2019年冠状病毒疾病与儿童神经疾病之间的关联强度:一项病例对照研究
Utcharee Intusoma1, Wisarut Srisintorn2, Titaporn Thamcharoenvipas1
1Division of Neurology, Department of Pediatrics, Faculty of Medicine, Prince of Songkla University, Hat Yai, Thailand.
Neuroepidemiology
|September 12, 2024
概括
这项研究发现了COVID-19和儿童的神经疾病,特别是中风之间的联系. 这项研究强调了在流行病期间监测儿科神经健康的重要性.
科学领域:
- 儿科神经学 儿科神经学
- 传染病流行病学 传染病流行病学
- 公共卫生 公共卫生
背景情况:
- 在成年COVID-19病例中,神经系统并发症被认可.
- 有限的数据存在于COVID-19和儿科神经系统疾病 (NDs) 之间的关联.
- 了解这些联系对于在流行病期间管理儿童健康至关重要.
研究的目的:
- 在COVID-19大流行期间调查儿童NDs的时间趋势.
- 评估COVID-19感染与儿科人口中NDs发生率之间的关联.
- 为了确定可能与最近或同时出现的COVID-19相关的特定的ND.
主要方法:
- 分析泰国国家住院数据 (2017-2022年) 对于特定NDs的18岁以下儿童.
- 间断时间序列分析以检测发生率趋势的变化后流行病声明.
- 匹配的病例控制研究使用后勤回归来评估COVID-19与NDs的关联.
主要成果:
- 在COVID-19第三波期间,观察到视神经炎发病率显著增加.
- 患有ND的儿童最近/同时患有COVID-19的患病率更高 (aOR:1.95).
- 儿科中风与最近/同时出现的COVID-19有显著的关联 (aOR:3.05).
结论:
- 最近或同时感染COVID-19与儿童神经系统疾病风险增加有关.
- 儿科中风是与COVID-19相关的关键神经疾病之一.
- 研究结果强调,需要对COVID-19感染后儿童的神经复发症保持警.
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