与墨西哥杜兰戈州COVID-19死亡率相关的风险因素
Sebastián Eduardo González Villarreal1, Sergio Manuel Salas Pacheco1, Fernando Vázquez Alaniz2
1Laboratorio Estatal de Salud Pública de Durango, Secretaría de Salud, Servicios de Salud de Durango, Zip Code 34206, Durango, México.
International journal of medical sciences
|July 24, 2023
概括
高龄和高血压显著增加COVID-19死亡风险. 呼吸不良是关键预测因素,而在墨西哥的这项研究中,卫生工作者死亡率较低.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 在全球范围内,COVID-19的流行病导致了数百万人的死亡.
- 了解影响COVID-19死亡率的因素对于公共卫生干预至关重要.
- 伴随性疾病,年龄和症状是COVID-19结果调查的关键领域.
研究的目的:
- 分析与COVID-19死亡率相关的临床和人口因素.
- 在墨西哥杜兰戈的SARS-CoV-2阳性病例中确定死亡风险因素.
- 为了确定伴随疾病,症状和COVID-19死亡率之间的关联.
主要方法:
- 一项病例控制研究分析了2020年5月至2021年12月的16345例SARS-CoV-2阳性病例.
- 包括患者年龄,性别,吸烟状况,并发性疾病 (高血压,糖尿病,肥胖) 和症状 (发烧,呼吸困难,腹痛,腹) 等变量.
- 多变量回归分析以确定死亡风险因素的几率比率.
主要成果:
- 该研究包括16,345例,平均年龄为43岁,54%的女性参与者,死亡率为5.66%.
- 晚年 (>60岁) 是最强的预测因素 (OR 4.127),其次是高血压 (OR 1.961),糖尿病 (OR 1.753) 和肥胖 (OR 1.413).
- 呼吸障碍成为与死亡率相关的最显著的症状 (OR 18.369),多呼吸障碍和症也被认为是预测因素. 卫生工作者显示死亡风险降低.
结论:
- 高血压和晚年显著与COVID-19死亡率的增加有关.
- 呼吸不良是致命的COVID-19结果的关键临床预测因素.
- 研究结果强调了管理并发病症和识别严重症状的重要性,以减轻COVID-19死亡率,并指出医疗保健专业人员的风险较低.
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