参与PCORnet®的健康系统中的美国成年人中COVID-19疾病严重程度的种族和种族差异:2020年5月-2022年10月:PCORnet®:2020年5月-2022年10月
Bridget Simon-Friedt1, Emilia H Koumans2, Amy K Feehan3
1Louisiana Public Health Institute, New Orleans, LA.
Medical care
|January 8, 2026
概括
在Omicron变种期间,COVID-19疾病的严重程度下降了,但严重的并发症增加了. 种族和民族差异的严重程度发生了转变,突出显示了不断变化的公共卫生需求.
科学领域:
- 流行病学 流行病学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 在不同的人口群体中,COVID-19疾病的严重程度有所不同.
- 像Omicron这样的SARS-CoV-2变种的出现改变了疾病的动态.
- 了解这些转变对于有针对性的公共卫生干预至关重要.
研究的目的:
- 分析根据年龄,种族和种族的COVID-19疾病严重程度分布.
- 为了比较前奥米克朗和奥米克朗变种时期之间的疾病严重程度.
- 确定不同人口群体之间的差异变化.
主要方法:
- 从2020年5月到2022年10月的1,613,706名患者的回顾性分析.
- 使用ICD-10-CM代码在围绕SARS-CoV-2诊断的定义时间范围内对疾病的严重程度进行分类.
- 在人口群体和变异时期的严重程度分布的比较.
主要成果:
- 总体而言,在所有种族/民族群体中,在Omicron期间疾病的严重程度下降.
- 奥米克朗时期的严重并发症患病率较高.
- 黑人和其他种族的高疾病严重性在Omicron前的差异在Omicron期间减少了.
- 与非西班牙裔患者相比,西班牙裔患者的高疾病严重程度和严重并发症患病率发生了变化.
结论:
- COVID-19疾病严重程度模式和相关的差异与Omicron变种一起演变.
- 尽管整体严重程度较低,但Omicron变种期间严重并发症的增加具有悖论性.
- 调查结果强调,需要适应性,针对性公共卫生战略,以帮助边缘化人口面对不断变化的COVID-19趋势.
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