精神疾病和COVID-19患者住院患者的并发病模式和死亡率
Marina Sánchez-Rico1, Katayoun Rezaei2, Alfonso Delgado-Álvarez3
1DMU Psychiatrie et Addictologie, AP-HP. Centre, Hôpital Corentin-Celton, Issy-les-Moulineaux, France. Department of Psychobiology & Behavioral Sciences Methods, Faculty of Psychology, Universidad Complutense de Madrid, Spain.
概括
患有精神疾病和COVID-19的患者表现出基于并发症的不同死亡风险. 情绪障碍患者的28天死亡率较低,这表明需要进一步研究的潜在保护作用.
科学领域:
- 医学研究 医学研究
- 流行病学 流行病学
- 精神病学是一个精神病学.
背景情况:
- COVID-19对患有精神疾病的个人构成风险.
- 了解并发症模式对于风险分层至关重要.
研究的目的:
- 调查精神病/非精神病并发症与COVID-19患者患有精神疾病的死亡率之间的联系.
- 确定不同死亡风险的患者子组.
主要方法:
- 多中心观测回顾性队列研究.
- 集群分析以确定基于并发症的患者子组.
- 跨集群的28天全因死亡率的比较,对共变量进行调整.
主要成果:
- 确定了五个不同的患者群,具有不同的并发症概况.
- 与其他群体相比,情绪障碍患者的28天死亡率显著降低.
- 在其他确定的患者群体中没有观察到显著的死亡率差异.
结论:
- 精神病和非精神病并发症与患有精神疾病的COVID-19患者的死亡率增加有关.
- 情绪障碍患者的死亡率降低可能与抗抑郁药的影响有关,需要进一步调查.
- 结果有助于识别高风险的精神病患者,以制定有针对性的预防策略和疫苗优先级.
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