德克萨斯州边境县与非边境县的COVID-19相关死亡率
Amna Obaid1, Seyed Khalafi1, Alok K Dwivedi2
1Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, TX, USA.
概括
德克萨斯州边境县的COVID-19患者面临更高的死亡率和重症监护入院率. 这项研究强调了疫情期间影响这些社区的重大健康差异.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 德克萨斯州在全国的COVID-19病例中排名第二.
- 边境县经历了严重的流行病影响.
- COVID-19的结果与并发症,严重程度和人口统计相关,但边境与非边境差异是未知的.
研究的目的:
- 为了比较德克萨斯州边境和非边境县COVID-19患者的临床结果.
- 为了确定COVID-19患者管理中的潜在健康差异.
主要方法:
- 使用德克萨斯州医院住院患者出院数据 (2020-2021) 的回顾性观察性研究.
- 包括患有COVID-19的成年患者 (ICD-10代码).
- 将患者分类为边境或非边境县,分析死亡率,停留时间,ICU/CCU入院和成本.
主要成果:
- 25%的住院COVID-19患者来自边境县.
- 边境县的死亡率 (5.35%与3.87%) 和ICU/CCU入院率较高.
- 在边境县观察到的死亡率 (RR=1.26),ICU入院 (RR=1.15),CCU入院 (RR=2.87) 和ICU/CCU综合入院 (RR=1.28) 的风险明显较高.
结论:
- 德克萨斯州边境县的COVID-19患者经历了更糟糕的临床结果.
- 这些发现表明,边境人口在COVID-19管理中的健康差异显著.
- 对这些脆弱社区需要进一步的研究和有针对性的干预措施.
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