当癌症患者遇到 COVID-19:中国的临床特征和结果。

IF 1.4 4区 医学 Q4 INFECTIOUS DISEASES Journal of Infection in Developing Countries Pub Date : 2024-09-30 DOI:10.3855/jidc.19965
Guojing Wang, Xin Dong, Shengkai Huang, Xiaotian Xu, Xi Wu, Xueting Yu, Quanquan Gao, Kai Guo, Wenfeng Zhang, Baojun Wei, Wei Cui
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引用次数: 0

摘要

导言癌症患者更有可能受到冠状病毒病2019(COVID-19)大流行的影响。因此,我们分析了感染COVID-19的癌症患者的临床特征和预后,以确定他们是否比非癌症患者更容易受到COVID-19的影响:这项回顾性研究涉及 2022 年底中国医学科学院肿瘤医院经实验室确诊感染 COVID-19 的 150 名癌症患者和 300 名非癌症患者。研究对癌症患者COVID-19严重程度的相关因素进行了多变量分析:结果:与非癌症组相比,癌症组的住院人数和死亡人数明显更高。多变量分析显示,在癌症组中,COVID-19 严重程度与男性性别相关(OR:5.60,95% CI,1.89-16.57),康复时间超过 10 天(OR:3.19,95% CI,1.09-9.32)。然而,COVID-19疫情的严重程度并未因疫情爆发前接受全身抗癌治疗而恶化:结论:在 COVID-19 Omicron 流行期间,各种抗肿瘤疗法、治疗间隔和 COVID-19 严重程度之间似乎存在某种关联。这项研究的结果可能有助于减轻癌症患者对 COVID-19 感染的恐惧,使他们能够继续进行治疗癌症的关键治疗过程。
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When cancer patients encountered COVID-19: clinical characteristics and outcome in China.

Introduction: Cancer patients were more likely to be affected by the coronavirus disease 2019 (COVID-19) pandemic. Therefore, we analyzed the clinical characteristics and outcomes in cancer patients who were infected with COVID-19 to determine if they were more vulnerable to COVID-19 than non-cancer patients.

Methodology: This retrospective study involved 150 cancer patients and 300 non-cancer patients with a laboratory-confirmed diagnosis of COVID-19 at the Cancer Hospital of the Chinese Academy of Medical Sciences, at the end of 2022. Multivariable analysis was carried out on the factors associated with COVID-19 severity in cancer patients.

Results: Compared to the non-cancer group, the cancer group saw a notably higher number of hospitalizations and fatalities. Multivariate analysis showed that COVID-19 severity was correlated with male gender (OR: 5.60, 95% CI, 1.89-16.57), and recovery duration was longer than 10 days (OR: 3.19, 95% CI, 1.09-9.32) in the cancer group. However, the severity of COVID-19 was not made worse by the administration of systemic anticancer treatments prior to the outbreak.

Conclusions: During the COVID-19 Omicron epidemic, there seemed to be some association between various antitumor therapies, treatment intervals, and COVID-19 severity. The findings of this study can potentially help allay cancer patients` fears regarding COVID-19 infection and enable them to continue with crucial therapeutic processes for the treatment of cancer.

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来源期刊
CiteScore
3.70
自引率
5.30%
发文量
239
审稿时长
4-8 weeks
期刊介绍: The Journal of Infection in Developing Countries (JIDC) is an international journal, intended for the publication of scientific articles from Developing Countries by scientists from Developing Countries. JIDC is an independent, on-line publication with an international editorial board. JIDC is open access with no cost to view or download articles and reasonable cost for publication of research artcles, making JIDC easily availiable to scientists from resource restricted regions.
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