影响癌症患者COVID-19死亡率的因素:一项巴西多机构研究
Jessé Lopes da Silva1,2, Bruno Santos Wance de Souza3, Lucas Zanetti de Albuquerque1
1Division of Clinical Research and Technological Development, Brazilian National Cancer Institute, Rio de Janeiro, Rio de Janeiro, Brazil.
PloS one
|December 21, 2023
概括
患有COVID-19的癌症患者经历了长时间住院和死亡率的高率. 伴随性疾病,转移性疾病和临床脆弱性等因素显著影响了结果,为风险咨询策略提供了信息.
科学领域:
- 在瘤学瘤学.
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 癌症患者在传染病爆发期间代表了一个脆弱的人群.
- 了解COVID-19对癌症患者的影响对于临床管理和公共卫生策略至关重要.
研究的目的:
- 描述COVID-19诊断的癌症患者的人口统计和临床特征.
- 确定与不良结果相关的风险因素,包括长时间住院和死亡率.
主要方法:
- 使用来自多个机构的电子病历 (EMR) 进行回顾性队列研究.
- 纳入标准:确诊感染SARS-CoV-2的癌症患者 (2020年5月至2021年8月).
- 收集的数据:人口统计,临床特征,住院时间,并发症和死亡率.
主要成果:
- 分析了1446名患有COVID-19的癌症患者;平均年龄59.2岁.
- 观察到的高率:46%的延长住院时间 (n=665),18.9%的COVID-19死亡率 (n=273).
- 有关不良结果的重大风险因素包括年龄,性别,种族,并发症,转移性疾病和绩效状况.
结论:
- 癌症患者面临长期住院和死于COVID-19的重大风险.
- 伴随性疾病,癌症治疗状况和临床脆弱性是关键的影响因素.
- 研究结果支持为癌症患者提供针对COVID-19的有针对性的风险咨询.
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