在COVID-19疫苗接种期间SARS-CoV-2变种的临床严重性:系统性审查和元分析
Zhilu Yuan1, Zengyang Shao2, Lijia Ma2
1School of Architecture and Urban Planning, Research Institute for Smart Cities, Shenzhen University, Shenzhen 518060, China.
Viruses
|October 28, 2023
概括
SARS-CoV-2的三角洲变种显示出COVID-19的严重程度最高,而Omicron的严重程度最低. 65岁以上的老年人在所有指标上都经历了更高的严重程度.
科学领域:
- 传染性疾病 传染性疾病
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 由于SARS-CoV-2变种,COVID-19的严重程度有很大差异,使资源分配和公共卫生干预复杂化.
- 准确的临床严重性数据对于风险评估,传播建模和流行病控制策略至关重要.
研究的目的:
- 在大规模疫苗接种期间,系统地审查和元分析COVID-19变种的临床严重性指标.
- 为确认病例-住院,病例-死亡,住院-死亡和住院-ICU风险提供综合估计.
主要方法:
- 从2020年1月到2022年2月在PubMed上发表的研究的系统审查和元分析.
- 搜索临床严重性数据,包括住院,ICU入院和与不同COVID-19变种相关的死亡风险.
- 包括13项研究在选3536个初始记录后.
主要成果:
- 德尔塔变种的临床严重程度最高 (6.56%住院,0.46%死亡,19.63%住院至死亡,9.06%住院至ICU).
- 奥米克朗变种的严重程度最低 (1.51%的住院,0.04%的死亡,6.01%的住院至死亡,3.18%的住院至ICU).
- 65岁以上的成年人在所有评估指标上始终表现出更高的严重程度.
结论:
- COVID-19 变种的演变显著影响了临床严重程度,其中三角形是最严重的,而Omicron 最不严重.
- 年龄是一个关键因素,老年人面临更高的风险.
- 调查结果为公共卫生政策和资源管理提供了信息,以应对流行病.
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