与首次诊断的抑郁症相关的急性感染风险:一个队列研究
Noah Aebi1,2,3, Christoph R Meier4,5,6, Susan S Jick6,7
1Basel Pharmacoepidemiology Unit, Division of Clinical Pharmacy and Epidemiology, Department of Pharmaceutical Sciences, University of Basel, Basel, Switzerland. noah.aebi@unibas.ch.
Social psychiatry and psychiatric epidemiology
|November 9, 2024
概括
被诊断为抑郁症的患者显示急性感染的风险略有增加,但这不被认为具有临床意义. 医疗保健使用和并发症严重程度的差异可能解释了抑郁症患者观察到的风险.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 临床医学 临床医学
背景情况:
- 抑郁症是一种普遍存在的心理健康状况.
- 抑郁症与身体健康,特别是感染风险之间的关系需要进一步研究.
研究的目的:
- 评估与没有抑郁症的人相比,新诊断的抑郁症患者的急性感染风险.
- 通过使用大型患者数据库,分析初级保健机构内的感染风险.
主要方法:
- 使用英国CPRD GOLD数据库 (2000-2019年) 进行了一项队列研究.
- 18岁以上患有抑郁症的患者与没有抑郁症的匹配对照人群进行了比较.
- 两年内急性感染 (呼吸道,胃肠道,泌尿器官,败血症) 是主要结局,使用倾向得分方法和负二项回归分析.
主要成果:
- 急性感染的发病率在抑郁症队列中为97.3/1000人/年,在对照队列中为83.7/1000人/年.
- 针对急性感染的调整后发病率比率 (IRR) 为1.18 (95% CI 1.16-1.20).
- 除了基线并发症,IRR降至1.07 (95% CI 1.04-1.09),这表明并发症的影响.
结论:
- 被诊断为抑郁症的患者不会面临急性感染的大幅增加风险.
- 观察到的感染风险的轻微增加可能归因于医疗保健利用和并发症严重性的残留混.
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