[他类药物在因COVID-19而入院的八十岁患者的临床演变中的作用]
Carla Jiménez Martínez1, Victoria Espejo Bares1, Verónica Artiaga de la Barrera1
1Servicio de Cardiología, Hospital Universitario Fundación Alcorcón, Madrid, España.
概括
在住院治疗COVID-19之前,静止剂治疗显著降低了八十多岁患者的住院死亡率. 这一发现突显了对抗2019年冠状病毒病的老年人治疗他类药物的潜在益处.
科学领域:
- 老年学是一门学科.
- 传染性疾病 传染性疾病
- 心血管药理学心血管药理学
背景情况:
- 冠状病毒疾病2019 (COVID-19) 在老年人群中存在高死亡风险.
- 以前的研究表明,使用他类药物可能会改善COVID-19的结果.
- 关于他类药物的影响,特别是在80岁以上的COVID-19患者身上,数据有限.
研究的目的:
- 调查COVID-19的80岁以上人群在入院前使用他类药物治疗和住院死亡率之间的关联.
- 分析在最初的流行病浪潮期间住院治疗COVID-19的老年患者的死亡风险因素.
主要方法:
- 一项回顾性队列研究包括258名80岁及以上的患者,他们被确认患有COVID-19.
- 患者被分为两组:在入院前服用他类药物的患者 (n=129) 和未服用他类药物的患者 (n=129).
- 住院死亡率是主要的结局指标.
主要成果:
- 八十岁以上人群的COVID-19在医院住院总死亡率为35.7%.
- 在入院前服用他类药物的患者的死亡率明显较低 (25.6%),与非他类药物使用者 (45.7%) 相比.
- 女性性别,糖尿病和入院前使用他类药物与降低死亡率有关;严重的肺部感染增加了死亡风险.
结论:
- 在第一波期间,入院前的他类药物治疗与八十多岁的COVID-19患者的住院死亡率降低有关.
- 达丁类药物治疗可能会在最老的COVID-19患者群体中提供对严重结局的保护作用.
关键词:
年长的老年人.这是一个古老的老人.80岁或以上的老年人.在 COVID-19 疫情中,美国国家统计局低脂的重要因素之一.医院死亡率 医院死亡率基甲基谷氨基-CoA减少酶抑制剂低脂性致血剂的使用方法氧甲基利-CoA降解剂的抑制剂可以降低这种情况.降脂剂是一种降脂剂.死亡率 死亡率在医院的死亡率.死亡率 死亡率 死亡率八分生殖者 八分生殖者八代人 (英语:Octogenarios) 是指八代人.这就是SARS-CoV-2病毒.类他类药物是一种药物.更多相关视频
相关概念视频
Lipid-Lowering Drugs: Statins and Miscellaneous Agents
716
Hyperlipidemia, a medical condition often referred to as high cholesterol, is characterized by abnormally elevated levels of lipids in the bloodstream. When present in excess, these lipids, specifically cholesterol and triglycerides, can lead to serious health complications, often involving cardiovascular diseases. Illnesses like atherosclerosis, heart attacks, and pancreatitis have all been linked to untreated hyperlipidemia. This means controlling and regulating cholesterol and triglyceride...
716
Atherosclerosis III: Management
15
Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
15
Coronary Artery Disease IV: Preventive Measures
25
Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
25
Coronary Artery Disease III: Clinical Manifestations
16
Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
16
Cholesterol: Significance and Regulation
608
Although not a source of energy, cholesterol plays a significant role as a foundational structure for bile salts, steroid hormones, and vitamin D, as well as being a crucial component of plasma membranes. Approximately 15% of blood cholesterol is derived from our diet, with the remainder synthesized from acetyl CoA by the liver and intestines. Cholesterol is eliminated from the body through its conversion into bile salts, which are eventually discarded in the feces.
Considering cholesterol and...
Considering cholesterol and...
608
Atherosclerosis IV: Nursing Management
27
Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
27


