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癌症与冠状病毒病(COVID-19):共病、机械通气和死亡风险。

Cancer and Coronavirus Disease (COVID-19): Comorbidity, Mechanical Ventilation, and Death Risk.

机构信息

Department of Anesthesiology and Critical Care, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Department of Medical Laboratory Sciences, School of Paramedical Science, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

J Gastrointest Cancer. 2021 Mar;52(1):80-84. doi: 10.1007/s12029-020-00529-2. Epub 2020 Oct 1.

Abstract

BACKGROUND

The presence of comorbidity poses a major clinical challenge in the care and treatment of COVID-19 patients. Moreover, having one or more comorbidities could be a life-threatening situation in COVID-19 patients. Cancer is substantially associated with significant morbidity and mortality in COVID-19 patients. However, there is not sufficient data to conclude that cancer patients have a higher risk of COVID-19 infection. In this study, we reviewed cancer comorbidity and risk of mechanical ventilation or death in patients with confirmed COVID-19.

METHODS

A comprehensive systematic search was performed on PubMed, Scopus, Web of Science, SciELO, and CNKI, to find articles published until August 01, 2020. All relevant case series, case reports, systematic and narrative reviews, meta-analyses, and prospective and retrospective studies that reported clinical characteristics and epidemiological information of cancer patients infected with COVID-19 were included in the study.

RESULTS

A total of 12 cohort studies exclusively on cancer patients with confirmed COVID-19 were selected.

CONCLUSIONS

According to the findings of this study, cancer was not among the most prevalent underlying diseases in patients with confirmed COVID-19. Moreover, cancer patients infected with COVID-19 had the lowest risk of mechanical ventilation or death than the non-cancer infected patients.

摘要

背景

合并症的存在给 COVID-19 患者的护理和治疗带来了重大的临床挑战。此外,患有一种或多种合并症可能对 COVID-19 患者构成威胁生命的情况。癌症与 COVID-19 患者的高发病率和死亡率显著相关。然而,没有足够的数据来得出癌症患者感染 COVID-19 的风险更高的结论。在这项研究中,我们回顾了癌症合并症以及确诊 COVID-19 患者接受机械通气或死亡的风险。

方法

我们在 PubMed、Scopus、Web of Science、SciELO 和 CNKI 上进行了全面的系统检索,以查找截至 2020 年 8 月 1 日发表的文章。所有相关的病例系列、病例报告、系统和叙述性综述、荟萃分析以及前瞻性和回顾性研究,均报告了患有 COVID-19 的癌症患者的临床特征和流行病学信息,均包括在本研究中。

结果

共选择了 12 项专门针对确诊 COVID-19 的癌症患者的队列研究。

结论

根据本研究的结果,癌症并不是确诊 COVID-19 患者中最常见的基础疾病之一。此外,与非癌症感染患者相比,感染 COVID-19 的癌症患者接受机械通气或死亡的风险最低。

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本文引用的文献

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Comorbidity and its Impact on Patients with COVID-19.合并症及其对COVID-19患者的影响。
SN Compr Clin Med. 2020;2(8):1069-1076. doi: 10.1007/s42399-020-00363-4. Epub 2020 Jun 25.
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COVID-19 and comorbidities: Deleterious impact on infected patients.COVID-19 与合并症:对感染患者的有害影响。
J Infect Public Health. 2020 Dec;13(12):1833-1839. doi: 10.1016/j.jiph.2020.07.014. Epub 2020 Aug 4.
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Factors associated with COVID-19-related death using OpenSAFELY.使用 OpenSAFELY 分析与 COVID-19 相关死亡的因素。
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