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在住院患者中,发烧作为COVID-19结果的预测指标
Lucas Pereto Silva1, Rebecca Benício Stocco1, Marcos Roberto Curcio Pereira1,2
1School of Medicine, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba, BRA.
Cureus
|March 25, 2024
概括
发烧在COVID-19患者中不常见,并且与更糟糕的结果无关. 这项研究发现低发烧的流行率,特别是在男性和肥胖个体中,表明发烧不是COVID-19严重程度的可靠预测指标.
科学领域:
- 传染性疾病 传染性疾病
- 流行病学 流行病学
- 临床医学 临床医学
背景情况:
- 随着COVID-19的流行,人们对患者的管理提出了问题,包括查和预后.
- 对COVID-19的体温查已经不有效.
- 在COVID-19患者中发烧的预后值仍然不确定.
研究的目的:
- 为了确定COVID-19患者发烧的流行率.
- 为了评估发烧作为COVID-19死亡率的预测指标.
主要方法:
- 1400名COVID-19患者的前性纵向队列研究 (2020年4月至2021年12月).
- 在入院和住院期间评估发烧的存在 (温度高于37.7°C).
- 收集关于患者人口统计,临床资料和结果 (死亡,出院,ICU入院,通风) 的数据.
主要成果:
- 发烧发生在9.1%的患者中,在男性 (71%) 和肥胖者 (42.9%) 中更常见.
- 在发烧患者中,30.4%需要输管,81.2%出院,18.7%死亡.
- 发烧与增加的住院死亡率没有关联.
结论:
- 在COVID-19中,发烧的流行率很低.
- 发烧在男性和肥胖个体中更为普遍.
- 发烧并不是临床结果差或COVID-19患者死亡率增加的可靠指标.
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