潜在的精神疾病和与COVID-19相关的严重结果的风险
Angelica Castro1, Hong-Yen Vi1
1Captain James A. Lovell Federal Health Care Center, North Chicago, Illinois.
概括
患有抑郁症或精神分裂症的个人经历了更多的COVID-19住院和死亡,尽管不是显著的. 这项研究突出了对这些弱势群体的护理方面的潜在差异.
科学领域:
- 医学研究 医学研究
- 传染病流行病学 传染病流行病学
- 心理健康结果的结果
背景情况:
- 疾病控制和预防中心将抑郁症和精神分裂症确定为严重COVID-19的危险因素.
- 高风险患者通常有资格接受门诊治疗,如抗病毒药物.
- 这些条件在特定的联邦医疗保健中心没有被认为是风险因素,影响了治疗资格.
研究的目的:
- 调查抑郁症和/或精神分裂症是否影响严重COVID-19结果的风险.
- 评估这些心理健康状况对患者在轻度至中度COVID-19感染后的结果的影响.
主要方法:
- 追溯队列研究设计.
- 对患有轻度至中度COVID-19的患者的结局分析.
- 主要结局:严重的COVID-19结局 (住院,ICU入院,输管,机械通风或30天内死亡).
主要成果:
- 患有抑郁症或精神分裂症的患者的住院和死亡率更高.
- 观察到的两组之间严重结局的差异在统计学上并不显著 (P = .36).
- 所有在30天内记录的死亡发生在患有抑郁症或精神分裂症的患者中.
结论:
- 虽然趋势表明抑郁症和精神分裂症患者的住院和死亡人数增加,但这些发现缺乏统计学意义.
- 可能需要进一步的研究来澄清这些并发症对COVID-19严重程度和结果的影响.
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