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Effects of Aerobic Exercise and Yoga Breathing Exercise (Pranayama) on Blood Pressure in Hypertensive Patients 有氧运动和瑜伽呼吸运动(调息)对高血压患者血压的影响
Pub Date : 2021-04-16 DOI: 10.26911/jepublichealth.2021.06.02.01
K. Khairunissa, D. Tamtomo, Hanung Prasetya
, Didik Gunawan Tamtomo, Hanung Prasetya
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引用次数: 0
Risk Factors of Type 2 Diabetes Mellitus in Elderly 老年2型糖尿病的危险因素
Pub Date : 2021-04-16 DOI: 10.26911/jepublichealth.2021.06.02.10.
Yulia Afrina Nasution, Z. Lubis, F. Siregar
Backround: Non-communicable diseases arise in the elderly. The degenerative cycle decreases the resistance of the body, so that it is vulnerable to infectious diseases. Diabetes mellitus (DM) is characterized by chronic hyperglycemia and impaired carbohydrates, lipids, and proteins metabolism caused by complete or partial insufficiency of insulin secretion and/or insulin action. This study aimed to examine the risk factors of type 2 DM among elderly at Muhammadiyah General Hospital, North Sumatera. Subjects dan Method: This was a case control study carried out at Muhammadiyah Hospital, North Sumatera, in 2018. A total of 148 elderly patients was selected for this study, consisting of 74 patients with type 2 DM and 74 patients without type 2 DM. The dependent variable was the incidence of type 2 DM. The independent variables were family DM history, smoking habit, physical activity, carbohydrate diet, fiber diet, body mass index (BMI), abdo­minal circumference, and hypertension. The data were collected by questionnaire and ana­lyzed using multivariate analysis. Results: The risk of type 2 DM increased with family history of DM (OR= 4.62; 95%CI: 1.89 to 11.27; p<0.001) lack 0f physical activity (OR= 3.13; 95%CI= 1.30 to 7.55 p=0.001), smoking habit (OR= 2.67; 95% CI= 1.10 to 6.44 p= 0.005), central obesity (OR= 2.85; CI= 1.11 to 7.33 p= 0.001),high consume of carbohydrate (OR= 2.90; 95% CI= 1.13 to 7.40; p= 0.01), and lack of fiber intake (OR= 4.83; CI= 2.02 to 11.58 p<0.001). The association between type 2 DM and BMI, blood pressure, and carbohy­drate, was not statistically significant Conclusion: Type 2 DM risk increased with DM family history, lack of physical activity, smoking habit, abd central obesity, and lack of fiber intake. Keywords: type 2 diabetes mellitus, elderly Correspondence:  Yulia Afrina Nasution. Faculty of Public Health, Universitas Sumatera Utara, Medan, North Sumatera. Email: yuliadokter@gmail.com. Mobile: 081370888764. Journal of Epidemiology and Public Health (2021), 06(02): 232-244 https://doi.org/10.26911/jepublichealth.2021.06.02.10.
