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中国2019冠状病毒病的初步研究:心血管疾病对死亡风险的影响。

A preliminary study of coronavirus disease 2019 in China: the impact of cardiovascular disease on death risk.

作者信息

Rethemiotaki Irene

机构信息

Department of Production Engineering and Management, Technical University of Crete, Chania, Greece.

出版信息

Arch Med Sci Atheroscler Dis. 2020 Sep 10;5:e219-e223. doi: 10.5114/amsad.2020.98918. eCollection 2020.

Abstract

INTRODUCTION

The primary purpose of this work is to study coronavirus disease 2019 (COVID-19) in China and to identify the prognostic characteristics of patients with the highest death risk.

MATERIAL AND METHODS

The statistical methods used to derive the results of this work are the chi-square test and one-way analysis of variance (ANOVA) to examine the characteristics of COVID-19 associated deaths. A multiple logistic regression analysis was used with the odds ratio (OR) to find statistically significant prognostic factors with the highest death risk for this type of disease.

RESULTS

According to multiple logistic regression analyses, males (OR = 1.68; 95% CI: 1.48-1.91) who are over 50 years old (OR = 7.2; 95% CI: 1.01-51.6) from Hubei (OR = 7.73; 95% CI: 5.71-10.47) have the highest risk of death from this type of disease. Moreover, individuals who are retirees (OR = 2.83; 95% CI: 2.47-3.25) and had a Wuhan-related exposure (OR = 2.17; 95% CI: 1.68-2.79) have two times higher risk of death from COVID-19, while the risk is thirteen times higher with the comorbid condition "cardiovascular disease" (OR = 13.6; 95% CI: 10.3-17.9).

CONCLUSIONS

The results of this study describe for the first time the importance of cardiovascular disease as a primary prognostic risk factor for death from coronavirus disease 2019.

摘要

引言

这项研究的主要目的是在中国研究2019冠状病毒病(COVID-19),并确定死亡风险最高的患者的预后特征。

材料与方法

用于得出本研究结果的统计方法是卡方检验和单因素方差分析(ANOVA),以检验与COVID-19相关死亡的特征。使用多元逻辑回归分析和优势比(OR)来找出这类疾病中具有最高死亡风险的统计学显著预后因素。

结果

根据多元逻辑回归分析,来自湖北的50岁以上男性(OR = 1.68;95%置信区间:1.48 - 1.91)患这种疾病的死亡风险最高(OR = 7.2;95%置信区间:1.01 - 51.6)。此外,退休人员(OR = 2.83;95%置信区间:2.47 - 3.25)以及有武汉相关接触史的人(OR = 2.17;95%置信区间:1.68 - 2.79)死于COVID-19的风险高出两倍,而患有“心血管疾病”合并症的人风险高出十三倍(OR = 13.6;95%置信区间:10.3 - 17.9)。

结论

本研究结果首次描述了心血管疾病作为2019冠状病毒病死亡的主要预后风险因素的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/185a/7717451/80da523606a1/AMS-AD-5-41760-g001.jpg

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