里加东方大学医院 COVID-19 肺炎住院患者的概况和疗效

Reinis Rugājs, Monta Madelāne, A. Ivanovs, Ludmila Vīksna
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摘要

COVID-19 大流行仍然是全球医疗保健系统的负担,影响其维持基本医疗服务的能力。尽管有具体的治疗和预防方案,但随着时间的推移,SARS-CoV-2 病毒不断累积变异,对疫苗的效率提出了挑战,导致新的疫情爆发和住院人数增加。早期研究表明,年龄和某些合并症会增加 COVID-19 的死亡率。因此,本研究的目的是分析 COVID-19 肺炎住院患者的年龄、性别和合并症。此外,还分析了雷米替韦治疗和疫苗接种对住院时间和疾病结果的影响。结果显示,致死性疾病的结局主要因年龄和性别而增加,其中老年患者和男性患者的风险更高。原发性动脉高血压患者的死亡人数较少。其他合并症对疾病结果的影响没有统计学意义。在存活的患者中,接受过雷米替韦治疗的人数较多。接种疫苗对预后没有影响。可以得出的结论是,老年患者和男性患者是疾病预后较差的高危人群。使用雷米替韦治疗对疾病预后有积极影响,但仍需进一步详细分析。
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Overview and Outcomes of Patients Hospitalised with COVID-19 Pneumonia in Rīga East University Hospital
The COVID-19 pandemic is still a burden to the global health care system, affecting its capacity to maintain essential health services. Even though specific treatment and prevention options are available, the SARS-CoV-2 virus keeps accumulating mutations over time and challenging the efficiency of vaccines, causing new outbreaks and increasing hospitalisation. Early studies suggest that mortality from COVID-19 is increased by age and certain comorbidities. Thus, the goal of this study was to analyse patients hospitalised with COVID-19 pneumonia in terms of age, sex, and comorbidities. Additionally, the influence of treatment with Remdesivir and vaccination on hospitalisation duration and disease outcome was also analysed. The results showed that lethal disease outcome is mainly increased by age and gender, where older and male patients are at a higher risk. There were less deaths in patients with primary arterial hypertension. Other comorbidities did not have a statistically significant influence on disease outcome. Among those who survived, a higher number of patients had been treated with Remdesivir. Vaccination did not have an impact on disease outcome. It could be concluded that older and male patients are the risk group with a worse disease outcome. Treatment with Remdesivir shows a positive effect on disease outcome, although further detailed analysis is necessary.
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CiteScore
0.70
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0.00%
发文量
61
审稿时长
20 weeks
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