背景:非传染性疾病出现在老年人中。这种退行性循环降低了身体的抵抗力,因此它很容易感染传染病。糖尿病(DM)以慢性高血糖和碳水化合物、脂质和蛋白质代谢受损为特征,由胰岛素分泌和/或胰岛素作用完全或部分不足引起。本研究旨在研究北苏门答腊Muhammadiyah总医院老年人2型糖尿病的危险因素。方法:本研究为2018年在北苏门答腊Muhammadiyah医院开展的病例对照研究。本研究共选取148例老年患者,其中2型糖尿病患者74例,非2型糖尿病患者74例,因变量为2型糖尿病发病率,自变量为糖尿病家族史、吸烟习惯、体力活动、碳水化合物饮食、纤维饮食、体重指数(BMI)、腹围、高血压。采用问卷调查法收集资料,采用多变量分析方法进行分析。结果:2型糖尿病的发生风险随着糖尿病家族史的增加而增加(OR= 4.62;95%CI: 1.89 ~ 11.27;p<0.001)缺乏身体活动(OR= 3.13;95%CI= 1.30 ~ 7.55 p=0.001),吸烟习惯(OR= 2.67;95% CI= 1.10 ~ 6.44 p= 0.005),中心性肥胖(OR= 2.85;CI= 1.11至7.33 p= 0.001),高碳水化合物消耗(OR= 2.90;95% CI= 1.13 ~ 7.40;p= 0.01),缺乏纤维摄入(OR= 4.83;CI= 2.02 ~ 11.58, p<0.001)。2型糖尿病与BMI、血压和碳水化合物之间的相关性无统计学意义。结论:2型糖尿病家族史、缺乏体育活动、吸烟习惯、中心性肥胖和缺乏纤维摄入增加了2型糖尿病的风险。关键词:2型糖尿病;老年人;通讯;北苏门答腊棉兰市北苏门答腊大学公共卫生学院。电子邮件:yuliadokter@gmail.com。手机:081370888764。流行病学与公共卫生杂志(2021),06(02):232-244 https://doi.org/10.26911/jepublichealth.2021.06.02.10。
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引用次数: 0
Meta-Analysis the Effectiveness of Isometric Relaxation and Laser Therapy in Reducing Myofascial Pain Syndrome on Musculus Upper Trapezius 等距放松和激光治疗减轻斜方肌上肌筋膜疼痛综合征疗效的meta分析
Pub Date : 2021-04-16 DOI: 10.26911/jepublichealth.2021.06.02.11.
Alifiya Zulfa Indana, S. Rahardjo, Hanung Prasetya
Background: Myofascial pain syndrome upper trapezius is a condition of neck pain caused by excessive muscle loading and can occur due to continuous activities with poor posture and ergonomics. There are many interventions that can be given to treat this MPS, such as Post isometric relaxation and laser therapy. This study aims to analyze the effect of post-isometric relaxation and laser therapy on pain reduction in cases of upper trapezius myofascial pain syndrome. Subjects and Method: This study is a syste­matic review and meta-analysis conducted with PRISMA flow diagrams. Search articles through journal databases including: PubMed, Science Direct, Google Schoolar and PEDro by selecting articles published in 2010-2020. The keywords used were (“MPS Upper Trapezius” OR “Myo­fascial pain syndrome upper trapezius”) AND (“PIR” OR “Post isometric relaxation”) AND (“Laser” OR “Laser therapy”) AND “rando­mized controlled trial”. The inclusion criteria were full paper articles with Randomized Controlled Trial (RCT) research methods, the size of the relationship used was Mean SD, the interventions given were PIR and Laser therapy, the research subjects had an age range of 18-65 years, and had upper Myofascial pain syndrome. trapezius. Eligible articles were analyzed using the Revman 5.3 app. Results: Meta-analysis of 16 articles showed that post isometric relaxation and laser therapy were able to reduce pain in cases of upper trapezius Myofascial pain syndrome. However, statistically insignificant PIR (SMD 0.18; 95% CI= -0.36 to 0.72; p=0.51) and Laser therapy (SMD -0.13; 95% CI= -0.59 to 0.34; p=0.59). Conclusion: Post isometric relaxation and laser therapy have an effect but are not significant in reducing pain in cases of upper trapezius myofascial pain syndrome. Keywords: Post isometric relaxation, Laser therapy, Myofascial pain syndrome upper trapezius, Meta-Analysis Correspondence:  Alifiya Zulfa Indana. Masters Program in Public Health. Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 5712, Jawa Tengah, Indonesia. Email: alifiyasindana0@gmail.com Mobile: 082240463478. Journal of Epidemiology and Public Health (2021), 06(02): 245-255 https://doi.org/10.26911/jepublichealth.2021.06.02.11.
