一项比较已接种疫苗和未接种疫苗的肾移植受者死亡率的回顾性研究。

Anaam Fayyaz, Judy Pozzerle, Suresh J Antony
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引用次数: 0

摘要

背景:随着 COVID-19 疫苗的出现,死亡率和疾病的严重程度都有所下降。然而,与普通人群相比,患有某些合并症(如免疫抑制、慢性肾脏病和肾移植)的患者死亡率仍然较高。目前的数据显示,移植患者罹患 COVID-19 的风险约为 5%,明显高于普通人群的 0.3%。目前还缺乏利用较大样本量(即多个队列、多个地点、多家医院)对肾移植患者与对照组的 COVID-19 结果进行比较的研究。 研究目的本描述性研究旨在比较接种疫苗和未接种疫苗的肾移植受者的死亡率。 研究方法在德克萨斯州西部的一家社区移植诊所招募参与者。 结果在 2020 年至 2022 年期间 COVID-19 检测呈阳性的参与者中,未接种疫苗者的死亡率更高,住院时间更长(72% 的未接种者住院时间超过 5 天,而 33% 的接种者住院时间超过 5 天)。 结论我们的研究表明,接种 COVID-19 疫苗可降低肾移植受者的死亡率。
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A Retrospective Study Comparing Mortality Rates between Vaccinated and Unvaccinated Kidney Transplant Recipients.

Background: With the emergence of vaccines for COVID-19, mortality and severity of disease have decreased. However, patients with certain comorbidities, such as immunosuppression, CKD, and renal transplant, still have higher mortality rates as compared to the general population. Current data suggests that the risk of developing COVID-19 among transplant patients was reported to be about 5%, which is significantly higher than the risk rate of 0.3% in the general population. Studies utilizing larger sample sizes (i.e., multiple cohorts, sites, hospitals) comparing COVID-19 outcomes among renal transplant patients with a control group are lacking.

Objective: The purpose of this descriptive study was to compare the mortality rate between vaccinated and unvaccinated kidney transplant recipients.

Methods: Participants were recruited at a community-based transplant clinic in West Texas.

Results: Among the group of participants who tested positive for COVID-19 between 2020 and 2022, higher mortality rates and longer hospital stays were noted among those unvaccinated (72% unvaccinated had greater than 5-day length of stay vs. 33% vaccinated).

Conclusion: Our study suggests that vaccination against COVID-19 decreases mortality rates in kidney transplant recipients.

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