麻风相关并发症的全球流行:系统性审查和元分析
Hiral Anil Shah1, Anne Meiwald2, Chamath Perera2
1GSK, London, UK. hiral.a.shah@gsk.com.
Infectious diseases and therapy
|December 20, 2023
概括
腹 (水) 的并发症,特别是与皮肤和感染有关的问题,很常见,特别是在儿童和住院患者中. 意识到这些并发症对于了解疾病至关重要.
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:
- 由疹病毒引起的水 (水) 通常是自我限制的,但可能导致严重的全身并发症.
- 了解水相关并发症的发病率和类型对于公共卫生和资源分配至关重要.
研究的目的:
- 系统地审查和量化各种水相关并发症的患病率.
- 在不同的人口统计和环境中识别并发症率的风险因素和模式.
主要方法:
- 通过使用Embase,MEDLINE,大会摘要和审查参考清单的数据进行了系统的文献综述和元分析.
- 并发症被分为14组,并使用随机效应模型进行比例元分析.
- 使用子组,灵敏度和元回归分析来探索异质性和并发症率的预测因素.
主要成果:
- 严重的水 (22.42%),与皮肤相关的并发症 (20.12%) 和与感染相关的并发症 (10.03%) 的综合患病率最高.
- 心血管,尿生殖和肌肉骨并发症的综合患病率最低,从0.55%到1.54%不等.
- 并发症在儿童中比成年人更常见,在住院患者中比门诊患者更常见,并有显著的异质性.
结论:
- 与水相关的并发症很常见,并且可以显著影响患者的生活质量和医疗保健资源利用率.
- 提高人们对天花疾病对健康和经济负担的认识,对于有效的管理和预防策略至关重要.
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