格拉斯哥预后评分和全身炎症指数对术后肺炎患者死亡率的影响

Esra Akkütük Öngel, C. Sezen, Onur Volkan Yaran, A. Sezen, Dilekhan Kizir, H. Özçelik, M. Metin
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目的:已有研究评估AR与COVID-19感染之间的关系,但这些研究未评估患者的致敏性。本研究的目的是检查过敏原致敏对病毒感染传播和疾病进展的影响。材料和方法:研究纳入了2021年4月至6月期间在成人过敏门诊就诊的鼻炎患者。评估患者的空气过敏原致敏情况和COVID-19疾病状况。结果:收集260例患者资料。结果发现,23.8% (n=62)的患者存在COVID-19, 17.7% (n=11)的患者存在COVID-19肺炎。这一比例高于普通人群中COVID-19的发病率。花粉过敏组的COVID-19感染率明显高于其他组(p=0.049)。当分析患者的COVID-19传播期时,根据花粉图观察到55%的患者在3月至9月之间感染。服用类固醇(INCS或ICS)的患者没有增加COVID感染的风险,同时伴有哮喘也没有增加风险。患有慢性疾病被发现是一个危险因素。结论:本研究提供了AR患者感染频率增加的临床证据,特别是花粉过敏的AR患者。这一结果是有价值的,因为它是一个没有在现有研究中提出的数据。我们还认为,与花粉接触会增加COVID-19的风险。由于花粉可以抑制抗病毒免疫,我们建议慢性病人群特别注意预防方法,特别是当花粉和呼吸道病毒季节重叠时。
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The Effect of Glasgow Prognostic Score And Systemic Inflammatory Index On Mortality In Patients With Postoperative Pneumonia
Objective: There have been studies evaluating the association between AR and COVID-19 infection, but these studies did not evaluate the sensitisation of patients. The objective of this study was to examine the impact of allergen sensitisation on the transmission of viral infections and the progression of the disease.  Material and Methods: Rhinitis patients admitted to the Adult Allergy Outpatient Clinic between April and June 2021 were included in the study. Aeroallergen sensitisation and COVID-19 disease status of the patients were evaluated. Results: Data were collected from 260 patients. It was determined that 23.8% (n=62) of the patients had COVID-19 and 17.7% (n=11) had COVID-19 pneumonia. This rate was higher than the incidence of COVID-19 in the general population. The rate of COVID-19 infection was significantly higher in patients with pollen allergy compared to other groups (p=0.049). When the COVID-19 transmission periods of the patients were analysed, it was observed that 55% of them were infected between March and September in accordance with the pollen map. Patients taking steroids (INCS or ICS) did not have an increased risk of COVID infection, and concomitant asthma did not pose an increased risk. Having chronic diseases was found to be a risk factor. Conclusions: This study provides clinical evidence of an increased frequency of infection in AR patients, especially in AR patients with pollen allergy. This result is valuable as it is a data not presented in existing studies. We also think that the risk of COVID-19 increases with pollen exposure. As pollen can suppress antiviral immunity, we recommend that chronic disease groups pay special attention to prevention methods, especially when pollen and respiratory virus seasons overlap.
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