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To Investigate the Effect of 2019 Novel Coronavirus Infection on the Condition of Patients With Hyperthyroidism

Recruiting
Conditions
COVID-19
Graves Disease
Interventions
Other: Thyroid metabolic index
Registration Number
NCT06204393
Lead Sponsor
Qilu Hospital of Shandong University
Brief Summary

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:

* The main research object is Graves disease (GD) patients.

* Changes of hyperthyroidism in GD patients complicated with COVID-19

* Changes of anxiety and depression in GD patients before and after SARS-CoV-2 infection.

* The effect of psychological intervention in GD patients after COVID-19. Participants will have regular follow-upfor one year to hyperthyroidism in our hospital, and the investigators will collect the thyroid function and related examination indexes of patients in the corresponding time period.

Detailed Description

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.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
120
Inclusion Criteria
  1. According to the diagnostic criteria of hyperthyroidism in the Chinese Guidelines for the Diagnosis and Treatment of Thyroid Diseases formulated by the Chinese Society of Endocrinology of the Chinese Medical Association, the patient had been diagnosed with hyperthyroidism.
  2. In accordance with the diagnostic criteria of "The diagnosis and Treatment Protocol for novel coronavirus Infection (Trial version 10).
Exclusion Criteria
  1. Cases with incomplete data
  2. Patients with severe autoimmune diseases, hematological diseases and malignant tumors
  3. Immunodeficiency (e.g.AIDS, long-term use of corticosteroids or other immunosuppressive drugs leading to immunodeficiency)
  4. Follow-up was less than 30 days
  5. The results of thyroid function were less than 3 times

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
COVID-19 has a course of 6-9 daysThyroid metabolic indexThe symptoms and immune level of COVD-19 in this group are in the middle level.
COVID-19 has a course of more than 9 daysThyroid metabolic indexTheoretically, the symptoms and immune level of COVD-19 in this group are the worst.
COVID-19 has a course of less than 6 daysThyroid metabolic indexCOVID-19 is mild in hyperthyroidism patients with short course of disease.
Primary Outcome Measures
NameTimeMethod
Serum FT4 were measured with chemiluminescence method.Up to 9 months

FT4 in pmmol/L

Serum TPO-Ab were measured with chemiluminescence method.Up to 9 months

TPO-Ab in IU/ml

Serum TTG-Ab were measured with chemiluminescence method.Up to 9 months

TG-Ab in IU/ml

Assess the changes of patients' psychological state with Generalized Anxiety Disorder-7 Items Scale(GAD-7)Up to 9 months

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.

Serum FT3were measured with chemiluminescence method.Up to 9 months

FT3 in pmmol/L

Serum TRAb were measured with chemiluminescence method.Up to 9 months

TRAb in IU/L

Assess the changes of patients' psychological state with Patient Health Questionnaire-9(PHQ-9)Up to 9 months

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.

Serum TSH were measured with chemiluminescence method.Up to 9 months

TSH in µIU/mL

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Qilu Hospital of Shandong University

🇨🇳

Jinan, Shandong, China

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