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The goal of this observational study is to learn about the correlation between COVID-19 and hyperthyroidism in Patients with hyperthyroidism complicated with COVID-19. The main questions it aims to answer are:
Longitudinal analysis of GD status was performed: Three follow-up time points were identified: before COVID-19, three months and one year after recovering from COVID-19 (the first follow-up visit, the second follow-up visit. Main collection items: Hyperthyroidism symptoms, signs, hyperthyroidism complications, psychological evaluation results, other complications,blood routine, liver and kidney function, thyroid function (FT3, FT4, TSH), thyroid-related antibodies, glucose and lipid metabolism (FBG, HbA1c, TC, TG, HDL-C, LDL-C), thyroid ultrasound and hyperthyroidism medication.Through this to understand the changes of hyperthyroidism in HT patients complicated with COVID-19 and the changes of anxiety and depression in hyperthyroidism patients before and after SARS-CoV-2 infection.And the effect of psychological intervention in GD patients after COVID-19.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| COVID-19 has a course of less than 6 days | COVID-19 is mild in hyperthyroidism patients with short course of disease. |
| |
| COVID-19 has a course of 6-9 days | The symptoms and immune level of COVD-19 in this group are in the middle level. |
| |
| COVID-19 has a course of more than 9 days | Theoretically, the symptoms and immune level of COVD-19 in this group are the worst. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Thyroid metabolic index | Other | The following indicators were collected from these patients: hyperthyroidism symptoms, signs, hyperthyroidism complications, psychological evaluation results, other complications,blood routine, liver and kidney function, thyroid function (FT3, FT4, TSH), thyroid-related antibodies, glucose and lipid metabolism (FBG, HbA1c, TC, TG, HDL-C, LDL-C), thyroid ultrasound and hyperthyroidism medication. Psychological evaluations (using the 7-item Generalized Anxiety Disorder Questionnaire, GAD-7, and the Patient Health Questionnaire 9, PHQ-9) and interventions. |
| Measure | Description | Time Frame |
|---|---|---|
| Serum TSH were measured with chemiluminescence method. | TSH in µIU/mL | Up to 9 months |
| Serum FT4 were measured with chemiluminescence method. | FT4 in pmmol/L | Up to 9 months |
| Serum FT3were measured with chemiluminescence method. | FT3 in pmmol/L | Up to 9 months |
| Serum TRAb were measured with chemiluminescence method. | TRAb in IU/L | Up to 9 months |
| Serum TPO-Ab were measured with chemiluminescence method. | TPO-Ab in IU/ml | Up to 9 months |
| Serum TTG-Ab were measured with chemiluminescence method. | TG-Ab in IU/ml | Up to 9 months |
| Assess the changes of patients' psychological state with Generalized Anxiety Disorder-7 Items Scale(GAD-7) | Evaluation of anxiety state by GAD-7 scale. The lowest score of DAD-7 is 0, and the highest score is 21. The higher the score, the heavier the anxiety. | Up to 9 months |
| Assess the changes of patients' psychological state with Patient Health Questionnaire-9(PHQ-9) | Evaluation of depression by PHQ-9 scale. The lowest score of PHQ-9 is 0, and the highest score is 27. The higher the score, the heavier the depression. |
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Inclusion Criteria:
Exclusion Criteria:
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The cases came from HT patients who were followed up in the outpatient department of general medicine of Qilu Hospital of Shandong University, and a total of 120 hyperthyroidism patients were enrolled, who are in the maintenance stage of HT treatment and have a history of COVID-19 in the past 3 months.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Kuanxiao Tang, M.D. | Contact | 18560082261 | tangkx_ql@hotmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Kuanxiao Tang, M.D. | Qilu Hospital of Shandong University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Qilu Hospital of Shandong University | Recruiting | Jinan | Shandong | 250012 | China |
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| ID | Term |
|---|---|
| D006111 | Graves Disease |
| D000086382 | COVID-19 |
| ID | Term |
|---|---|
| D005094 | Exophthalmos |
| D009916 | Orbital Diseases |
| D005128 | Eye Diseases |
| D006042 | Goiter |
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| ID | Term |
|---|---|
| D000083626 | Psychosocial Intervention |
| ID | Term |
|---|---|
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
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|
|
| Up to 9 months |
| D013959 |
| Thyroid Diseases |
| D004700 | Endocrine System Diseases |
| D006980 | Hyperthyroidism |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D014777 | Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |