NEJM:新冠肺炎死亡率的种族差异

2020-05-28 MedSci原创 MedSci原创

与白人相比,黑人患者新冠肺炎死亡率未见显著增加

许多研究发现2019年冠状病毒病(Covid-19)患者预后受年龄和性别的影响,近日研究人员评估了Covid-19患者预后的种族差异。
 
研究人员分析了2020年3月1日至4月11日,路易斯安那州新冠肺炎患者数据,患者经实验室确诊感染了严重急性呼吸综合征冠状病毒2(SARS-CoV-2)阳性。主要结果是住院和住院死亡。
 
3481名Covid-19阳性患者中,60.0%为女性,70.4%为非西班牙裔黑人,29.6%为非西班牙裔白人。 黑人患者肥胖、糖尿病、高血压和慢性肾脏疾病的患病率高于白人患者。 共有39.7%的Covid-19阳性患者(1382例)住院,其中76.9%为黑人。 在多变量分析中,黑人种族、高龄、Charlson共病指数得分较高、医疗保险或医疗补助、居住在低收入地区和肥胖与住院几率增加有关。在326例死亡患者中,70.6%是黑人。与较高住院死亡率相关的变量是高龄、呼吸急促、乳酸、肌酐或降钙素原水平升高、血小板或淋巴细胞计数低。但黑人的死亡率无显著增加(危险比为0.89)。
 
研究认为,与白人相比,黑人患者新冠肺炎死亡率未见显著增加。
 
原始出处:
 
Eboni G. Price-Haywood et al. Hospitalization and Mortality among Black Patients and White Patients with Covid-19. N Engl J Med, May 27, 2020.

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (4)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1353589, encodeId=ebeb1353589dd, content=<a href='/topic/show?id=29e1e4781f1' target=_blank style='color:#2F92EE;'>#种族差异#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74781, encryptionId=29e1e4781f1, topicName=种族差异)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sat May 30 10:14:55 CST 2020, time=2020-05-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1028095, encodeId=9ea81028095fe, content=新冠肺炎,疫情何时才能消失, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=公卫新人, createdTime=Thu May 28 22:14:55 CST 2020, time=2020-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1035286, encodeId=194a103528665, content=顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=旺医, createdTime=Thu May 28 22:14:55 CST 2020, time=2020-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=600745, encodeId=7ff6600e45f9, content=民族不重要,核心是合并症, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=lovetcm, createdTime=Thu May 28 19:35:00 CST 2020, time=2020-05-28, status=1, ipAttribution=)]
  2. [GetPortalCommentsPageByObjectIdResponse(id=1353589, encodeId=ebeb1353589dd, content=<a href='/topic/show?id=29e1e4781f1' target=_blank style='color:#2F92EE;'>#种族差异#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74781, encryptionId=29e1e4781f1, topicName=种族差异)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sat May 30 10:14:55 CST 2020, time=2020-05-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1028095, encodeId=9ea81028095fe, content=新冠肺炎,疫情何时才能消失, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=公卫新人, createdTime=Thu May 28 22:14:55 CST 2020, time=2020-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1035286, encodeId=194a103528665, content=顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=旺医, createdTime=Thu May 28 22:14:55 CST 2020, time=2020-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=600745, encodeId=7ff6600e45f9, content=民族不重要,核心是合并症, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=lovetcm, createdTime=Thu May 28 19:35:00 CST 2020, time=2020-05-28, status=1, ipAttribution=)]
    2020-05-28 公卫新人

    新冠肺炎,疫情何时才能消失

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1353589, encodeId=ebeb1353589dd, content=<a href='/topic/show?id=29e1e4781f1' target=_blank style='color:#2F92EE;'>#种族差异#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74781, encryptionId=29e1e4781f1, topicName=种族差异)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sat May 30 10:14:55 CST 2020, time=2020-05-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1028095, encodeId=9ea81028095fe, content=新冠肺炎,疫情何时才能消失, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=公卫新人, createdTime=Thu May 28 22:14:55 CST 2020, time=2020-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1035286, encodeId=194a103528665, content=顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=旺医, createdTime=Thu May 28 22:14:55 CST 2020, time=2020-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=600745, encodeId=7ff6600e45f9, content=民族不重要,核心是合并症, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=lovetcm, createdTime=Thu May 28 19:35:00 CST 2020, time=2020-05-28, status=1, ipAttribution=)]
    2020-05-28 旺医

    顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1353589, encodeId=ebeb1353589dd, content=<a href='/topic/show?id=29e1e4781f1' target=_blank style='color:#2F92EE;'>#种族差异#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74781, encryptionId=29e1e4781f1, topicName=种族差异)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sat May 30 10:14:55 CST 2020, time=2020-05-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1028095, encodeId=9ea81028095fe, content=新冠肺炎,疫情何时才能消失, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=公卫新人, createdTime=Thu May 28 22:14:55 CST 2020, time=2020-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1035286, encodeId=194a103528665, content=顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=旺医, createdTime=Thu May 28 22:14:55 CST 2020, time=2020-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=600745, encodeId=7ff6600e45f9, content=民族不重要,核心是合并症, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=lovetcm, createdTime=Thu May 28 19:35:00 CST 2020, time=2020-05-28, status=1, ipAttribution=)]
    2020-05-28 lovetcm

    民族不重要,核心是合并症

    0

相关资讯

Prostate Cancer P D:多参MRI超声融合活检检测前列腺癌的种族差异

黑人男性前列腺癌的发病率比白人男性显著更高,且死亡率要比白人男性高3倍。多参核磁共振成像超声融合活检(FBx)已经成为检测PCa的一种很有前景的方法。最近,有研究人员鉴定了疑似PCa的黑人和白人男性中

Semin Arthritis Rheu:成人Still病死亡率的种族差异

研究人员发现在这一全国AOSD住院患者样本中,院内死亡率存在明显差异。

JACC:TAVR使用和预后的种族差异

这项研究旨在评估经导管主动脉瓣置换术(TAVR)性能和预后中的种族差异。心血管疾病中的种族差异已得到了很好地描述。外科主动脉瓣置换术中观察到的种族差异是否也存在于TAVR仍然未知。在美国心脏病学会/胸外科医师协会/经导管瓣膜治疗登记中确定了2011年11月至2016年6月接受TAVR治疗的患者。描述了种族分布、风险调整后的院内发病率和按种族分层的死亡率。通过与Medicare索赔(医疗保险和医疗补

Semin Arthritis Rheu:系统性红斑狼疮患者卒中发生率和风险的种族差异

与白人相比,黑人和西班牙裔的卒中风险升高(总体和不同亚型),提示在黑人和西班牙裔中早期识别和筛查卒中危险因素的重要性。

Heart:英国的南亚人植入式心律转复除颤器治疗的差异

尽管有一个全面和免费的医疗体系,居住在英国的南亚人ICD植入率明显低于白人。

JASN:透析的终末期肾脏病患者妊娠相关的种族差异和因素

由此可见,透析妇女的妊娠率高于既往文献报道的数据。较高的妊娠可能性与种族/民族、ESKD原因和透析方式有关。