了解英格兰智力障碍者中的COVID-19结果
Filip Sosenko1, Daniel Mackay2, Jill P Pell2
1The University of Glasgow, Glasgow, UK. filip.sosenko@glasgow.ac.uk.
BMC public health
|October 26, 2023
概括
智力障碍者 (ID) 面临着明显更高的COVID-19死亡率和住院风险. 多发病率是关键驱动因素,突出显示了在未来的流行病中需要考虑优先组的需要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 关于残疾人的研究.
背景情况:
- 之前的英国研究表明,智力障碍 (ID) 患者的COVID-19死亡率较高.
- 风险大小的估计因研究期的不同和对流行病早期阶段的分析有限而有所不同.
- 现有的关于ID患者严重COVID-19结局的风险因素的研究不足.
研究的目的:
- 在2021年底之前调查英格兰ID患者的COVID-19死亡率.
- 为了检查ID的个人中COVID-19住院率.
- 确定与该人口中严重的COVID-19结局相关的关键风险因素.
主要方法:
- 使用了回顾性队列研究设计.
- 链接的数据集包括初级保健,二级保健,COVID-19测试和疫苗接种记录,处方和死亡率数据.
- 该研究涵盖了所有实验室确认的SARS-CoV-2感染或COVID-19相关死亡的个人,直到2021年12月.
主要成果:
- 患有ID的人患COVID-19死亡风险不成比例地高 (标准化死亡率:5.6).
- 与普通人群相比,ID患者患COVID-19住院的可能性增加.
- 多种疾病是ID人群中严重的COVID-19结果的主要决定因素,其次是年龄和疫苗接种状态.
结论:
- 智力障碍者是流行病期间公共卫生干预的优先群体.
- 有针对性的屏蔽和疫苗接种策略对于减轻ID患者的严重COVID-19结果至关重要.
- 解决多种疾病发病率较高的问题对于降低这一易受伤害群体的流行病相关风险至关重要.
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