COVID-19爆发和发烧之间的相互作用影响OHCA患者访问急诊室的死亡率
Dahae Lee1, Jung Ho Lee1, Eujene Jung1,2
1Department of Emergency Medicine, Chonnam National University Hospital, Gwangju 61468, Republic of Korea.
Medicina (Kaunas, Lithuania)
|January 8, 2025
概括
随着COVID-19大流行,医院外心脏骤停 (OHCA) 患者的结果变得更糟,尤其是发烧患者. 这凸显了在健康危机期间,对OHCA患者的发烧管理的关键需求.
科学领域:
- 紧急医疗 紧急医疗
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 发烧后出院心脏骤停 (OHCA) 与不良的神经和代谢结果有关.
- 随着COVID-19大流行,出现了新的挑战,包括发烧,这可能会影响OHCA患者的预后.
研究的目的:
- 评估COVID-19疫情对OHCA患者结果的影响.
- 检查发烧如何与流行病相互作用以影响OHCA患者预后.
主要方法:
- 来自韩国国家紧急情况部门信息系统 (NEDIS) 的成年OHCA患者的回顾性观察分析.
- 将COVID-19流行时期 (2020) 和流行前时期 (2019) 的数据进行了比较.
- 用多级多变量逻辑回归和差异分析来评估死亡风险.
主要成果:
- 在COVID-19大流行期间,OHCA患者的住院死亡率更高 (调整后OR1.22).
- 在大流行期间,发烧性OHCA患者的死亡率显著增加 (调整后OR为1.40).
- 与非发烧患者相比,COVID-19在发烧的OHCA患者中的死亡率不成比例地增加.
结论:
- 由于COVID-19大流行,OHCA患者的死亡率显著增加.
- 发烧性OHCA患者由于与流行病相关的系统性干扰而经历了不成比例的更糟糕的结果.
- 有效的发烧管理对于改善流行病期间OHCA患者预后至关重要.
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