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韩国接种 ChAdOx1 nCoV-19 疫苗者的血栓栓塞事件的预测和观察发生率。

Predicted and Observed Incidence of Thromboembolic Events among Koreans Vaccinated with ChAdOx1 nCoV-19 Vaccine.

机构信息

Division of Infectious Diseases, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Artificial Intelligence and Big-Data Convergence Center, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.

出版信息

J Korean Med Sci. 2021 Jul 12;36(27):e197. doi: 10.3346/jkms.2021.36.e197.

Abstract

We used the nationwide claims database to calculate the incidence of thrombotic events and predict their overall 2-week incidence. From 2006 to 2020, the incidence of deep vein thrombosis (DVT), pulmonary embolism (PE), and disseminated intravascular coagulation (DIC) tended to increase. Unlike intracranial venous thrombosis (ICVT) and intracranial thrombophlebitis (ICTP), which showed no age difference, other venous embolism, and thrombosis (OVET), DIC, DVT, and PE were significantly more common in over 65 years. The overall 2-week incidence of ICVT was 0.21/1,000,000 (95% confidence interval [CI], 0.11-0.32). ICTP, OVET, DIC, DVT and PE were expected to occur in 0.08 (95% CI, 0.02-0.14), 7.66 (95% CI, 6.08-9.23), 5.95 (95% CI, 4.88-7.03), 13.28 (95% CI, 11.92-14.64), 14.09 (95% CI, 12.80-15.37) per 1,000,000, respectively. To date, of 8,548,231 patients vaccinated with ChAdOx1 nCoV-19 in Korea, two had confirmed thrombosis with thrombocytopenia syndrome within 2 weeks. The observed incidence of ICVT after vaccination was 0.23/1,000,000.

摘要

我们利用全国性的理赔数据库计算了血栓事件的发生率,并预测了它们的两周总体发生率。2006 年至 2020 年,深静脉血栓形成(DVT)、肺栓塞(PE)和弥散性血管内凝血(DIC)的发生率呈上升趋势。与颅内静脉血栓形成(ICVT)和颅内血栓性静脉炎(ICTP)无年龄差异不同,其他静脉栓塞和血栓形成(OVET)、DIC、DVT 和 PE 在 65 岁以上人群中更为常见。ICVT 的两周总体发生率为 0.21/100 万(95%置信区间[CI],0.11-0.32)。预计 ICTP、OVET、DIC、DVT 和 PE 的发生率分别为 0.08(95%CI,0.02-0.14)、7.66(95%CI,6.08-9.23)、5.95(95%CI,4.88-7.03)、13.28(95%CI,11.92-14.64)和 14.09(95%CI,12.80-15.37)/100 万。截至目前,在韩国接种 ChAdOx1 nCoV-19 的 8548231 名患者中,有 2 例在接种后 2 周内确诊为血栓伴血小板减少综合征。接种后 ICVT 的观察发生率为 0.23/100 万。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/174e/8275463/161ef4a997dc/jkms-36-e197-g001.jpg

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