背景:肌筋膜疼痛综合征上斜方肌是一种由过度肌肉负荷引起的颈部疼痛,可因姿势和人体工程学不良的持续活动而发生。有许多干预措施可以给予治疗MPS,如后等距松弛和激光治疗。本研究旨在分析斜方肌上筋膜疼痛综合征患者进行等长后放松和激光治疗后疼痛减轻的效果。研究对象和方法:本研究采用PRISMA流程图进行系统回顾和荟萃分析。通过PubMed、Science Direct、Google Schoolar和PEDro等期刊数据库检索2010-2020年发表的文章。使用的关键词是“MPS上斜方肌”或“肌筋膜疼痛综合征上斜方肌”、“PIR”或“后等距松弛”、“激光”或“激光治疗”和“随机对照试验”。纳入标准为论文全文,采用随机对照试验(RCT)研究方法,关系大小采用Mean SD,干预措施为PIR和激光治疗,研究对象年龄18-65岁,患有上肌筋膜疼痛综合征。斜方肌。使用Revman 5.3应用程序对符合条件的文章进行分析。结果:16篇文章的荟萃分析显示,等长放松和激光治疗能够减轻上斜方肌筋膜疼痛综合征病例的疼痛。然而,PIR (SMD 0.18;95% CI= -0.36 ~ 0.72;p=0.51)和激光治疗(SMD -0.13;95% CI= -0.59 ~ 0.34;p = 0.59)。结论:激光治疗对斜方肌上筋膜疼痛综合征患者有一定的缓解作用,但效果不显著。关键词:等距松弛后,激光治疗,肌筋膜疼痛综合征,斜方肌上部,meta分析对应:Alifiya Zulfa Indana。公共卫生硕士课程西贝拉斯市场大学,jr。红外光谱。Sutami 36A, Surakarta 5712,爪哇登加,印度尼西亚。邮箱:alifiyasindana0@gmail.com手机:082240463478。流行病学与公共卫生杂志(2021),06(02):245-255 https://doi.org/10.26911/jepublichealth.2021.06.02.11。
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引用次数: 0
Meta-Analysis the Association between Chronic Obstructive Pulmonary Disease Comorbidity and COVID-19 Mortality 慢性阻塞性肺疾病合并症与COVID-19死亡率相关性的meta分析
Pub Date : 2021-04-12 DOI: 10.26911/jepublichealth.2021.06.02.09
Pamogsa Daniyar, Agus Kristiyanto, S. Rahardjo
disease that hit the world community at the end of 2019. The risk of death from COVID-19 is highly dependent on age and previous health conditions. COVID-19 severe and critical symptoms are more commonly found in older patients and patients who have chronic comor­bidities such as cardio­vascular disease, hyper­tension, diabetes, including COPD. This study aims to deter­mine the relationship between COPD and mortality of COVID-19 patients in hospitals. Subjects and Method: This a meta-analysis study using the PRISMA flowchart guidelines. The article search process was carried out between 2020-2021 using databases from PubMed, Google Scholar, Science Direct, BMJ Garuda, SINTA, and National Library. Based on the database, there were 9 articles that met the inclusion criteria. The analysis was carried out using RevMan 5.3 software. Results: A total of 9 articles reviewed in the meta-analysis showed that comorbid COPD had a statistically significant association with hos­pital mortality of COVID-19 patients (aOR = 1.51; 95% CI= 1.21 to 1.9; p < 0.001). Conclusion: COPD comorbidities have an increased risk of dying of COVID-19 patients in hospital. Keywords: CPOD, COVID-19, death, meta-analysis Correspondence:  Pamogsa Ratri Adha Daniyar. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: pamogsadaniyar@gmail.com. Mobile: +62 852-9060-1552. Journal of Epidemiology and Public Health (2021), 06(02): 222-231 https://doi.org/10.26911/jepublichealth.2021.06.02.09
