiology
remain
unclear.
Methods
This
prospective
study
investigates
alongside
pre-COVID-19
medical
history,
acute
course,
panel
25
blood
biomarkers
collected
100
New
Orleans,
LA,
52.5%
Black
cohort,
providing
unique
opportunity
describe
symptoms
associations
within
comorbidity-rich
population.
107
participants
recruited
ClinSeqSer
at
University
Medical
Center
(UMC)
or
Tulane
(TMC)
Orleans
underwent
symptom
questionnaires
3-month
intervals.
samples
their
initial
post-COVID
follow-up
visit
were
analyzed
for
cardiac,
metabolic,
inflammatory,
coagulation,
chemistry,
hematologic
markers
laboratory.
Results
SPSS
with
positivity
which
was
defined
as
presence
three
new-since-COVID
present
12
weeks
after
COVID
diagnosis.
prevalence
also
demographics
past
history.
Enrolled
ranged
21-87
years
old
(median
53,
mean
52.1,
STD
13.7).
63%
female,
Black,
44%
White,
3%
Asian.
52%
hospitalized
during
course.
Severity
participants’
prior
known
most
subjects.
For
82%
subjects,
nasal
swab
saliva
SARS
CoV-2
qRT-PCR
value
PCR
values
did
not
predict
later
PASC.
Maximum
severity
scores
assigned
out
105
whom
data
collected.
On
average,
reported
over
5
75%
who
completed
questionnaire
time
draw
positive.
Questionnaire
results
identified
common
including
fatigue
(64%),
dyspnea
(53%),
myalgias
(48%),
trouble
concentrating
memory
problems
(50%).
Over
one
third
arthralgias
(34%),
headaches
(40%),
sleeping
(40%).
all
reporting
these
symptoms,
average
frequency
on
scale
1
(mild)
(severe)
follows
(frequency;
severity):
(3.3;
3.3),
myalgia
(3.4,
3.4),
(3.1,
3.2).
Comparison
means
analysis
indicates
that
hemoglobin,
hematocrit
calcium
lower
positive
but
still
normal
range.
Analysis
females
this
4.8
times
likely
be
classified
than
males.
Serology
mild
trend
toward
higher
anti-N
concentration,
plasma
proximity
extension
proteome
detected
IL-6
TNF,
among
vs
non-PASC.
Discussion
highly
prevalent
subjects
cohort.
A
commonly
ordered
labs
unable
distinguish
non-PASC
indicating
an
ongoing
need
diagnostic
relevant
across
diverse
patient
groups.
Інфекційні хвороби,
Год журнала:
2024,
Номер
3, С. 28 - 34
Опубликована: Окт. 11, 2024
After
the
COVID-19
pandemic,
persistence
of
Long
COVID
symptoms
is
particular
concern,
which
significantly
affects
quality
life
and
ability
to
work.
The
aim
study
establish
peculiarities
clinical
epidemiological
data
in
patients
infected
with
SARS-CoV-2
depending
on
period
illness.
Patients
methods.
We
examined
108
divided
into
three
groups:
those
confirmed
COVID-19,
COVID,
practically
healthy
persons.
features
course
were
determined
based
analysis
medical
records
developed
questionnaire.
Results.
Women
predominated
among
subjects
(56
%)
an
average
age
41.44
years.
main
that
characterized
picture
generalized
weakness/fatigue
(94
%),
headache
(74
fever/body
aches
cough
71
%
(p<0.05).
In
group,
compared
(40
(29
(3
(9
less
common,
sleep
disorders
/
insomnia
(17
muscle
pain
(11
shortness
breath
runny
nose
sneezing
(6
loss
(worsening)
appetite
sore
throat
difficulty
concentrating
abdominal
Conclusions.
Reduced
access
healthcare
services
leads
delayed
hospitalization,
prolonged
treatment,
complications.
level
vaccination
does
not
affect
risk
COVID.
Clinical
signs
COVID:
weakness/fatigue,
anxiety,
mood
disturbance,
are
detected
one
third
cause
a
decrease
overall
life.
most
persistent
general
headache,
breath,
disorders/insomnia
persist
34-42
from
moment
confirmed.
Meditsinskiy sovet = Medical Council,
Год журнала:
2024,
Номер
6, С. 89 - 97
Опубликована: Апрель 24, 2024
The
article
presents
the
modern
ideas
about
post-COVID
syndrome,
indicates
various
types
and
classifications
of
provides
epidemiological
data,
including
patients
with
type
2
diabetes,
also
definition
syndrome
is
given.
group
defined
as
very
heterogeneous.
Post-COVID
more
common
in
elderly,
comorbid
pathology,
severe
disease.
pathophysiology
this
diabetes
mellitus
analyzed,
risk
factors
are
indicated.
main
biomarkers
disorders
were
determined:
monocytes
their
coefficients,
acute
phase
proteins,
some
biochemical
indicators,
analysis
genetic
associations
severity
(interferon
gamma
gene,
methylenetetrahydrofolate
reductase
ACE2
inhibitor).
