身体温度作为COVID-19死亡率的预测指标
Shuhei Uchiyama1,2, Tomoki Sakata1, Serena Tharakan1
1Cardiovascular Research Institute, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, Box 1014, New York, NY, USA.
Scientific reports
|August 16, 2023
概括
身体温度 (BT) 可以预测COVID-19死亡率. 住院期间的高最大BT独立预测2019年冠状病毒病患者的死亡率增加,而疫苗接种减少了死亡.
科学领域:
- 医学 医学 医学 医学 医学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 在2019年冠状病毒疾病 (COVID-19) 中体温 (BT) 的预后值仍然不清楚.
- 了解死亡率预测因素对于管理COVID-19患者至关重要.
研究的目的:
- 调查COVID-19患者体温和死亡率之间的关联.
- 确定体温是否是COVID-19死亡率的独立预测因素.
主要方法:
- 这是一项回顾性队列研究,使用了2020年2月至2021年7月期间查的24293名COVID-19患者的非识别数据.
- 提取的数据包括最初的BT,住院期间的最大BT,并发症和疫苗接种状态.
- 死亡率被评估为主要结果,并进行了后勤回归分析.
主要成果:
- 初始BT低于36°C的患者死亡率更高 (OR2.82).
- 38°C以上的初始BT与死亡率的增加有关,显示出增量趋势.
- 住院期间的最大BT与死亡率有关,除了BT<36°C的患者外.
- 最大BT是死亡率的独立预测指标,即使考虑到并发症.
- 接种疫苗的患者死亡率有所降低.
结论:
- 高最高体温是COVID-19患者死亡率增加的独立预测因素.
- 身体温度,特别是住院期间的最高温度,在COVID-19中作为一个有价值的预后指标.
- 疫苗接种状态与COVID-19患者的死亡率降低有关.
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