在COVID-19大流行期间对死亡率趋势的单一中心的回顾性观察分析
Omishka Hirachund1, Camilla Pennefather, Mergan Naidoo
1Discipline of Family Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban. mishhirachund@gmail.com.
概括
在南非,患有无法控制的并发症的老年人面临着最高的COVID-19死亡率. 第二波,由Beta变种驱动,在这个资源有限的环境中,死亡率最高.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 在有限的医疗保健资源的情况下,南非面临着显著的COVID-19死亡率.
- 地区医院 (DH) 特别紧张,使患者管理复杂化.
- 在初级保健水平上对COVID-19的研究很少.
研究的目的:
- 描述COVID-19患者的住院死亡率趋势.
- 在资源有限的地区医院中识别死亡风险因素.
主要方法:
- 已故COVID-19患者的回顾性观察分析.
- 研究期:2020年3月1日至2021年8月31日.
- 数据包括患者人口统计,临床表现,并发症,调查和管理.
主要成果:
- 有328名成年患者死于COVID-19.
- 大多数死者是女性 (60.1%),60岁以上 (66.5%) 和非洲黑人 (59.6%).
- 常见的并发病:高血压 (61.3%),糖尿病 (47.6%). 呼吸不全 (83.8%),低氧和 (<95%在82.8%) 和功能障碍 (63.7%) 的高患病率. 原始死亡率:15.3%,在第二波高达33.0%.
结论:
- 高龄和不受控制的并发症与更高的COVID-19死亡率有关.
- 第二波,与Beta变种相关,显示出最高的死亡率.
- 研究结果提供了对资源有限的医疗保健机构死亡风险因素的见解.
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