患有精神疾病的患者中COVID-19不良结果的危险因素
Wan-Ju Cheng1, Hong-Mo Shih2, Kuan-Pin Su3
1Department of Public Health, China Medical University, 100 Sec.1, Jingmao Rd., Taichung, Taiwan; National Center for Geriatrics and Welfare Research, National Health Research Institutes, 35 Keyan Road, Miaoli, Taiwan; Department of Psychiatry, China Medical University Hospital, 2 Yude Road, Taichung, Taiwan.
Brain, behavior, and immunity
|August 30, 2023
概括
患有精神疾病的个人面临更高的COVID-19严重疾病和住院住院的风险. 密切监测和谨慎的抗精神病药物处方对于在疫情期间管理这些患者至关重要.
科学领域:
- 医学研究 医学研究
- 精神病学是一个精神病学.
- 传染性疾病 传染性疾病
背景情况:
- 冠状病毒疾病2019 (COVID-19) 不成比例地影响具有先前存在精神疾病的个体.
- 导致这种脆弱性增加的具体因素仍在调查中.
研究的目的:
- 调查影响COVID-19患有精神疾病的患者不良结果的因素.
- 分析感染诊断时间,疫苗接种状态,免疫反应和精神药物使用的作用.
主要方法:
- 对15783名成年COVID-19患者进行了回顾性队列研究.
- 医疗记录的分析,包括精神病诊断 (ICD-9代码),疫苗接种情况,精神药物和抗病毒药物的使用,以及炎症标志物.
- 考克斯的比例危险模型用于评估与住院死亡率,严重疾病和再住院的关联.
主要成果:
- 患有精神疾病的患者患重病率 (10.4%对7.1%) 和住院率 (16.4%对11.3%) 较高.
- 抗精神病药物的使用与增加住院死亡率有关 (HR=4.79). 未接种疫苗的状态与住院和严重疾病相关.
- 精神病患者的疫苗接种率较高,炎症标志物较低.
结论:
- 在诊断后的初期,密切监测患有精神疾病的COVID-19患者至关重要.
- 建议在处方精神药物,特别是抗精神病药物时谨慎使用,因为它们与不良结果有关.
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