门诊葡萄糖皮质激素的使用和COVID-19的结果:一个基于人口的研究
Almudena Rodríguez-Fernández1,2,3, Irene Visos-Varela1, Maruxa Zapata-Cachafeiro4,5,6
1Department of Preventive Medicine and Public Health, University of Santiago de Compostela, Rúa de San Francisco, S/N, 15782, Santiago de Compostela (A Coruña), Spain.
Inflammopharmacology
|May 2, 2024
概括
门诊使用葡萄皮质激素会增加COVID-19的严重程度,住院,死亡率和易感性. 高剂量和最近使用显著增加风险,特别是死亡率.
科学领域:
- 传染性疾病 传染性疾病
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 在COVID-19患者中使用葡萄糖皮质醇是有争议的.
- 这项研究调查了门诊患者对COVID-19结果的葡萄糖皮质体效应.
研究的目的:
- 评估门诊葡萄糖皮质体对COVID-19严重程度和进展的影响.
- 分析对感染风险的影响,考虑暴露窗口和剂量.
主要方法:
- 基于人口的病例控制研究与四个子研究:住院治疗,死亡率,进展和易感性.
- 使用PCR阳性病例和对照;计算调整的几率比率 (ORa) 和95%置信区间 (95%CI).
主要成果:
- 门诊性葡萄皮质激素的使用与住院治疗 (aOR1.79),死亡率 (aOR2.30),进展 (aOR1.69) 和易感性 (aOR1.29) 的增加有关.
- 较高剂量和最近暴露 (一个月内) 显示显著增加风险,死亡风险几乎增加了四倍 (aOR 3.85).
结论:
- 现实世界的数据表明,门诊性葡萄糖皮质激素使用与更糟糕的COVID-19结果有关.
- 在对COVID-19患者的临床决策中考虑门诊葡萄糖皮质激素的使用.
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