这种疾病在2019年底袭击了国际社会。COVID-19造成的死亡风险在很大程度上取决于年龄和以前的健康状况。COVID-19重症和危重症状更常见于老年患者和患有心血管疾病、高血压、糖尿病(包括慢性阻塞性肺病)等慢性合并症的患者。本研究旨在确定COPD与医院COVID-19患者死亡率之间的关系。对象和方法:这是一项使用PRISMA流程图指南的荟萃分析研究。文章检索过程在2020-2021年间进行,数据库来自PubMed、b谷歌Scholar、Science Direct、BMJ Garuda、SINTA和National Library。根据数据库,有9篇文章符合纳入标准。采用RevMan 5.3软件进行分析。结果:meta分析共纳入9篇文章,共患病COPD与COVID-19患者住院死亡率有统计学显著相关性(aOR = 1.51;95% CI= 1.21 ~ 1.9;P < 0.001)。结论:COPD合并症增加了COVID-19住院患者的死亡风险。关键词:慢性阻塞性肺病,COVID-19,死亡,荟萃分析塞贝拉斯市场大学公共卫生硕士课程。杰。红外光谱。Sutami 36A, Surakarta 57126,中爪哇。电子邮件:pamogsadaniyar@gmail.com。电话:+62 852-9060-1552。流行病学与公共卫生杂志(2021),06(02):222-231 https://doi.org/10.26911/jepublichealth.2021.06.02.09
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引用次数: 0
"How do the Scientific Research Institutes Implement Precise Prevention and Control for Returning Workers and Students During the Pandemic PeriodTaking “Wechat” as an Example" “疫情期间科研院所如何做好归国留学人员精准防控——以b微信为例”
Pub Date : 2021-01-01 DOI: 10.16966/2471-8211.218
Shuyan C, Jingjing Y, X. Y, Junyong H, Hongmou Z, R. L., Shunmin G, Gang C
Since the outbreak of the novel coronavirus pneumonia in Wuhan City, Hubei Province, China has seen a positive trend and has achieved great results through hard working in prevention and control of the disease. The state has issued guidelines in the prevention and control of the novel coronavirus pneumonia epidemic according to the epidemic risk level. The prevention and control strategies have been used for coordination of epidemic management and recovery of economic and social order. Fujian Academy of Medical Sciences belongs to the low-risk prevention and control area and adopts the strategy of “external defense input, prevention-oriented”. As strict access control becomes the most important management measure to prevent import cases, this paper explores and researches the application of new technologies such as WeChat” as a scientific entrance guard tool. This paper uses paper-based & informatization management, online and offline dual prevention and control principles, and explains how the new technology have carried out precise prevention and control management for returning workers and students, so as to provide references for the scientific prevention and control of the administrative department of scientific research institutes.
新型冠状病毒肺炎疫情在湖北省武汉市发生以来,中国疫情防控工作呈现积极态势,取得了显著成效。国家根据疫情风险等级,发布了新型冠状病毒感染的肺炎疫情防控指导意见。预防和控制战略已用于协调疫情管理和恢复经济和社会秩序。福建省医学科学院属于低风险防控区域,采取“外防投入,预防为主”的战略。随着严格的门禁管理成为防范进口案件最重要的管理措施,本文对微信等新技术作为科学的门禁工具的应用进行了探索和研究。本文采用纸本化、信息化管理、线上线下双重防控原则,阐述新技术如何对归国职工、留学生进行精准防控管理,为科研院所行政部门科学防控提供参考。
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引用次数: 0
Relationship of Work in Pandemic Era with Increased Risk of Musculosceletal Disorders that Lead to Change in Cervical Posture 大流行时期的工作与导致颈椎姿势改变的肌肉神经疾病风险增加的关系
Pub Date : 2021-01-01 DOI: 10.26911/jepublichealth.2021.06.03.08
Dea Linia Romadhoni, Alinda Nur Ramadhani, Exda Hanung Lidiana
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引用次数: 0
Prevalence and Concentration of Escherichia coli O157:H7 in Cattle, Products, and the Environment in the United States of America: A Meta-Analysis Study 美国牛、产品和环境中O157:H7大肠杆菌的流行率和浓度:一项荟萃分析研究
Pub Date : 2021-01-01 DOI: 10.16966/2471-8211.216
Woube Y, A. e, F. R., P. R., Reddy G, W. G., A. W.
