冠状病毒严重程度和疫苗接种人数对VA人群选择性手术术后的术后死亡率的影响
Henyah W Dardir1, Ahmed Adham R Elsayed1,2,3, William P Newman4,5
1College of Medicine, Northeast Ohio Medical University, Rootstown, Ohio, USA.
ANZ journal of surgery
|April 16, 2025
概括
以前的中度/重度COVID-19和缺乏疫苗接种增加了术后死亡率和再入院率. 接种疫苗的时间也影响了非COVID患者的结果,强调了这些因素对选择性手术成功的重要性.
科学领域:
- 医学研究 医学研究
- 外科手术的结果
- 传染病流行病学 传染病流行病学
背景情况:
- 了解COVID-19对手术患者的长期影响至关重要.
- 评估疫苗接种状态对术后结果的影响对于患者护理至关重要.
研究的目的:
- 为了确定之前的COVID-19严重程度和疫苗接种状态是否会影响选择性手术后的死亡率和再接收.
- 为了分析这些效应在手术后的30,90和365天.
主要方法:
- 一项涉及21,855名退伍军人的队列研究,分为没有COVID和以前的COVID组.
- 根据严重程度 (轻度与中度/重度) 分类COVID-19患者.
- 分析了与手术相关的疫苗接种状态和时间.
主要成果:
- 中度/严重的COVID-19与明显更高的30,90和365天死亡率和再入院率有关.
- 轻度的COVID-19增加了16.6%的再接收风险.
- 未接种疫苗的患者和最近接种疫苗的患者的死亡率较高,死亡率降低与接种疫苗和手术之间的间隔较长有关.
结论:
- 中度/严重的COVID-19病史,缺乏接种疫苗和最近接种疫苗与术后死亡率和再入院率的增加有关.
- 疫苗接种状态和时间是影响选择性手术患者结果的关键因素.
- 这些发现强调需要根据COVID-19病史和接种疫苗进行仔细的患者选择和管理.
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