在最年长的退伍军人中,COVID-19前和COVID-19时期的死亡率趋势
Jessica Palmer1, Maithri Kondapaka2, Brock A Beamer3,4
1University of Maryland School of Medicine, Department of Medicine, Division of General Internal Medicine, Baltimore, Maryland, USA.
概括
在70至99岁的老老兵中,COVID-19增加了死亡率,但不是在百岁老人中. 这凸显了在流行病期间针对弱势老年人群的有针对性的公共卫生干预措施的需要.
科学领域:
- 老年医学 老年医学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- COVID-19大流行不成比例地影响了老年人,特别是那些患有并发病的人.
- 了解不同老年人群中的死亡率趋势对于有针对性的医疗保健战略至关重要.
研究的目的:
- 分析和比较退伍军人事务 (VA) 医疗保健系统中不同老年人年龄组的死亡率趋势.
- 为了检查这些趋势在COVID-19大流行期间与前COVID时代相比,控制人口统计和临床因素.
主要方法:
- 使用退伍军人事务信息学和计算基础设施数据的回顾性队列研究.
- 分析了两个样本:COVID前时代 (2019) 和COVID时代 (2020).
- 倾向性得分与年龄,性别,种族,BMI和并发症的控制匹配.
主要成果:
- 在COVID时代,死亡率在70-79岁 (OR 1.38),80-89岁 (OR 1.14) 和90-99岁 (OR 1.20) 的年龄组显著增加.
- 在百岁以上的人群中没有观察到显著的死亡率增加 (OR 1.10).
- 通过不匹配和匹配的分析证实了这些发现.
结论:
- COVID-19显著影响了70至99岁老年退伍军人的死亡率.
- 百岁老人显着缺乏增加的死亡率,这表明潜在的保护因素.
- 调查结果强调了疫情期间针对老年人的有针对性的公共卫生干预措施的必要性.
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