使用基于群组的模型来识别干预后不良事件模式
Wei Wang1, Sara Abbaspour2, Kimberly G Blumenthal3
1Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States.
Frontiers in medicine
|October 2, 2025
概括
接种COVID-19疫苗后的不良事件监测显示了不同的时间变化的模式. 识别这些轨迹有助于确切地确定具有更高副作用风险的个体.
科学领域:
- 疫苗学 疫苗学 疫苗学
- 流行病学 流行病学
- 生物统计学 生物统计学
背景情况:
- 标准不良事件 (AE) 监测缺乏时间分析,无法捕捉随时间变化的事件变化.
- 目前的方法无法评估AE模式是否在干预后不同个体之间存在差异.
研究的目的:
- 分析COVID-19疫苗接种后AEs的时间变化的轨迹.
- 识别与不同的AE模式相关的个体特征.
主要方法:
- 基于小组的轨迹模型被应用到观察性研究中.
- 分析了接受mRNA COVID-19疫苗的50,484名医疗保健人员的数据.
- 在接种疫苗后的1-3天内,对副作用进行了监测.
主要成果:
- 疫苗接种后确定了不同的AE轨迹组:第一剂后有两个,第二剂后有五个.
- 这些群体因人口统计,年龄,先前病史,接种时间和疫苗制造商的不同而有很大差异.
结论:
- 接种疫苗后基于时间的AE轨迹显示出不同的个体模式.
- 这些发现可以为风险分层,未来的生理学研究和患者咨询提供信息.
- 基于轨迹的方法应整合到干预后监测策略中.
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