在秘鲁利马的成年人中,SARS-CoV-2感染和复杂的尾炎:一个匹配的病例控制研究
Agustín Mansilla-Sandoval1, Diana Corrales-Delgado1, Zully M Puyén1
1Facultad de Ciencias de la Salud, Universidad Peruana de Ciencias Aplicadas, Lima, Peru.
BMC surgery
|April 15, 2025
概括
在手术患者中,COVID-19感染与复杂尾炎的风险更高有关. 这种关联表明,对于患有SARS-CoV-2的患者,可能需要加强临床监测.
科学领域:
- 传染性疾病 传染性疾病
- 胃肠道手术 胃肠道手术
- 流行病学 流行病学
背景情况:
- 急性尾炎可以是无并发症或复杂的,具有危及生命的结果.
- 随着COVID-19大流行,复杂尾炎病例有所增加,这暗示了潜在的联系.
- 这项研究调查了秘鲁手术患者的SARS-CoV-2感染和复杂尾炎之间的关联.
研究的目的:
- 为了确定SARS-CoV-2感染和复杂的尾炎之间的关联.
- 评估COVID-19患者复杂尾炎的风险.
主要方法:
- 进行了一项匹配的病例控制研究.
- 包括18岁以上接受尾炎手术并呈阳性SARS-CoV-2检测的患者.
- 病例患有复杂的尾炎;对照组患有不复杂的尾炎,按性别,年龄和手术月份进行1:1匹配.
主要成果:
- 在复杂尾炎病例中,COVID-19阳性率为73.6%,对照组为26.4%.
- 与SARS-CoV-2感染并发尾炎的粗略概率比为4.88.
- 在控制症状发作和手术前等待时间后,调整后的几率比仍然显著,为3.52.
结论:
- 在SARS-CoV-2感染和复杂的尾炎之间存在显著的关联.
- 患有SARS-CoV-2感染的患者可能面临患上复杂尾炎的风险增加.
- 由于这种风险增加,建议对COVID-19患者进行加强的临床监测.
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