从COVID-19住院康复后的死亡率:一项长期队列研究
Wiessam Abu Ahmad1, Yael Wolff-Sagy2, Erez Battat2
1Braun School of Public Health, Hebrew University-Hadassah, Jerusalem, Israel; Branch of Planning and Strategy, Clalit Health Services, Tel Aviv, Israel.
概括
COVID-19住院的幸存者面临的长期死亡风险明显更高. 这凸显了对这些患者进行持续监测和预防护理的迫切需要.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 幸存于COVID-19后的长期死亡风险仍然不清楚.
- 新兴变种需要了解后急性后果.
- 临床管理需要有关持续健康影响的数据.
研究的目的:
- 调查COVID-19住院和全因死亡率之间的关联.
- 为了评估离院后3.5年死亡风险.
- 为了确定COVID-19幸存者的风险因素和保护措施.
主要方法:
- 对年龄≥40岁的克拉利特卫生服务人员进行了回顾性队列研究.
- 与住院COVID-19患者和未感染个体的1:1比较匹配.
- 使用卡普兰-梅尔曲线和考克斯回归模型进行生存分析,直到2023年9月.
主要成果:
- 与对照组相比,住院患者的全因死亡风险高出1.69倍.
- 年轻的成年人 (40-64岁) 与老年人 (≥65) 相比,面临的相对风险 (2.31) 较大.
- 接种疫苗 (≥2剂量) 显示出降低死亡风险的趋势,特别是在年轻患者中.
结论:
- 住院治疗COVID-19导致所有原因死亡率持续增加.
- 针对性的长期随访对幸存者至关重要.
- 预防策略,包括疫苗接种,对于减轻长期风险至关重要.
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