在无家可归者中,急性医疗利用与阳性SARS-CoV-2测试或血清学相关:一项前性队列研究
Lucie Richard1, Brooke Carter2, Michael Liu1,3
1MAP Centre for Urban Health Solutions, Unity Health Toronto, Toronto, Ontario, Canada.
PloS one
|March 4, 2026
概括
多伦多的无家可归者经历了高率的SARS-CoV-2感染和再感染. 感染后急性医疗保健利用率仍然相对较低,这表明需要调查后COVID状况等长期结果.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
背景情况:
- 现有的研究低估了无家可归人口中SARS-CoV-2感染的可能性,影响了对急性护理需求的理解.
- 这项研究通过量化在这种脆弱群体中经确认的SARS-CoV-2感染或再感染后的医疗保健利用率来解决这一差距.
研究的目的:
- 准确测量与SARS-CoV-2感染和无家可归者重新感染相关的急性医疗保健利用率.
- 为了比较感染期间与非感染期间的医疗保健利用率.
主要方法:
- 在加拿大多伦多进行的前性队列研究 (2021年夏季) 随着一年的随访.
- 招募无家可归的个人,收集调查数据和生物样本 (RT-PCR,ELISA) 用于SARS-CoV-2检测.
- 将研究数据与卫生行政数据库 (ICES) 联系起来,以使用ICD-10代码识别结果.
主要成果:
- 三分之二的参与者至少有一次SARS-CoV-2感染;25%有两次或更多.
- 感染前:住院 (1.55/100 PY) 和急救室 (4.39/100 PY) 病例在感染后30天内显著增加 (分别为4.07和13.69).
- 后Omicron:感染后30天内住院和ED访问率与非感染时期相比没有显著增加.
结论:
- 尽管感染率高,但在多伦多的无家可归者中,SARS-CoV-2感染后的急性医疗保健利用率很低.
- 进一步的研究至关重要,以确定这种人群中慢性健康结果的发生率,例如COVID后的状况.
相关概念视频
Documentation in Long-Term and Home Healthcare Setting
1.6K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.6K
Specialized Care Centers and Settings-II
1.3K
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
1.3K
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
6.1K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
6.1K
Pneumonia III: Complications and Assessment
1.1K
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
1.1K
Healthcare Associated Infections II: Preventive Measures
4.5K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
4.5K
Pulmonary Tuberculosis I
1.1K
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
1.1K


