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与COVID-19相关的自身免疫性疾病的持续风险:在日本使用电子医疗记录数据库的观察研究
Shoichiro Inokuchi1, Koji Shimamoto
1From the Research and Analytics Department, Real World Data Co, Ltd, Kyoto, Japan.
概括
冠状病毒病2019 (COVID-19) 在日本显著增加患自身免疫性疾病的风险,风险持续长期. 这种关联适用于各种COVID-19变种和特定的自身免疫疾病.
科学领域:
- 免疫学 免疫学 免疫学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 新出现的证据表明,病毒感染可以触发自身免疫反应.
- 冠状病毒疾病2019 (COVID-19) 对自身免疫性疾病发展的长期影响需要进一步调查.
研究的目的:
- 调查COVID-19与日本发生自身免疫性疾病的风险之间的关联.
- 检查短期和长期风险,以及变种特定的风险.
主要方法:
- 使用日本电子医疗记录数据库进行的观察研究.
- 在COVID-19患者和非COVID-19队列之间比较自身免疫疾病发病率.
- 使用标准化死亡率权重和Cox比例危险模型进行风险评估,并对变体和时间框架进行子组分析.
主要成果:
- 总共有90,855名COVID-19患者和459,827名对照进行了分析.
- COVID-19与任何自身免疫性疾病的相对风险增加2.32倍有关.
- 对于某些疾病,如类风湿性关节炎,全身性硬化和IgG4相关疾病,观察到显著的风险,而对于后两种疾病,长期风险很大.
结论:
- COVID-19与日本人口持续增加自身免疫性疾病的风险有关.
- 这些发现突显出病毒感染和自身免疫力之间存在显著的长期关联.
- 变种特定的风险和长期影响需要持续监测.
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