Shiga toxin-producing Escherichia coli O157:H7 are bacterial pathogens that cause foodborne infections in humans. The objectives of this study were to find the pooled prevalence and concentration of Escherichia coli O157:H7 in cattle, hides, carcass, and the environment in the United States of America using meta-analysis. The PRISMA and MOOSE research protocols were employed in the methodology. Weighted effect size was calculated using MetaXL software. A total of 1737 publications were screened, out of which 53 were selected for the final analysis. The pooled prevalence in feedlot cattle was 10.96% (95% CI: 4.2-18.8%). In dairy cattle a pooled prevalence of 1.5% (95% CI: 0.11-3.5%) was observed. The prevalence between feedlot and dairy cattle was significantly different (p<0.05). The herd prevalence in combined feedlot and dairy cattle was 31.7% (95% CI: 10.2-55.5%). Hide and carcass samples’ pooled prevalences were 54.7% (95% CI: 41.7-67.5%) and 21.3% (95% CI: 9.7-34.2%), respectively. Prevalence of environmental samples was 8.1% for produce (95% CI: 0-29.6%), 4.6% for watershed and sediment samples (95% CI: 0-12.2%), and 2.4% for water taken from troughs (95% CI: 0.39-5.1%). Significant difference was observed in individual, herd, and environment prevalence between regions (χ2 =903.14, p=0.0000; χ2 =11.06, p=0.0039; χ2 =13.59, p=0.0004, respectively). E. coli O157:H7 concentrations were highest in feces (900- 300,000 cfu/g), followed by hides (5-9,800 cfu/100 square cm), and carcass (1-189 cfu/100 square cm). At least one supershedder exists in a herd. The findings in this study showed that Escherichia coli O157:H7 serotype is widespread in feedlots, herds, hides, and carcass in the United States of America necessitating appropriate measures to prevent human illnesses. Improving management programs in cattle herds, reduction of environmental contamination, and hygienic slaughter practices are targets of intervention.
产志贺毒素大肠杆菌O157:H7是引起人类食源性感染的细菌性病原体。本研究的目的是通过荟萃分析找出美国牛、兽皮、胴体和环境中大肠杆菌O157:H7的总流行率和浓度。方法采用PRISMA和MOOSE研究方案。采用MetaXL软件计算加权效应量。共筛选了1737份出版物,从中选出53份作最后分析。饲养场牛的总患病率为10.96% (95% CI: 4.2-18.8%)。在奶牛中观察到的总患病率为1.5% (95% CI: 0.11-3.5%)。饲牛与奶牛之间的患病率差异显著(p<0.05)。饲料场和奶牛的牛群患病率为31.7% (95% CI: 10.2-55.5%)。兽皮和胴体样本的总患病率分别为54.7% (95% CI: 41.7-67.5%)和21.3% (95% CI: 9.7-34.2%)。农产品环境样本的患病率为8.1% (95% CI: 0-29.6%),流域和沉积物样本的患病率为4.6% (95% CI: 0-12.2%),从水槽中取水的患病率为2.4% (95% CI: 0.39-5.1%)。地区间个体、群体和环境患病率差异有统计学意义(χ2 =903.14, p=0.0000;χ2 =11.06, p=0.0039;χ2 =13.59, p=0.0004)。大肠杆菌O157:H7在粪便中的浓度最高(900 ~ 300,000 cfu/g),其次是兽皮(5 ~ 9,800 cfu/100平方厘米)和胴体(1 ~ 189 cfu/100平方厘米)。一个牧群中至少有一个超级脱毛者。本研究结果表明,大肠杆菌O157:H7血清型在美国的饲养场、畜群、兽皮和胴体中广泛存在,需要采取适当措施预防人类疾病。改善牛群管理方案、减少环境污染和卫生的屠宰做法是干预的目标。
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引用次数: 1
The Effectiveness of Ivermectin on the Risk of Mortality in COVID-19 Patients: A Meta Analysis 伊维菌素对COVID-19患者死亡风险的影响:一项Meta分析
Pub Date : 2021-01-01 DOI: 10.26911/jepublichealth.2021.06.04.02.
Ayu Trisni Pamilih, D. Tamtomo, Bhisma Murti
Background: The Coronavirus Disease 2019 (COVID-19) has become the highest priority of global pandemic. New and repurposed drugs are being tested on mild to moderate levels of COVID-19 to help suppress transmission of the virus. Ivermectin is one of the repurposed drugs with known safety records with more than 2.5 billion doses dispensed in the past. This study aims to estimate the effectiveness of ivermectin in reducing the risk of mortality in COVID-19 patients based on the results of a number of previous similar studies. Subjects and Method: This study is a systematic review and meta-analysis. This study used secondary data in the form of data from previous study results. A systematic and comprehensive database search was carried out through several databases including: PubMed, Science Direct, Google Scholar, and Springer Link. Analysis of this study was using RevMan 5.3 software. This study used the eligibility criteria with the PICO model, populations: covid-19 patients, intervention: ivermectin administration, comparison: patients without ivermectin, outcome: mortality in COVID-19 patients. The inclusion criteria used were full paper in English and Indonesian with a randomized controlled trial, including the number of deaths, and the primary study was conducted in a hospital. The keywords used to search the database were "ivermectin" AND "COVID-19" OR "SARS-COV-2" AND "mortality" OR "death" AND "randomized controlled trial". Meta Analysis using RevMan 5.3 with Fixed Effect Model (FEM).
