在接受脏替代疗法的患者中,COVID-19的发生率和结果
Siribha Changsirikulchai1, Pornpen Sangthawan2, Jirayut Janma1
1Division of Nephrology, Department of Medicine, Faculty of Medicine, Srinakharinwirot University, Nakhonnayok, Thailand.
Kidney research and clinical practice
|October 9, 2023
概括
血液透析 (HD) 患者的COVID-19感染率较高. 疫苗接种显著降低了脏患者的死亡率,这强调了需要更广泛地接种疫苗的必要性.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 在接受血液透析 (HD),腹腔透析 (PD) 和移植 (KT) 的病患者中研究了COVID-19的结果.
- 专注于由国家卫生安全办公室 (NHSO) 偿还的患者.
研究的目的:
- 确定COVID-19在HD,PD和KT患者中的发病率和死亡率.
- 为了确定与COVID-19结果相关的因素,包括疫苗接种状态和并发症.
主要方法:
- 电子索赔数据库的回顾性队列分析 (2020年1月 - 2021年12月).
- 评估了85,305名患者的COVID-19感染,疫苗接种状态,并发病,死亡和治疗费用.
- 评估了患者特征,疫苗接种和死亡率之间的关联.
主要成果:
- COVID-19感染的发病率为HD患者的4.9%,PD患者的3.4%,KT患者的3.3%.
- 疫苗接种率在KT (76.93%) 中最高,其次是HD (70.65%) 和PD (51.34%).
- 与PD (18.41%) 和HD (21.40%) 相比,KT的死亡率较低 (8.42%). 接种疫苗显著降低了死亡率 (或0.3两剂).
结论:
- 与PD和KT患者相比,血液透析患者的COVID-19感染发病率较高.
- 接种COVID-19疫苗对于减少病患者的死亡率至关重要.
- 鼓励疫苗接种与国家卫生政策一致,以保护弱势群体.
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