从美国医疗保险受益人中长期COVID的特征学到的教训
Yun Lu1, Arnstein Lindaas2, Hector S Izurieta1
1Center for Biologics Evaluation and Research, Food and Drug Administration, Silver Spring, Maryland, USA.
长期COVID影响的是老年人,在养老院的诊断率更高. 长期COVID的风险因素在最初感染后,在人口群体中看起来很相似.
科学领域:
- 老年学是一门学科.
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- COVID-19对老年人产生了重大影响,需要了解其长期健康后果.
- 后COVID状况是一个日益关注的问题,特别是在弱势群体,如老年人.
研究的目的:
- 在老年人 (65岁及以上) 中描述COVID-19的长期影响.
- 分析医疗保险受益人中与COVID后疾病诊断相关的发病率和人口因素.
主要方法:
- 使用医疗保险服务费索赔数据进行的回顾性描述性研究.
- 分析COVID后疾病诊断代码的使用情况 (ICD-10-CM代码U09.9和B94.8).
- 包括患者人口统计数据,并发诊断和长期COVID的发生率 (COVID-19诊断后≥28天).
主要成果:
- 在超过3100万名医疗保险受益者中,大约有194,000例COVID后疾病诊断.
- 与社区居住的受益者相比,在养老院居民中观察到更高的COVID后疾病诊断率.
- 在被诊断患有后COVID疾病的社区居民中,17.5%缺乏之前的COVID-19诊断码.
结论:
- 养老院居民面临的后COVID条件的实质性负担,表明更高的脆弱性.
- 在社区居住和养老院人口之间可能存在寻求医疗保健行为的差异,这可能会影响COVID-19的严重程度和呼吸系统疾病的检测.
- 在COVID-19感染后患长期COVID的风险在各种人口群体中似乎是一致的.
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