背景:2019冠状病毒病(COVID-19)已成为全球大流行的重中之重。正在对轻度至中度的COVID-19测试新的和重新利用的药物,以帮助抑制病毒的传播。伊维菌素是一种具有已知安全记录的重新用途药物,过去已分发了超过25亿剂。本研究旨在基于之前一些类似研究的结果,估计伊维菌素在降低COVID-19患者死亡风险方面的有效性。研究对象和方法:本研究采用系统综述和荟萃分析。本研究采用了二手数据形式的数据来自以往的研究结果。通过PubMed、Science Direct、Google Scholar和Springer Link等数据库进行了系统而全面的数据库检索。本研究采用RevMan 5.3软件进行分析。本研究采用PICO模型的资格标准,人群:covid-19患者,干预:给予伊维菌素,对照:未给予伊维菌素的患者,结局:covid-19患者的死亡率。纳入标准为英文和印尼语全文,随机对照试验,包括死亡人数,主要研究在医院进行。检索数据库的关键词为“伊维菌素”、“COVID-19”或“SARS-COV-2”、“死亡率”或“死亡”和“随机对照试验”。Meta分析采用revman5.3固定效应模型(Fixed Effect Model, FEM)。
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引用次数: 0
Risk of Death in COVID-19 Patients with Comorbidity of Chronic Kidney Disease: Meta Analysis 合并慢性肾脏疾病的COVID-19患者的死亡风险:Meta分析
Pub Date : 2021-01-01 DOI: 10.26911/jepublichealth.2021.06.03.01.
Isna Nur Rohmah, D. Tamtomo, Bhisma Murti
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引用次数: 0
Mortality and Severity of COVID-19 Patients with Chronic Obstructive Pulmonary Disease: A Meta-Analysis COVID-19合并慢性阻塞性肺疾病患者的死亡率和严重程度:一项荟萃分析
Pub Date : 2021-01-01 DOI: 10.26911/jepublichealth.2021.06.03.07.
Atika Mima Amalin, S. Rahardjo, Hanung Prasetya
Background: COVID-19 has become a pandemic in all countries including Indonesia. The death rate from COVID-19 is concentrated in elderly patients and those with comorbidities. COPD is one of the comorbidities that can worsen and even cause death. COPD ranks in the top 3 leading causes of death in the world causing 2.3 million deaths in 2019. This study aims to analyze the effect of COPD comorbidities on mortality and severity of COVID-19 patients. Subjects and Method: This study used a systematic review and meta-analysis by following the PRISMA flow chart. Search articles through journal databases, namely: Google scholar, PubMed, Science Direct and Link Springer. The articles search was done by considering the eligibility criteria defined in the PICO model. P= COVID-19 patient;I= COPD participant;C= without COPD;O= need for mechanical ventilation, ICU admission, and death. Inclusion criteria were cohort full paper articles, in English, multivariate analysis with adjusted Odds Ratio. Articles analyzed with RevMan 5.3.
背景:COVID-19已成为包括印度尼西亚在内的所有国家的大流行。COVID-19的死亡率集中在老年患者和有合并症的患者中。慢性阻塞性肺病是一种可能恶化甚至导致死亡的合并症。慢性阻塞性肺病是世界三大主要死亡原因之一,2019年造成230万人死亡。本研究旨在分析COPD合并症对COVID-19患者死亡率和严重程度的影响。对象和方法:本研究采用系统回顾和meta分析,遵循PRISMA流程图。通过期刊数据库搜索文章,即:谷歌scholar, PubMed, Science Direct和Link施普林格。文章搜索是通过考虑PICO模型中定义的资格标准来完成的。P= COVID-19患者;I= COPD参与者;C=无COPD;O=需要机械通气、ICU住院和死亡。纳入标准为队列论文全文,英文,校正优势比的多变量分析。文章用RevMan 5.3进行分析。
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引用次数: 0
期刊
Journal of epidemiology and public health reviews
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