[COVID-19和非COVID-19肺炎,一个比较研究]
Melani Zlotogora1, Santiago T M Reyna1, María A Correa Barovero1
1Servicio de Clínica Médica, Hospital Privado Universitario de Córdoba, Argentina.
这项研究比较了社区获得性肺炎 (CAP) 和住院患者的COVID-19肺炎. 4C死亡率和CALL得分更好地预测了肺炎患者的并发症,无论原因如何.
科学领域:
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
- 临界护理医学 临界护理医学
背景情况:
- 肺炎的管理具有挑战性,特别是在SARS-CoV-2大流行期间,由于呈现的变化和紧急治疗需求.
- 社区获得性肺炎 (CAP) 和COVID-19肺炎需要不同的诊断和治疗方法.
研究的目的:
- 在住院患者中比较CAP和COVID-19肺炎的频率和临床特征.
- 评估预后分数在预测住院肺炎患者预后结果方面的有效性.
主要方法:
- 追溯分析研究包括1176名COVID-19肺炎患者和124名在2020年3月至2021年10月期间住院的CAP患者.
- 排除标准包括孕妇;数据来自阿根廷科尔多瓦的两个三级护理医院.
主要成果:
- 在年轻男性中,COVID-19肺炎更为常见,并呈现出更高的严重疾病和从轻度到严重疾病的进展率.
- 虽然CURB-65和qSOFA得分将大多数患者归类为低风险,但4C死亡率和CALL得分在预测并发症方面表现优越.
- 在COVID-19肺炎和CAP组之间,住院死亡率相似 (12.2%对11.3%).
结论:
- 住院肺炎,包括COVID-19,经常影响有伴随疾病的人.
- 4C死亡率和CALL分数是预后分层的有价值工具,可以更好地预测肺炎患者的不良结果.
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