在COVID-19大流行期间,复杂冠状动脉疾病中炎症激活的改变面孔在COVID-19大流行期间
Tomasz Urbanowicz1, Paweł Czub2, Anna Olasińska-Wiśniewska1
1Cardiac Surgery and Transplantology Department, Poznan University of Medical Sciences, 61-848 Poznan, Poland.
Journal of cardiovascular development and disease
|May 26, 2023
概括
随着COVID-19的流行,手术重血管化的患者的炎症标志物增加了. 然而,这种免疫激活没有影响手术后的一年死亡率.
科学领域:
- 免疫学 免疫学 免疫学
- 心血管外科心血管外科
- 流行病学 流行病学
背景情况:
- COVID-19 流行病改变了人口的免疫状态,导致炎症反应增加.
- 评估手术患者炎症标志物的变化对于了解与流行病相关的健康影响至关重要.
研究的目的:
- 为了比较COVID-19大流行之前和期间手术重血管化的患者的炎症激活程度.
- 评估与流行病相关的免疫变化对外科手术结果的影响.
主要方法:
- 追溯分析了533名接受手术重血管化的患者 (343名在疫情前,190名在疫情期间).
- 通过全血细胞计量评估的炎症标志物.
- 倾向性得分匹配用于创建可比较组 (每组 190 名患者).
主要成果:
- 在COVID-19大流行期间,患者的手术前单细胞计数,单细胞与淋巴细胞的比率以及系统性炎症反应指数显著增加.
- 在这两组中,外科手术后死亡率为1%.
- 12个月的死亡率是可比的 (5.6%在COVID前,7%在COVID期间).
结论:
- 全血分析显示,在COVID-19大流行期间,复杂冠状动脉疾病患者的炎症激活增加.
- 尽管有免疫变异,但手术重血管化后的一年死亡率没有受到影响.
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