血液透析患者中COVID-19的影响:系统性审查
Tahissa Frota-Cavalcante1, Raphaella Castro-Jansen2, José Erivelton de Souza-Maciel-Ferreira3
1. University of International Integration of Afro-Brazilian Lusophony, Brazil. Email: tahissa@unilab.edu.br University of International Integration of Afro-Brazilian Lusophony Brazil tahissa@unilab.edu.br.
Revista Cuidarte
|March 21, 2025
概括
在血液透析中患有慢性病 (CKD) 的患者面临严重的COVID-19结果. 这一系统性审查强调了这些脆弱患者的死亡率增加和不良临床事件.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 患有慢性病 (CKD) 的患者表现出免疫抑制状态,增加他们对感染的脆弱性.
- 在CKD患者中,COVID-19感染对慢性病患者的不良临床结果构成重大风险.
研究的目的:
- 系统地审查和识别有关COVID-19对血液透析患者的影响的科学证据.
- 巩固当前关于SARS-CoV-2感染对这一特定患者群体的影响的知识.
主要方法:
- 按照PRISMA指南进行了系统审查.
- 在包括PubMed,Cochrane图书馆,Web of Science,Science Direct和虚拟健康图书馆在内的主要数据库中进行了搜索.
- 包含的研究的方法质量使用适应的唐斯和黑名单进行评估.
主要成果:
- 包含了16篇文章,所有文章都显示出高的方法质量.
- 关键影响包括75%的死亡率增加,常见的COVID-19症状 (68.75%),淋巴缺血 (68.75%),以及进展到严重急性呼吸系统综合征 (56.25%).
- 很大一部分需要机械通风 (50%) 和重症监护病房 (50%).
结论:
- 与普通人群相比,血液透析患者对COVID-19非常敏感,并经历了更严重的疾病,不良结果和更高的死亡率.
- 这些发现强调了在血液透析诊所内加强预防护理策略的必要性,以减轻COVID-19的影响.
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