叙利亚大马士革COVID-19第一波的教训:多中心回顾性队列研究
Ibrahem Hanafi1, Lyana Alzamel2, Ola Alnabelsi2
1Division of Neurology, Department of Internal Medicine, Faculty of Medicine, Damascus University, Damascus, Syrian Arab Republic ibrahem.w.hanafi@gmail.com.
BMJ open
|July 20, 2023
概括
叙利亚脆弱的医疗保健系统在COVID-19大流行期间表现出有限的弹性,严重的资源短缺导致高死亡率. 尽管报告病例较少,但医院容量和护理可用性受到严重影响.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染性疾病 传染性疾病
背景情况:
- 叙利亚战争严重破坏了医疗保健基础设施,使人口易受流行病的侵害.
- COVID-19大流行对叙利亚已经枯竭的公共卫生系统构成了重大威胁.
研究的目的:
- 评估在最初的流行病浪潮期间叙利亚住院的COVID-19患者的准备和结果.
- 评估叙利亚医疗保健系统在应对COVID-19疫情方面的弹性.
主要方法:
- 对1,184例住院COVID-19病例进行了回顾性队列研究.
- 在2020年6月至8月期间,从大马士革四个主要医院收集的数据.
- 对临床病史,诊断方法,干预措施和患者结果的分析.
主要成果:
- 诊断和治疗资源异质,并且迅速耗尽.
- 只有32%的患者得到了PCR确认;14%需要机械通风的人没有接受,所有人都死亡.
- 总体而言,住院死亡率达到了46%,根据接受重症监护的情况,死亡率没有显著差异.
结论:
- 叙利亚医疗保健系统表现出极少的弹性,资源很快耗尽.
- 资源稀缺导致重症病例优先处理,导致结果差,能力有限.
- 疫情凸显了叙利亚卫生部门协调,资源分配和报告方面的问题.
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