在养老院的老年居民中发展症状性COVID-19的危险因素:一个产生假设的观察性研究
Anna Escribà-Salvans1, Sandra Rierola-Fochs1, Pau Farrés-Godayol1
1Research group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M3O). Faculty of Health Sciences and Welfare. Centre for Health and Social Care Research (CESS). University of Vic-Central University of Catalonia (UVic-UCC).
在私人养老院的老年人和有中风病史的人更有可能患上冠状病毒疾病-19 (COVID-19) 的症状. 这项研究确定了机构住院老年人群中COVID-19的关键风险因素.
科学领域:
- 老年学是一门学科.
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 住院的老年人是易受传染病影响的脆弱人群.
- 在养老院居民中了解冠状病毒疾病-19 (COVID-19) 的风险因素对于有针对性的干预至关重要.
研究的目的:
- 为了确定与在机构住院的老年人中发展症状性COVID-19相关的风险因素.
- 在养老院环境中分析COVID-19感染的流行率和特征.
主要方法:
- 一项为期一年的纵向多中心研究,涉及2019年12月至2021年3月的5个养老院 (NHs).
- 纳入标准:永久NH居住,年龄≥65岁,并确认了COVID-19的阳性诊断.
- 进行了描述性和双变量分析,以95%的置信区间 (CI) 和统计学意义 (p<0.05) 计算相对风险 (RR).
主要成果:
- 这项研究包括78名COVID-19阳性测试的个人,平均年龄为84.6岁; 79.5%是女性.
- 51.3%的参与者出现了COVID-19症状.
- 生活在私人NH (RR=3.6,95%CI [1.2-11.0],p=0.023) 和中风史 (RR=4.1,95%CI [1.1-14.7],p=0.033) 与症状性COVID-19显著相关.
结论:
- 脑卒中史和居住在私人养老院是住院老年人中出现COVID-19症状的重要危险因素.
- 这些发现凸显了对长期护理机构中高风险个体的具体预防措施和监测的需要.
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