严重的精神疾病和传染病死亡率:系统审查和元分析
Amy Ronaldson1, Isabelle Nascimento Santana2, Sophie Carlisle1
1Health Service & Population Research Department, Institute of Psychiatry, Psychology, & Neuroscience (IoPPN), King's College London, UK.
EClinicalMedicine
|December 9, 2024
概括
患有严重精神疾病 (SMI) 的人面临着因感染,特别是呼吸道感染而死亡的风险明显更高. 优先考虑像疫苗接种这样的预防策略对于这个弱势群体至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 精神病学是一种精神病学.
背景情况:
- 严重的精神疾病 (SMI) 与传染病死亡率的增加有关.
- 现有的审查往往不包括特定的感染类型,需要集中分析.
- 这项研究通过检查SMI人群中非COVID-19感染死亡率来解决这一差距.
研究的目的:
- 系统地审查和量化SMI患者感染的死亡风险.
- 探索导致死亡率增加的特定类型的感染.
- 为有针对性的公共卫生干预提供证据.
主要方法:
- 在PubMed,Web of Science,PsycINFO和EMBASE数据库中进行全面搜索.
- 包括观察性队列研究,评估SMI对传染病死亡率的影响 (不包括COVID-19).
- 对一般传染病,呼吸道感染和败血症进行的随机效应元分析.
主要成果:
- 包括29项高质量的观察性研究.
- SMI与感染性疾病死亡风险增加2.71倍有关.
- 在SMI患者中,呼吸道感染的死亡风险是SMI患者的三倍以上 (RR=3.27).
结论:
- 患有SMI的个体因感染,特别是呼吸道感染而死亡的风险大幅增加.
- 建议对患有SMI的人优先采取预防措施,包括接种疫苗 (流感,肺炎球菌).
- 需要进一步的研究来阐明SMI感染死亡率增加的潜在机制.
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