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日本札幌两家医院收治的 COVID-19 患者的特征:两次疫情暴发期间的分析与见解。

Characteristics of COVID-19 patients admitted into two hospitals in sapporo, Japan: Analyses and insights from two outbreak waves.

机构信息

Department of Respiratory Medicine, National Hospital Organization Hokkaido Medical Center, Sapporo, Japan; Department of Respiratory Medicine, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.

Department of Respiratory Medicine and Allergology, Sapporo Medical University School of Medicine, Sapporo, Japan.

出版信息

Respir Investig. 2021 Mar;59(2):180-186. doi: 10.1016/j.resinv.2020.11.008. Epub 2021 Jan 1.

Abstract

BACKGROUND

Coronavirus disease (COVID-19) emerged in January 2020 in Sapporo city, and the outbreak has shown two peaks.

METHODS

A total of 260 COVID-19 patients were enrolled and categorized into three groups according to the pandemic pattern, jobs and situation, and disease severity. We compared clinical characteristics according to these categories.

RESULTS

We found two pandemic peaks, and the proportion of patients and health providers who were infected in other hospitals had increased in the latter two periods (period 2: 49.6%, period 3: 32.7%). Particularly, the proportion of infected health providers was 27% in period 2, and they tended to be younger females with a mild condition. Severity of the disease (requirement of oxygen and/or mechanical ventilation) was associated with advanced age, and all the patients who died during admission were over 60 years old.

CONCLUSIONS

We reported the temporal dynamics and characteristics of the COVID-19 pandemic in Sapporo city, Japan. This survey from the viewpoint of the hospital provides a new insight into and a better guide for the further management of the COVID-19 pandemic.

摘要

背景

2020 年 1 月,新型冠状病毒病(COVID-19)在札幌市爆发,疫情呈现出两个高峰。

方法

共纳入 260 例 COVID-19 患者,并根据流行模式、工作和情况以及疾病严重程度将其分为三组。我们根据这些类别比较了临床特征。

结果

我们发现了两个流行高峰,在后期两个时期,感染其他医院的患者和卫生工作者的比例有所增加(第 2 期:49.6%,第 3 期:32.7%)。特别是,第 2 期感染的卫生工作者比例为 27%,他们往往是年轻的女性,病情较轻。疾病的严重程度(需要吸氧和/或机械通气)与年龄较大有关,所有在住院期间死亡的患者均超过 60 岁。

结论

我们报告了日本札幌市 COVID-19 大流行的时间动态和特征。本调查从医院的角度提供了对 COVID-19 大流行进一步管理的新见解和更好的指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08cc/7775652/607f87d802d3/gr1_lrg.jpg

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