与住院COVID-19患者死亡相关的危险因素:一项水牛研究
Doan Le Minh Hanh1, Phan Thai Hao1, Do Thi Tuong Oanh2
1Department of Internal Medicine, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam.
The open respiratory medicine journal
|November 2, 2023
概括
住院COVID-19患者的高死亡率与特定的风险因素有关. 死亡的关键预测因素包括Brixia得分升高,尿素和费里水平高,缺乏疫苗接种,年龄较大和低氧和.
科学领域:
- 流行病学 流行病学
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
背景情况:
- 冠状病毒疾病2019 (COVID-19) 已经导致全球大流行,住院患者的死亡率很高.
- 尽管在了解COVID-19方面取得了进展,但确定死亡风险因素对于改善患者的治疗结果至关重要.
研究的目的:
- 调查在疫情高峰时期入院越南医院的COVID-19患者与死亡相关的独立风险因素.
- 确定预测住院COVID-19病例死亡的关键临床和实验室指标.
主要方法:
- 对104名住院COVID-19患者进行了前性队列研究.
- 收集的数据包括人口统计,病史,临床检查,实验室结果和胸部X射线图 (Brixia分数).
- 随访患者直到康复或死亡,以比较幸存者和非幸存者之间的特征.
主要成果:
- 总的死亡率为29.8%.
- 死亡的独立风险因素包括布里克西亚评分>9,尿素>7毫米/升,费里丁>578毫克克朗/毫升,未接种疫苗的状态,年龄>60岁,低氧气SPO2<87%.
- 很大一部分患者 (84.6%) 患有并发症,需要呼吸辅助 (84.6%).
结论:
- 布里克西亚评分,尿素,费里丁,疫苗接种状态,年龄和氧和是住院COVID-19患者死亡率的关键独立预测因素.
- 这些发现强调了需要密切监测这些风险因素的患者.
- 早期识别和管理这些风险因素可能有助于降低COVID-19死亡率.
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