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因感染SARS-CoV-2住院的免疫介导性炎症疾病患者的特征。

Characteristics of Patients With Immune-Mediated Inflammatory Diseases Hospitalized for SARS-CoV-2 Infection.

作者信息

Robustillo-Villarino Montserrat, Álvarez-Arroyo Laura, Carrera-Hueso Francisco Javier, Barreda-Altaba Inés, Nieto-Cid María, Girona-Sanz Ana María, El-Qutob David

机构信息

Sección de Reumatología, Servicio de Medicina Interna, Hospital Universitario de la Plana, Villarreal, Castellón, España.

Servicio de Farmacia, Hospital Universitario de la Plana, Villarreal, Castellón, España; Programa de doctorado en Farmacia, Universidad de Granada, Granada, España.

出版信息

Reumatol Clin (Engl Ed). 2021 Mar 20;18(6):331-7. doi: 10.1016/j.reuma.2021.03.003.

Abstract

BACKGROUND

Immune-mediated inflammatory diseases (IMID) predispose to a higher infection risk by modifying the host's immune response, which acts as a key factor in SARS-CoV-2 infection resolution. Recent publications show that IMID patients and its treatments do not worsen the outcome of SARS-CoV-2 infection.

OBJECTIVES

To describe the clinical characteristics and outcomes of patients with IMID who required hospital admission due to SARS-CoV-2 infection. Secondly, to compare clinical characteristics and outcomes between patients who required hospital admission due to SARS-CoV-2 infection with IMID and those who were not affected.

METHODS

We performed an observational retrospective cohort study, including admitted patients with suspected SARS-CoV-2 infection, treated according to medical criteria and local protocols based on the best available scientific evidence. Clinical data were collected from their electronical clinical history. Statistical analysis determined the differences in the characteristics and clinical outcome of the infection in IMID patients.

RESULTS

Of a total number of 612 revised patients, 23 had an IMID and 9 of them were positive for the SARS-CoV-2 infection. We did not observe a correlation between these two disorders. There was a higher frequency of obesity and cardiovascular disease among IMID patients, but without statistical significance. The clinical outcomes were no different between hospitalized IMID and non IMID patients.

CONCLUSION

IMID and its treatments do not determine the outcome of patients admitted with SARS-CoV-2 infection.

摘要

背景

免疫介导的炎症性疾病(IMID)通过改变宿主的免疫反应,使感染风险升高,而宿主免疫反应是新冠病毒感染消退的关键因素。最近的出版物表明,IMID患者及其治疗方法不会使新冠病毒感染的结果恶化。

目的

描述因新冠病毒感染而需要住院治疗的IMID患者的临床特征和结局。其次,比较因新冠病毒感染而需要住院治疗的IMID患者与未受影响患者之间的临床特征和结局。

方法

我们进行了一项观察性回顾性队列研究,纳入疑似新冠病毒感染的住院患者,根据医学标准和基于现有最佳科学证据的当地方案进行治疗。临床数据从他们的电子临床病史中收集。统计分析确定了IMID患者感染特征和临床结局的差异。

结果

在总共612例接受复查的患者中,23例患有IMID,其中9例新冠病毒感染呈阳性。我们未观察到这两种疾病之间存在相关性。IMID患者中肥胖和心血管疾病的发生率较高,但无统计学意义。住院的IMID患者和非IMID患者的临床结局没有差异。

结论

IMID及其治疗方法不会决定因新冠病毒感染而住院患者 的结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ace/7980136/cf8ecd427f18/gr1_lrg.jpg

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