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COVID-19:关于 SARS-CoV-2 疫苗接种对德国大流行进程和重症监护病房入住率影响的预测。

COVID-19: Predictions for SARS-CoV-2 vaccination on the course of the pandemic and critical occupancy of intensive-care facilities in Germany.

出版信息

Int J Clin Pharmacol Ther. 2021 Apr;59(4):269-279. doi: 10.5414/CP203988.

Abstract

AIMS OF THE STUDY

To obtain predictions using the Modified Bateman SIZ Model for the effects of vaccination on the course of the COVID-19 pandemic in Germany.

MATERIALS AND METHODS

Start parameters for the model were obtained from observational data after data-smoothing to reduce between-day variation. Three scenarios, 1) no vaccination, 2) vaccination of 60% of the population over 12 months, 3) vaccination of 60% of the population over 7 months were examined. The effects of changes in tα (doubling-time for the spread of infection, known to be slower in the summer months) and tβ (half-life of recovery from infection) on the daily number of infectious persons, the cumulative number of infected persons, and the duration of critical occupancy of intensive-care units were also determined.

RESULTS

Vaccination produced a marked and rapid reduction in the number of infectious persons (up to -60%) and the total number of infected persons (up to -70%). A 7-month vaccination strategy was significantly more effective than a 12-month strategy. The summer effect came too late to have an additional effect on the spread of infection. Vaccination was predicted to reduce the duration of critical occupancy of intensive-care facilities by ~ 70%.

DISCUSSION

The predictions are based on the assumptions that lockdown conditions are maintained and vaccine availability is not limiting.

CONCLUSION

Predictions made using the model show that vaccination with a SARS-CoV-2 vaccine can markedly reduce the spread of the COVID-19 disease and the period of critical occupancy of intensive-care facilities in Germany.

摘要

研究目的

使用改良的 Bateman SIZ 模型预测疫苗接种对德国 COVID-19 大流行进程的影响。

材料与方法

模型的初始参数从经过数据平滑处理以减少日内变化的观察数据中获得。研究了三种情况:1)不接种疫苗;2)12 个月内为 60%的人口接种疫苗;3)7 个月内为 60%的人口接种疫苗。还确定了 tα(感染传播的倍增时间,已知夏季较慢)和 tβ(从感染中恢复的半衰期)变化对每日感染人数、累积感染人数和重症监护病房占用率的影响。

结果

接种疫苗可显著且迅速减少感染人数(最多减少 60%)和感染总人数(最多减少 70%)。7 个月的接种策略明显比 12 个月的策略更有效。夏季效应来得太晚,无法对感染传播产生额外影响。接种疫苗预计将使重症监护病房的占用时间减少约 70%。

讨论

预测是基于维持封锁条件和疫苗供应不限制的假设。

结论

使用模型进行的预测表明,接种 SARS-CoV-2 疫苗可以显著减少德国 COVID-19 疾病的传播和重症监护病房的占用时间。

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