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2019 年冠状病毒病患者中某些基础健康状况的初步估计——美国,2020 年 2 月 12 日至 3 月 28 日。

Preliminary Estimates of the Prevalence of Selected Underlying Health Conditions Among Patients with Coronavirus Disease 2019 - United States, February 12-March 28, 2020.

出版信息

MMWR Morb Mortal Wkly Rep. 2020 Apr 3;69(13):382-386. doi: 10.15585/mmwr.mm6913e2.


DOI:10.15585/mmwr.mm6913e2
PMID:32240123
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7119513/
Abstract

On March 11, 2020, the World Health Organization declared Coronavirus Disease 2019 (COVID-19) a pandemic (1). As of March 28, 2020, a total of 571,678 confirmed COVID-19 cases and 26,494 deaths have been reported worldwide (2). Reports from China and Italy suggest that risk factors for severe disease include older age and the presence of at least one of several underlying health conditions (3,4). U.S. older adults, including those aged ≥65 years and particularly those aged ≥85 years, also appear to be at higher risk for severe COVID-19-associated outcomes; however, data describing underlying health conditions among U.S. COVID-19 patients have not yet been reported (5). As of March 28, 2020, U.S. states and territories have reported 122,653 U.S. COVID-19 cases to CDC, including 7,162 (5.8%) for whom data on underlying health conditions and other known risk factors for severe outcomes from respiratory infections were reported. Among these 7,162 cases, 2,692 (37.6%) patients had one or more underlying health condition or risk factor, and 4,470 (62.4%) had none of these conditions reported. The percentage of COVID-19 patients with at least one underlying health condition or risk factor was higher among those requiring intensive care unit (ICU) admission (358 of 457, 78%) and those requiring hospitalization without ICU admission (732 of 1,037, 71%) than that among those who were not hospitalized (1,388 of 5,143, 27%). The most commonly reported conditions were diabetes mellitus, chronic lung disease, and cardiovascular disease. These preliminary findings suggest that in the United States, persons with underlying health conditions or other recognized risk factors for severe outcomes from respiratory infections appear to be at a higher risk for severe disease from COVID-19 than are persons without these conditions.

摘要

2020 年 3 月 11 日,世界卫生组织宣布 2019 年冠状病毒病(COVID-19)为大流行(1)。截至 2020 年 3 月 28 日,全球共报告确诊 COVID-19 病例 571678 例,死亡 26494 例(2)。来自中国和意大利的报告表明,重症疾病的危险因素包括年龄较大以及至少存在一种以下潜在健康状况(3,4)。美国老年人,包括年龄≥65 岁的老年人,特别是年龄≥85 岁的老年人,似乎也有更高的风险发生与 COVID-19 相关的严重后果;然而,目前尚未报告美国 COVID-19 患者的潜在健康状况数据(5)。截至 2020 年 3 月 28 日,美国各州和领土向疾病预防控制中心报告了 122653 例美国 COVID-19 病例,其中 7162 例(5.8%)报告了潜在健康状况以及其他与严重呼吸道感染结果相关的已知危险因素的数据。在这 7162 例病例中,有 2692 例(37.6%)患者有 1 种或多种潜在健康状况或危险因素,4470 例(62.4%)患者无上述情况报告。在需要入住重症监护病房(ICU)的患者(457 例中的 358 例,78%)和需要住院但无需入住 ICU 的患者(1037 例中的 732 例,71%)中,至少有一种潜在健康状况或危险因素的 COVID-19 患者比例高于无需住院的患者(5143 例中的 1388 例,27%)。报告的最常见疾病是糖尿病、慢性肺病和心血管疾病。这些初步结果表明,在美国,患有严重呼吸道感染结果的潜在健康状况或其他公认危险因素的人似乎比没有这些情况的人更容易患 COVID-19 重症疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6af7/7119513/9ff956eacb62/mm6913e2-F.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6af7/7119513/9ff956eacb62/mm6913e2-F.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6af7/7119513/9ff956eacb62/mm6913e2-F.jpg

相似文献

[1]
Preliminary Estimates of the Prevalence of Selected Underlying Health Conditions Among Patients with Coronavirus Disease 2019 - United States, February 12-March 28, 2020.

