西澳大利亚独特的COVID-19体验:教训
Caris L House1, Matthew Rawlins2, John Dyer3
1Fiona Stanley Hospital, Perth, Western Australia, Australia.
Internal medicine journal
|July 26, 2023
概括
西澳大利亚的Omicron浪潮看到COVID-19的严重程度低于预测,大多数入院是出于其他原因. 未接种疫苗和土著或托雷斯海峡岛民患者的比例过高,需要增加社会和老年医疗支持.
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:
- 西澳大利亚 (WA) 在高度接种疫苗和地理隔离的人群中经历了2019年新冠肺炎疾病 (COVID-19).
- 该州独特的地位允许在受控环境中观察COVID-19.
研究的目的:
- 为了描述在华盛顿西部的COVID-19 Omicron变异体验.
- 分析患者人口统计,疾病严重程度和该州唯一的四级医院的治疗方案.
主要方法:
- 对158名接受微生物学证实COVID-19的成年患者的回顾性分析.
- 收集的数据包括入院人数,疾病严重程度,危险因素,免疫状态和治疗.
- 在2022年3月3日至5月11日期间,患者被录入呼吸或重症监护室 (ICU).
主要成果:
- 158名患者入院;32.9%主要为COVID-19患者. 平均年龄62岁,51.3%是男性. 原住民或托雷斯海峡岛民 (ATSI) 患者过度代表 (13.3%).
- 49.4%的人患有轻度的COVID-19. 甲是最常见的治疗方法 (58.2%). 平均逗留时间为5.8天.
- 8人死亡 (5.1%),其中3人因COVID-19而死亡. 三分之二的入院是因为偶然检测到COVID-19.
结论:
- 华盛顿西部奥米克朗波期间的COVID-19病例的急性和严重性比预期的要低.
- 住院者不成比例地包括部分/未接种疫苗的个人和澳大利亚ATSI.
- 为管理住院COVID-19患者,需要增加社会支持和老年/普通医学投入.
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