急性病毒性呼吸道感染患者入院的临床,人口和病毒学预测因素:一项回顾性观察性研究
Karolina Akinosoglou1,2,3,4, Nikolaos Theofanis4, Konstantinos Asimos5
1Department of Medicine, University of Patras, Rio, 26504 Patra, Greece.
Viruses
|January 28, 2026
概括
老年,发烧,咳和下呼吸道感染预示着病毒性呼吸道感染的成年人住院治疗. 识别这些因素有助于紧急部门的分类和资源分配.
科学领域:
- 传染性疾病 传染性疾病
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 病毒性呼吸道感染 (RTIs) 是急诊室 (ED) 访问和住院的常见原因,特别是在弱势群体中.
- 有效的患者分组和资源分配需要及早识别那些面临严重后果高风险的人.
- 这项研究调查了已确认病毒RTIs的成年人入院的预测因素.
研究的目的:
- 确定与病毒RTIs的成年人住院相关的独立的人口,临床和病毒学因素.
- 为了提高病毒性呼吸道感染患者的风险分层.
- 在呼吸道病毒活动高的时期,为紧急部门的选策略提供信息.
主要方法:
- 对具有分子确认病毒RTIs的成年患者进行了回顾性队列研究.
- 从电子医疗记录中提取的数据包括人口统计,临床表现和并发症.
- 用单变量和多变量逻辑回归分析来确定住院预测因素.
主要成果:
- 在311名患者中,近一半 (47.3%) 需要住院治疗.
- 住院的患者年龄较大,患发烧,咳,呼吸困难,并发病,以及较低或混合RTIs的可能性更高 (p < 0.001).
- 入院的独立预测因素包括年龄较大,发烧,咳和较低/混合RTIs. 人类鼻病毒,非SARS-CoV-2冠状病毒,甲型流感和偏流感病毒与较低的入院几率有关.
结论:
- 年龄,并发症负担和下呼吸道干扰是病毒RTIs住院的关键决定因素.
- 临床和病毒学数据的整合可以改善风险评估,并指导ED分拣.
- 这些发现支持在季节性和新出现的呼吸道病毒爆发期间优化管理策略.
关键词:
呼吸道共囊病毒 呼吸道共囊病毒严重急性呼吸系统综合征 冠状病毒2腺病毒的病毒.冠状病毒冠状病毒病毒肠道病毒病毒.住院治疗 住院治疗人类甲型肺炎病毒人类犀利病毒.甲型流感是一类流感.流感B型流感是一种流感.类似流感病毒的病毒.呼吸道感染 呼吸道感染更多相关视频
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