在接种疫苗和例行静脉外科手术后,青少年昏和相关伤害的发生率
Holly C Groom1, Neon B Brooks1, Eric S Weintraub2
1Kaiser Permanente Center for Health Research, Portland, Oregon.
概括
在青少年接种疫苗后,昏迷比静脉穿刺更少. 同时接种多种疫苗会增加接种后昏的风险,约有15%的事件导致伤害.
科学领域:
- 儿科医学 儿科医学 儿科医学
- 免疫接种的安全性
- 青少年健康 青少年健康
背景情况:
- 在青少年接种疫苗后,昏 (昏) 可能发生.
- 与疫苗相关的昏迷和损伤的确切发病率尚未确立.
- 需要与其他医疗程序后昏迷率进行比较.
研究的目的:
- 为了确定接种疫苗后青少年中昏迷和昏迷相关损伤的发生率.
- 为了比较接种疫苗后昏迷率与常规静脉穿刺.
- 为了确定疫苗接种后昏迷的危险因素.
主要方法:
- 2013-2019年青少年 (9-18岁) 的回顾性队列研究.
- 确定的疫苗接种和静脉穿刺事件与同日昏迷诊断.
- 查看图表以确认昏迷,归因原因,并评估损伤.
主要成果:
- 疫苗相关的昏迷发生在每10,000例中有2.99例;静脉穿刺相关的昏迷发生在每10,000例中有16.33例.
- 静脉穿刺后昏迷的发生率是接种疫苗后的5.5倍.
- 多次同时接种疫苗增加了风风险;约15%的发作导致两种程序的损伤.
结论:
- 在青少年中,静脉切除与昏睡的发病率比接种疫苗更高.
- 一次接种的疫苗数量是疫苗接种后昏的重要危险因素.
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