Ann Rheum Dis:新冠大流行6个月后风湿病患者的感染结局

2021-05-11 xiangting MedSci原创

在调整种族、吸烟和合并症后,RMD患者与对照组感染COVID-19预后不良的风险相似。

既往研究发现,风湿和肌肉骨骼疾病患者(RMD)感染COVID-19后机械通气的风险高于对照组。这项研究旨在确定RMD患者感染COVID-19的结局。

 

研究人员在美国波士顿Mass General Brigham进行了一项队列研究,按年龄、性别和COVID-19诊断日期(2020年1月30日至2020年7月16日)将每例RMD患者与5例对照进行匹配,并随访至最后一次就诊或2020年8月18日。使用Cox回归比较了感染COVID-19的结局。比较了较早RMD患者队列与近期队列的机械通气风险。

 

结果如下:共确定了143例感染COVID-19的RMD患者(平均年龄60岁;女性占76%)和688例对照(平均年龄59岁;女性占76%)。与对照组相比,RMD患者的调整住院风险(HR:0.87,95%CI:0.68–1.11)、入住重症监护病房风险(HR:1.27,95%CI:0.86-1.86)或死亡率(HR:1.02,95%CI:0.53-1.95)均没有明显升高。尽管统计学没有显著差异,RMD队列机械通气风险有较高的趋势(校正后的HR:1.51,95%CI:0.93-2.44)。与早期RMD队列相比,近期队列机械通气风险有改善趋势(10%vs19%,调整后HR:0.44,95%CI:0.17-1.12)。

 

                    感染COVID-19的风湿病患者近期队列与早期队列机械通气发生率的比较

由此可见,在调整种族、吸烟和合并症后,RMD患者与对照组感染COVID-19预后不良的风险相似。与早期RMD队列相比,近期队列机械通气的风险有所改善,这表明随着时间进展,治疗得到了改进。

 

原始出处:

Naomi Serling-Boyd. Coronavirus disease 2019 outcomes among patients with rheumatic diseases 6 months into the pandemic. Ann Rheum Dis. May 2021.

 

 

 

 

 

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    2021-05-15 1903329706

    新冠对风湿病关系感染结论有影响

    0

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    2021-05-11 公卫新人

    新冠肺炎,疫情何时才能消失

    0

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    2021-05-11 jyzxjiangqin

    好文章!

    0

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