Tỷ lệ cao của Long COVID ở bệnh nhân suy miễn dịch biến đổi thông thường: Một nghiên cứu đa trung tâm tại Ý

Antonella Villa1, Cinzia Milito1, Carla Maria Deiana2, Renato Finco Gambier3, Alessandra Punziano4, Helena Buso3, Patrick Bez3, Gianluca Lagnese4, Giulia Garzi1, Giulia Costanzo2, Gloria Giannuzzi1, Chiara Pagnozzi3, Virgil A. S. H. Dalm5, Giuseppe Spadaro4, Marcello Rattazzi3, Francesco Cinetto3, Davide Firinu2
1Department of Molecular Medicine, Sapienza University of Rome, Rome, Italy
2Department of Medical Sciences and Public Health, University of Cagliari, Monserrato, Italy
3Rare Diseases Referral Center, Internal Medicine I, Ca’ Foncello Hospital, AULSS2 Marca Trevigiana, Department of Medicine - DIMED, University of Padova, Treviso, Italy
4Department of Translational Medical Sciences, University of Naples “Federico II”, Naples, Italy
5Department of Internal Medicine, Division of Allergy & Clinical Immunology, Erasmus University Medical Center, Rotterdam, the Netherlands

Tóm tắt

Tóm tắt

Các tác động lâu dài của nhiễm SARS-CoV-2 đại diện cho một vấn đề sức khỏe toàn cầu quan trọng. Long COVID (LC) được định nghĩa là một tổ hợp các dấu hiệu và triệu chứng phát triển trong hoặc sau nhiễm SARS-CoV-2 và kéo dài > 12 tuần. Ở những bệnh nhân suy miễn dịch biến đổi thông thường (CVID), chúng tôi đã báo cáo trước đó về nguy cơ nhập viện và tử vong cao hơn trong thời gian nhiễm SARS-CoV-2, cũng như tình trạng dương tính kéo dài của mẫu và sự tái nhiễm thường xuyên. Mục tiêu của nghiên cứu hiện tại là đánh giá nguy cơ LC ở một nhóm bệnh nhân CVID tại Ý. Chúng tôi sử dụng phiên bản dịch của khảo sát do Trung tâm Kiểm soát và Phòng ngừa Dịch bệnh (CDC) đề xuất để thu thập dữ liệu về LC. Trong nhóm bệnh nhân CVID được tuyển chọn gồm 175 người, chúng tôi phát hiện tỷ lệ cao của LC (65.7%). Các triệu chứng LC phổ biến nhất là mệt mỏi (75.7%), đau khớp/đau cơ (48.7%), và khó thở (41.7%). Phần lớn bệnh nhân (60%) trải qua triệu chứng kéo dài, ít nhất 6 tháng sau khi nhiễm. Trong một phân tích đa biến, sự hiện diện của kiểu hình phức tạp (OR 2.44, 95% CI 1.88–5.03; p = 0.015), béo phì (OR 11.17, 95% CI 1.37–90.95; p = 0.024), và giới tính nữ (OR 2.06, 95% CI 1.09–3.89; p = 0.024) có mối tương quan đáng kể với sự phát triển của LC. Kết luận, trong nghiên cứu quan sát đa trung tâm này, chúng tôi chứng minh rằng bệnh nhân CVID có tỷ lệ LC cao hơn so với dân số chung. Tăng cường nhận thức về nguy cơ LC ở bệnh nhân CVID có thể tối ưu hóa việc quản lý biến chứng mới và đáng lo ngại này của nhiễm SARS-CoV-2.

Từ khóa

#Long COVID #suy miễn dịch biến đổi thông thường #SARS-CoV-2 #tỷ lệ mắc bệnh #nghiên cứu đa trung tâm #triệu chứng kéo dài

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