在VIVALDI研究队列中,与COVID-19相关的死亡率和住院病例:2020年10月至2023年3月
O Stirrup1, M Krutikov2, B Azmi2
1Institute for Global Health, University College London, London, UK.
The Journal of hospital infection
|November 10, 2023
概括
英语长期护理机构 (LTCF) 的COVID-19死亡和住院病例从2021年到2023年显著下降,原因是免疫力. 然而,LTCF居民的整体死亡风险仍然很高.
科学领域:
- 老年学和老年医学是老年学和老年医学.
- 传染病流行病学 传染病流行病学
- 公共卫生政策 公共卫生政策
背景情况:
- 长期护理设施 (LTCF) 在大流行初期经历了严重的COVID-19影响.
- 疫苗接种和先前的感染随着时间的推移减少了病毒的影响.
研究的目的:
- 为了评估SARS-CoV-2相关的死亡率和住院病例在英语LTCFs.
- 研究期间:2020年10月至2023年3月 (VIVALDI研究).
主要方法:
- 包括参与LTCF的65岁以上居民.
- 每季度计算的COVID-19死亡率和住院病例发生率 (IRs).
- 确定感染死亡率 (IFR) 和感染住院率 (IHR) 在SARS-CoV-2测试后.
主要成果:
- 在26,286名居民中,32.4%的人检测出SARS-CoV-2阳性.
- COVID-19死亡率IR在2021年第一季度达到峰值 (0.47/1000人日),在2023年第一季度降至0.10/1000人日.
- 观察到的IFR从24.9%降至6.7%,IHR从12.1%降至8.8%在这些时期之间.
- 居民的年死亡概率在28.8%至41.3%之间.
结论:
- 实时监测LTCF感染,住院和死亡情况至关重要.
- 数据可以为政策制定非药物干预措施以制传播提供信息.
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