Genotyping
a
sample
26
single
nucleotide
polymorphisms
genes
implicated
viral
entry,
immune
response,
inflammation
significantly
associated
not
only
long-term
COVID-19
symptoms,
but
cumulative
incidence
syndrome.
Elevated
levels
interleukin
6,
C-reactive
protein
tumor
necrosis
factor
alpha
may
serve
potential
diagnostic
COVID
blood
vascular
transformation
have
great
for
diagnosis,
angiogenesis
modulators
therapeutic
efficacy
It
has
been
shown
that
vast
majority
patients,
particular
those
suffering
from
develop
post-COVID-19
taking
into
account
pre-existing
diseases,
so
harmless.
By
identifying
associations,
it
possible
to
identify
molecular
mechanism
mellitus.
novelty
disease
association
studies
context
new
insights
management
rapidly
evolving
syndromes
significant
global
implications.
Journal of Rehabilitation Medicine,
Год журнала:
2024,
Номер
56, С. jrm25491 - jrm25491
Опубликована: Июнь 11, 2024
Objective:
To
assess
the
clinical
effects
of
incentive
spirometry
(IS)
and
diaphragmatic
breathing
(DB)
in
patients
with
post
COVID-19
condition
dysfunction
as
compared
standard
care
alone.
Methods:
The
present
longitudinal
randomized
study
included
60
dysfunction.
Patients
were
equally
to
receive
plus
IS
(G1),
DB
(G2)
or
alone
(G3)
for
8
weeks.
primary
outcome
is
improvement
evaluated
by
modified
Medical
Research
Council
(mMRC)
dyspnoea
scale.
Results:
Comparison
between
studied
groups
revealed
significant
G1
G2
all
parameters
at
end
follow-up.
However,
no
was
found
G3.
At
follow-up,
15
(75.0%)
G1,
11
(55.0%)
G2,
3
(15.0%)
G3
showed
on
mMRC
Multivariate
logistic
regression
analysis
identified
mild
acute
infection
(p
=
0.009),
use
<
0.001),
0.023)
predictors
Conclusions:
training
addition
associated
better
medRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2024,
Номер
unknown
Опубликована: Июнь 21, 2024
Abstract
Introduction
Post-acute
sequelae
of
COVID-19
(PASC)
is
causing
a
silent
pandemic
in
the
U.S.
Gulf
South,
part
flyover
where
patients
are
quietly
withdrawing
from
workforce
and
largely
disconnected
advocacy
resources
growing
more
affluent
regions[1].
To
date,
there
no
clinical
test
to
diagnose
PASC
risk
factors
etiology
remain
unclear.
Methods
This
prospective
study
investigates
alongside
pre-COVID-19
medical
history,
acute
course,
panel
25
blood
biomarkers
collected
100
New
Orleans,
LA,
52.5%
Black
cohort,
providing
unique
opportunity
describe
symptoms
associations
within
comorbidity-rich
population.
107
participants
recruited
ClinSeqSer
at
University
Medical
Center
(UMC)
or
Tulane
(TMC)
Orleans
underwent
symptom
questionnaires
3-month
intervals.
samples
their
initial
post-COVID
follow-up
visit
were
analyzed
for
cardiac,
metabolic,
inflammatory,
coagulation,
chemistry,
hematologic
markers
laboratory.
Results
SPSS
with
positivity
which
was
defined
as
presence
three
new-since-COVID
present
12
weeks
after
COVID
diagnosis.
prevalence
also
demographics
past
history.
Enrolled
ranged
21-87
years
old
(median
53,
mean
52.1,
STD
13.7).
63%
female,
Black,
44%
White,
3%
Asian.
52%
hospitalized
during
course.
Severity
participants’
prior
known
most
subjects.
For
82%
subjects,
nasal
swab
saliva
SARS
CoV-2
qRT-PCR
value
PCR
values
did
not
predict
later
PASC.
Maximum
severity
scores
assigned
out
105
whom
data
collected.
On
average,
reported
over
5
75%
who
completed
questionnaire
time
draw
positive.
Questionnaire
results
identified
common
including
fatigue
(64%),
dyspnea
(53%),
myalgias
(48%),
trouble
concentrating
memory
problems
(50%).
Over
one
third
arthralgias
(34%),
headaches
(40%),
sleeping
(40%).
all
reporting
these
symptoms,
average
frequency
on
scale
1
(mild)
(severe)
follows
(frequency;
severity):
(3.3;
3.3),
myalgia
(3.4,
3.4),
(3.1,
3.2).
Comparison
means
analysis
indicates
that
hemoglobin,
hematocrit
calcium
lower
positive
but
still
normal
range.
Analysis
females
this
4.8
times
likely
be
classified
than
males.
Serology
mild
trend
toward
higher
anti-N
concentration,
plasma
proximity
extension
proteome
detected
IL-6
TNF,
among
vs
non-PASC.
Discussion
highly
prevalent
subjects
cohort.
A
commonly
ordered
labs
unable
distinguish
non-PASC
indicating
an
ongoing
need
diagnostic
relevant
across
diverse
patient
groups.