MMWR Morb Mortal Wkly Rep. 2020-4-3

[2]
Estimated County-Level Prevalence of Selected Underlying Medical Conditions Associated with Increased Risk for Severe COVID-19 Illness - United States, 2018.

MMWR Morb Mortal Wkly Rep. 2020-7-24

[3]
Coronavirus Disease 2019 Case Surveillance - United States, January 22-May 30, 2020.

MMWR Morb Mortal Wkly Rep. 2020-6-19

[4]
Characteristics and Outcomes of Coronavirus Disease Patients under Nonsurge Conditions, Northern California, USA, March-April 2020.

Emerg Infect Dis. 2020-5-14

[5]
Severe Outcomes Among Patients with Coronavirus Disease 2019 (COVID-19) - United States, February 12-March 16, 2020.

MMWR Morb Mortal Wkly Rep. 2020-3-27

[6]
Burden and prevalence of prognostic factors for severe COVID-19 in Sweden.

Eur J Epidemiol. 2020-5-18

[7]
Global, regional, and national estimates of the population at increased risk of severe COVID-19 due to underlying health conditions in 2020: a modelling study.

Lancet Glob Health. 2020-6-15

[8]
Distribution of Patients at Risk for Complications Related to COVID-19 in the United States: Model Development Study.

JMIR Public Health Surveill. 2020-6-18

[9]
Population-Based Estimates of Chronic Conditions Affecting Risk for Complications from Coronavirus Disease, United States.

Emerg Infect Dis. 2020-4-23

[10]
Population-based Estimates for High Risk of Severe COVID-19 Disease due to Age and Underlying Health Conditions.

Acta Med Port. 2020-11-2

引用本文的文献

[1]
Role of Frailty Index-Laboratory to predict COVID-19 mortality: a prospective study.

Front Public Health. 2025-7-2

[2]
Chronic Conditions and Adherence to COVID-19 Preventive Measures in Pitt County, North Carolina.

AJPM Focus. 2025-4-30

[3]
Practice and associated factors of Covid-19 prevention among health professionals in Ethiopia: a systematic review and meta-analysis.

Sci Rep. 2025-5-27

[4]
Evaluation of the effect of the COVID-19 pandemic on depression, anxiety and psychological resilience in patients with primary immunodeficiency.

BMC Immunol. 2025-5-19

[5]
Perceptions of COVID-19 risk among individuals with preexisting health conditions.

PLoS One. 2025-5-5

[6]
Effects of the COVID-19 pandemic on individuals with chemical intolerance.

Fam Med Community Health. 2025-4-24

[7]
Cytokine profiles dynamics in COVID-19 patients: a longitudinal analysis of disease severity and outcomes.

Sci Rep. 2025-4-23

[8]
Implication of Admission Eosinophil Count and Prognosis of Coronavirus Disease 2019 (COVID-19) in Elderly Patients With COPD: A Territory-Wide Cohort Study.

Clin Respir J. 2025-4

[9]
The short-term follow-up of patients with diabetes mellitus presenting with COVID-19.

J Med Life. 2025-2

[10]
Unlocking the power of time-since-infection models: data augmentation for improved instantaneous reproduction number estimation.

Biostatistics. 2024-12-31

本文引用的文献

[1]
Severe Outcomes Among Patients with Coronavirus Disease 2019 (COVID-19) - United States, February 12-March 16, 2020.

MMWR Morb Mortal Wkly Rep. 2020-3-27

[2]
Clinical Characteristics of Coronavirus Disease 2019 in China.

N Engl J Med. 2020-2-28

[3]
Heart Disease and Stroke Statistics-2020 Update: A Report From the American Heart Association.

Circulation. 2020-1-29

[4]
Urban-Rural County and State Differences in Chronic Obstructive Pulmonary Disease - United States, 2015.

MMWR Morb Mortal Wkly Rep. 2018-2-23

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