在Omicron亚变体浪潮期间,在第三级卫生服务中住院的COVID-19患者
Alysha Y Wanigaratne1, Mohana Baptista2, Freya Langham3
1Monash University School of Clinical Sciences at Monash Health, Monash Medical Centre, Clayton, VIC 3168, Australia.
Australian and New Zealand journal of public health
|July 30, 2024
概括
许多COVID-19的入院是因为轻度疾病或偶然的病例. 改善疫苗接种和抗病毒接种,特别是在不同的社区,可以减少住院治疗.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
背景情况:
- COVID-19 Omicron亚型通常会导致不那么严重的疾病.
- 尽管病情较轻,但急性护理的入院仍然令人担忧.
- 了解招生驱动因素是减少医疗保健负担的关键.
研究的目的:
- 审计SARS-CoV-2入院病例的原因和细节.
- 确定减少COVID-19住院治疗的机会.
主要方法:
- 对所有入院患者的回顾性审查,检测出SARS-CoV-2阳性.
- 从2022年12月1日到2023年1月30日收集的数据.
主要成果:
- 在600例阳性病例中,有37%是偶然诊断.
- 症状性COVID-19入院 (63%) 是由于症状恶化 (60%),并发症恶化 (24%) 或家庭管理困难 (10%) 造成的.
- 47%的症状病例患有轻度感染;许多老年患者之前缺乏抗病毒疗法 (76%) 或充分接种疫苗 (61%).
- 在非英语患者和在澳大利亚以外出生的患者中观察到较低的疫苗接种率和抗病毒率.
结论:
- 三分之一的COVID-19入院是偶然的;一半是轻度疾病.
- 不充分的社区疫苗接种和抗病毒使用普遍存在.
- 建议针对疫苗接种,抗病毒药物和社区支持的有针对性的干预措施,特别是针对文化和语言多样化的人口,以减少住院病例.
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