移植前冠状病毒病2019年疫苗接种要求:与等候名单无活化相关的因素的匹配病例对照研究
Anya L Edwards1, Mehdi M Tavakol1, Anna Mello1
1Department of Surgery, University of California San Francisco, San Francisco, California, USA.
缺少2019年冠状病毒疾病疫苗接种的移植候选人被禁用. 来自较低股权地区和政府保险患者的患者面临更高的失活率,突出了潜在的移植股权问题.
科学领域:
- 移植免疫学 移植免疫学
- 公共卫生政策 公共卫生政策
- 健康 公平 研究 健康 公平 研究
背景情况:
- 许多美国移植中心要求对器官移植候选人进行2019年新冠肺炎疫苗接种.
- 接种疫苗的状态通常需要活跃的美国器官共享网络等待列表状态.
研究的目的:
- 检查移植候选人因缺乏冠状病毒病2019年疫苗接种而失活的特征.
- 确定移植等待名单上的患者中与失活相关的因素.
主要方法:
- 追溯病例控制研究设计.
- 根据年龄,性别和活跃等待名单状态匹配患者.
- 多变量后勤回归分析包括种族/种族,语言,保险,教育和疫苗公平度量 (VEM) 四分之一.
主要成果:
- 来自最低VEM四分位数邮政编码的患者的失活率更高 (OR1.89,P=.02).
- 与商业保险患者相比,有医疗保险 (OR 2.00,P<.01) 或医疗补助 (OR 2.89,P<.01) 保险的患者的失活率更高.
- 来自较低社会经济地位的邮政编码和拥有政府保险的患者的失活率更高.
结论:
- 普遍的移植前疫苗接种要求可能会不成比例地影响弱势群体.
- 在实施移植候选人疫苗接种政策时,应仔细考虑健康公平问题.
- 结果表明,在固体器官移植等待名单人口中,接种或遵守疫苗接种任务的潜在差异存在.
更多相关视频
18:48In Vitro and In Vivo Assessment of T, B and Myeloid Cells Suppressive Activity and Humoral Responses from Transplant Recipients
Published on: August 12, 2017
08:39Reduced Complications after Arterial Reconnection in a Rat Model of Orthotopic Liver Transplantation
Published on: November 7, 2020
相关概念视频
Kidney Transplant I: Introduction
Kidney Transplant III: Nursing Management
Factors Affecting the Risk of Infection
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...
Factors Affecting Protein-Drug Binding: Patient-Related Factors
Age stands as a key determinant in protein-drug binding. Neonates, characterized by low albumin content, experience heightened concentrations of unbound drugs such as phenytoin and...
Pulmonary Tuberculosis I
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Kidney Transplant II: Surgical Procedure
