状细胞病和冠状病毒病-2019 (COVID-19) 感染:一个单一中心的经验
Sindhu P Devarashetty1, Udhayvir S Grewal2, Kimberly Le Blanc1
1Division of Hematology and Oncology, Department of Medicine, Louisiana State University Health Sciences Center, Shreveport, LA 71103, United States.
Postgraduate medical journal
|July 3, 2023
概括
状细胞病 (SCD) 和COVID-19患者的死亡率低于预期,但住院住院率高. 疾病修饰疗法没有影响这项COVID-19研究的结果.
科学领域:
- 血液学 血液学 血液学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 状细胞疾病 (SCD) 与增加COVID-19住院和死亡风险有关.
- COVID-19不成比例地影响非裔美国人,死亡率更高,住院时间更长.
研究的目的:
- 调查COVID-19诊断的SCD成年患者的临床结果.
- 为了比较住院治疗与门诊治疗,并确定影响SCD患者COVID-19严重程度的因素.
主要方法:
- 对患有SCD和COVID-19感染的成人患者 (>18岁) 的回顾性分析.
- 从2020年3月到2021年3月收集的数据,使用SAS 9.4.4进行分析.
主要成果:
- 在51名患有COVID-19的SCD患者中,60.3%需要住院护理,而39.3%是门诊/急诊管理.
- 只有5.71%需要接受ICU和机械呼吸;3.9%的人死亡.
- 基尿素并没有显著影响住院患者与门诊患者的管理.
结论:
- 患有COVID-19的SCD患者的死亡率 (3.9%) 比之前报告的要低.
- 在这个SCD队列中观察到大量的住院住院负担.
- 需要进一步的前性研究来验证发现,并确定高风险患者进行积极管理.
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