日本COVID-19的住院患者负担:一个回顾性队列研究
Kathleen M Andersen1, Matthew A Brouillette1, Kanae Togo2
1Pfizer Inc., 66 Hudson Boulevard East, New York, New York, United States, 10001.
概括
在日本,COVID-19住院的负担比流感更大,住院时间更长,重症监护室的入院人数更多,死亡率更高. 持续预防和治疗对于减轻严重的COVID-19疾病至关重要.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 医疗保健管理的管理
背景情况:
- 改变COVID-19的动态和日本的疫苗接种需要更新有关严重疾病负担的数据.
- 这项研究分析了日本COVID-19的住院医疗资源利用情况,并将其与流感进行比较.
研究的目的:
- 描述日本COVID-19的住院医疗保健资源利用情况.
- 通过将其与流感进行比较,将严重的COVID-19疾病的负担置于背景.
主要方法:
- 从日本大型医院数据库 (医疗数据视觉) 中对住院COVID-19和流感病例的回顾性分析.
- 数据收集时间为2020年4月至2024年1月的COVID-19和2017年11月至2019年10月的流感.
- 关键结果包括停留时间,ICU入院,侵入性机械呼吸 (IMV) 和住院患者死亡率,按年龄和时间分层.
主要成果:
- 与流感患者相比,COVID-19患者年龄较大 (中位数为80岁与64岁),住院时间明显长 (21天与5天).
- 较高比例的COVID-19患者需要ICU入院 (3%对1%),IMV (6%对3%),并经历了住院死亡率 (12%对3%).
- COVID-19的住院患者负担超过了成人和儿科人口的流感,最近的数据 (2023年5月至2024年1月) 显示负担不成比例地更高.
结论:
- 在日本,COVID-19对住院医疗的负担很大,在关键指标上超过了流感的负担.
- 调查结果强调了持续需要强有力的COVID-19预防策略和有效的治疗方法,以减少严重疾病的结果.
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