住院COVID-19患者中出院后死亡率的决定因素
Gunjan Kumar1, Arunansu Talukdar2, Alka Turuk1
1Clinical Studies & Trials Unit, Indian Council of Medical Research, New Delhi, India.
The Indian journal of medical research
|September 7, 2023
概括
在COVID-19感染之前接种疫苗可以显著降低住院患者的一年后出院死亡率. 后COVID状态也可能增加长期死亡风险,需要进一步调查.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 临床医学 临床医学
背景情况:
- COVID-19的后急性影响正在不断发展.
- 了解出院后的死亡率对于患者管理至关重要.
- 专注于住院COVID-19患者的死亡率决定因素,特别是年轻成年人 (18-45岁).
研究的目的:
- 评估影响住院COVID-19患者出院后死亡率的因素.
- 专门分析18-45岁年龄组的死亡率决定因素.
- 评估疫苗接种和COVID后情况对死亡率的影响.
主要方法:
- 使用国家临床注册表 (2020年9月 - 2023年2月) 的数据进行了三次嵌套病例控制分析.
- 涉及31家医院,入院日期为1:4匹配,±14天.
- 后续数据收集在下放后的一年内.
主要成果:
- 退院后的一年死亡率为6.5%.
- 风险因素包括年龄较大,男性性别,中度至重度的COVID-19,以及并发症.
- 之前的疫苗接种为60%的死亡率提供了保护.
- 在18-45岁的年龄组中,严重的COVID-19病史和并发症增加了死亡风险.
- 在17.1%的参与者报告的COVID后疾病 (PCC) 与死亡率增加有关.
结论:
- 感染前接种疫苗可以预防住院COVID-19患者在出院后的一年死亡率.
- 后COVID状态可能会产生长期有害影响,包括增加死亡率.
- 需要进一步的研究来了解和减轻这些长期风险.
更多相关视频
06:52Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
9.8K
06:55Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
14.5K
相关概念视频
01:26Factors Affecting the Risk of Infection
11.9K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
11.9K
01:30Pneumonia III: Complications and Assessment
258
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
258
01:18Factors Affecting Illness
4.3K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
4.3K
01:30Pneumonia I: Introduction
267
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
267
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
15
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
15
01:28Pneumonia IV: Management
357
The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
357