分析同期COVID-19感染对创伤患者结果的影响
Wardah Rafaqat1, May Abiad1, Emanuele Lagazzi1
1Division of Trauma, Emergency General Surgery and Surgical Critical Care, Massachusetts General Hospital, Boston, MA, USA.
The American surgeon
|April 13, 2024
概括
患有COVID-19感染的创伤患者面临着明显更高的死亡率和并发症率. 早期识别和预防策略对于这个脆弱的患者群体至关重要.
科学领域:
- 创伤外科 手术 创伤外科
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- COVID-19对创伤患者的影响尚不清楚.
- 在创伤人口中,COVID-19疫苗接种率较低.
- 这项研究调查了COVID-19对创伤患者结果的影响.
研究的目的:
- 为了确定同时感染COVID-19对创伤患者结果的影响.
- 为了比较COVID-19阳性和阴性创伤患者之间的死亡率和发病率.
主要方法:
- 成年创伤患者的回顾性队列研究 (2020年3月至2022年12月).
- 包括检测COVID-19的患者.
- 2: 1 倾向性得分对人口统计学,临床和伤害特征进行匹配.
- 主要结局:住院患者死亡率. 二次结局:住院时间 (LOS),重症监护室 (ICU) LOS,30天再入院和重大并发症.
主要成果:
- 在4448名患者中,168人 (3.8%) 呈COVID-19阳性 (COV+).
- 匹配分析 (154 个COV+vs. 308 个COV-) 显示COV+患者的死亡率更高 (7.8% vs. 2.6%),严重并发症 (15.6% vs. 8.4%) 和血栓性并发症 (3.9% vs. 0.6%).
- 冠状病毒+患者在医院的LOS (9 vs. 5天) 和ICU的LOS (5 vs. 3天) 时间较长.
结论:
- 同时的COVID-19感染与创伤患者的死亡率和发病率增加有关.
- 识别和保护高风险创伤患者免受COVID-19的影响至关重要.
- 需要有针对性的干预措施来缓解这一群体的不良结果.
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