严重的COVID-19感染:一个机构审查和文献概述
Ogheneyoma Akpoviroro1, Nathan Kyle Sauers2, Queeneth Uwandu1
1Department of Internal Medicine, Geisinger Wyoming Valley Medical Center, Wilkes-Barre, Pennsylvania, United States of America.
PloS one
|August 20, 2024
概括
严重的COVID-19患者通常患有肥胖症和政府保险. 慢性肺病和吸烟史与不良结果有关,近50%需要机械通风,28%的死亡率.
科学领域:
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
背景情况:
- 在机构层面描述严重的COVID-19患者人口统计和结果.
- 确定与不同严重的COVID-19患者轨迹相关的因素.
研究的目的:
- 描述严重的COVID-19患者的特征.
- 确定与严重的COVID-19中有利,中等和不良结果相关的因素.
主要方法:
- 对因COVID-19而导致严重急性缺氧呼吸衰竭的患者的回顾性图表审查.
- 将患者分为三个结果组:有利 (出院),中间 (ICU护理) 和差 (住院死亡率).
主要成果:
- 分析了89名患者;平均年龄59.7,主要是白人和非西班牙裔.
- 慢性肺病 (p=0.002) 和吸烟史 (p=0.04) 与糟糕的结果有显著的关联.
- 在医院死亡率为28.1%;在中间结局组 (72.2%) 中,细菌性肺炎最为普遍.
结论:
- 严重的COVID-19患者通常是男性,肥胖,并发病,吸烟史和政府保险.
- 近50%的患者需要机械通风,在医院死亡率为28%.
- 早期输管与良好的结果相关,而慢性肺病和吸烟预测了不良结果.
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