一项回顾性观察性研究,评估65岁以上和65岁以下的人在农村ICU中的COVID-19死亡率和发病率
Mohammed Ahmed1, Mahmod Makhlof2, Anand Kotgire2
1Medicine, University of East Anglia, Norwich, GBR.
Cureus
|December 16, 2024
概括
农村ICU中的老年COVID-19患者与年轻患者相比,死亡率和住院时间相似. 尽管发病率得分较高,但老年人没有经历更糟糕的整体医疗保健结果.
科学领域:
- 关键护理医学 关键护理医学
- 老年医学 老年医学
- 传染性疾病 传染性疾病
背景情况:
- 现有的文献往往夸大了老年人COVID-19死亡风险.
- 在COVID-19研究中,农村人口经常被排除在外或与城市数据相结合.
- 事证据表明,农村地区的老年人可能不会面临更糟糕的结果.
研究的目的:
- 为了比较老年人 (65岁以上) 和接受农村ICU的年轻患者之间的COVID-19结果.
- 调查死亡率,发病率 (APACHE II分数) 和住院时间的差异.
- 为弥补有关大流行期间农村老年人医疗保健结果的文献差距.
主要方法:
- 对接受哈塔医院ICU治疗的SARS-CoV-2阳性患者的回顾性研究.
- 患者分为两组:65岁以下和65岁以上.
- 分析死亡率,APACHE II病率得分和住院时间,并进行统计比较.
主要成果:
- 在老年人 (21.9%) 和年轻人 (12.5%) 之间的死亡率没有统计学上显著的差异 (p=0.29).
- 两个组的平均住院时间相似 (21.66天与19.83天;p=0.65).
- 老年患者的发病率显著增加,这是APACHE II评分 (13.2比8.24;p=0.0008) 所表明的.
结论:
- 在这个农村ICU中,老年人和年轻患者之间的COVID-19死亡率和住院时间没有显著差异.
- 虽然老年患者患病率较高,但整体医疗保健结果相似.
- 这项研究表明,农村地区的老年人可能没有比年轻人更糟糕的健康结果,这挑战了现有的文献.
更多相关视频
06:04Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
8.8K
06:55Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
14.4K
相关概念视频
Acute Respiratory Failure-II
173
Type I Respiratory Failure, or hypoxemic respiratory failure, occurs when the partial pressure of oxygen (PaO2) in arterial blood falls below 60 mmHg while breathing room air without a corresponding increase in arterial carbon dioxide levels (PaCO2). This condition highlights a significant impairment in the lungs' capacity to oxygenate the blood.
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
173
Pneumonia III: Complications and Assessment
156
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
156
Acute Respiratory Failure-III
156
Hypercapnic respiratory failure, also known as Type 2 or ventilatory respiratory failure, is a severe condition characterized by the body's inability to effectively remove carbon dioxide (CO2) from the bloodstream. It leads to an arterial CO2 pressure (PaCO2) exceeding 45 mmHg and a blood pH above 7.35. This situation indicates that the body's ventilatory demand, or the ventilation needed to maintain normal PaCO2 levels, surpasses its supply or the maximum gas flow achievable without...
156
Acute Respiratory Failure-I
166
Acute respiratory failure is a condition characterized by the inability of the lungs to perform their primary function: gas exchange. This failure leads to insufficient oxygen levels (hypoxemia) in the blood, elevated carbon dioxide levels (hypercapnia), or both, causing critical impairment in organ function.
Definition: It is defined by specific criteria based on blood gas measurements. Hypoxemia happens when the partial pressure of oxygen (PaO2) falls below 60 mmHg. At the same time,...
Definition: It is defined by specific criteria based on blood gas measurements. Hypoxemia happens when the partial pressure of oxygen (PaO2) falls below 60 mmHg. At the same time,...
166
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.5K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.5K
Factors Affecting Illness
4.2K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
4.2K
