在以色列,COVID-19的通风患者的人口普查依赖死亡率:非干预性观察性队列研究
Joseph Mendlovic1,2, Francis B Mimouni3,4
1Shaare Zedek Medical Center, Affiliated with the Hadassah-Hebrew University School of Medicine, Jerusalem, Israel.
每天高数量的通风COVID-19患者与增加的死亡率相关. 这表明医疗资源和,强调了在流行病期间需要足够的医疗保健能力.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 关键护理医学 关键护理医学
背景情况:
- 由于COVID-19大流行导致住院人数激增,可能会增加由于医疗资源紧张而导致的死亡率.
- 之前没有一项全国性研究检查了每日通风患者数量对大流行期间死亡率的影响.
研究的目的:
- 调查以色列每天对机械通风患者的普查与COVID-19死亡率之间的联系.
- 为了确定增加呼吸机使用是否与较高的患者死亡率相关.
主要方法:
- 一项全国性的队列研究分析了2020年3月至2021年2月的以色列COVID-19住院数据.
- 包括所有COVID-19入院者,评估每日死亡率和通风患者中的死亡率百分比.
- 使用统计分析,包括回归和ANOVA来评估相关性.
主要成果:
- 每日死亡率与每日通风患者数量有很强的相关性 (R2=0.828,P<.001).
- 呼吸器患者的死亡率在每日50-149名患者中几乎翻了一番,在≥200名患者中增加了三倍以上.
- 每天对通风患者的普查解释了40%的死亡率变化.
结论:
- 每天增加的通风患者数量与更高的死亡率有关,这表明医疗资源的潜在和.
- 决策者必须确保在健康危机期间扩大医疗保健服务时有足够的资源.
- 需要进一步验证才能将这些发现用于公共政策和系统和指标.
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