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每年接种流感疫苗:对 COVID-19 患者有帮助吗?

Annual flu shot: Does it help patients with COVID-19?

机构信息

Tulane University, School of Medicine, New Orleans, Louisiana, USA.

Department of Surgery, Tulane University, School of Medicine, New Orleans, Louisiana, USA.

出版信息

Int J Clin Pract. 2021 Dec;75(12):e14901. doi: 10.1111/ijcp.14901. Epub 2021 Sep 27.

Abstract

AIM OF THE STUDY

The impact of annual flu vaccination on the patients' clinical course with COVID-19 and the outcome were tested.

METHODS

A total of 149 patients with COVID-19-positive admitted from March 20 to May 10, 2020, were retrospectively enrolled.

RESULTS

Ninety-eight (65.8%) patients received at least a single annual flu shot in the last year, and fifty-one (34.2%) were never vaccinated. On presentation, vaccinated patients were more likely to present with gastrointestinal symptoms (P < .05). There were no significant differences between study groups in laboratory findings or clinical outcomes. In multivariate analysis, receiving the annual shot did not influence risk of intensive care unit admission (OR = 1.17, 95%CI = 0.50-2.72, P = .72), intubation (OR = 1.40, 95%CI = 0.60-3.23, P = .43), complications (OR = 1.08, 95%CI = 0.52-2.26, P = .83) or mortality (OR = 1.29, 95%CI = 0.31-5.29, P = .73).

CONCLUSION

Although the benefits of the influenza vaccine for preventing disease and reducing morbidity in influenza patients are well established, no differences in outcomes for hospitalised patients with COVID-19 who received their annual influenza vaccination versus the non-vaccinated cohort were evident. There is a need for future meta-analyses, including randomised controlled studies in which the number of cases is increased to validate these findings.

摘要

研究目的

测试年度流感疫苗接种对 COVID-19 患者临床病程和结局的影响。

方法

回顾性纳入 2020 年 3 月 20 日至 5 月 10 日期间因 COVID-19 阳性住院的 149 名患者。

结果

98 名(65.8%)患者在过去一年中至少接种了一剂年度流感疫苗,51 名(34.2%)从未接种过疫苗。就诊时,接种疫苗的患者更有可能出现胃肠道症状(P<0.05)。两组在实验室检查结果或临床结局方面无显著差异。多变量分析显示,接种年度流感疫苗并不会影响入住重症监护病房的风险(OR=1.17,95%CI=0.50-2.72,P=0.72)、插管(OR=1.40,95%CI=0.60-3.23,P=0.43)、并发症(OR=1.08,95%CI=0.52-2.26,P=0.83)或死亡率(OR=1.29,95%CI=0.31-5.29,P=0.73)。

结论

虽然流感疫苗在预防疾病和降低流感患者发病率方面的益处已得到充分证实,但对于接种年度流感疫苗和未接种疫苗的 COVID-19 住院患者,其结局无显著差异。需要进一步进行包括随机对照研究在内的荟萃分析,以增加病例数量来验证这些发现。

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