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2019冠状病毒病大流行第三波第一、第二和指数增长阶段在墨西哥需要有创机械通气的2019冠状病毒病患者

Patients With Coronavirus Disease 2019 Requiring Invasive Mechanical Ventilation in Mexico in the First, Second, and Exponential Growth Phase of the Third Wave of the Coronavirus Disease 2019 Pandemic.

作者信息

Ñamendys-Silva Silvio A

出版信息

Crit Care Explor. 2021 Oct 5;3(10):e556. doi: 10.1097/CCE.0000000000000556. eCollection 2021 Oct.

DOI:10.1097/CCE.0000000000000556
PMID:34647033
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8500605/
Abstract

A total of 3,197,108 coronavirus disease 2019 cases (2,537 cases per 100,000 people) and 252,080 deaths (200 deaths per 100,000 people) were recorded in Mexico as of August 20, 2021. There were 36,934 of 203,582 coronavirus disease 2019 patients (18.1%) that required invasive mechanical ventilation during the first wave of coronavirus disease 2019, 24,698 of 253,899 (9.7%) patients during the second wave, and 5,610 of 65,952 (8.5%) during the exponential growth phase of the third wave ( < 0.001). The proportion of patients who received invasive mechanical ventilation in the ICU was lower in the first wave (27.9%) and then remained between 33.3% and 36.2% for the remainder of that period. Although the inhospital mortality of hospitalized coronavirus disease 2019 patients requiring intubation during the exponential growth phase of the third wave was lower than that in the first and second waves, the inhospital mortality in coronavirus disease 2019 patients requiring invasive mechanical ventilation remained greater than 82%.

摘要

截至2021年8月20日,墨西哥共记录了3197108例2019冠状病毒病病例(每10万人中有2537例)和252080例死亡(每10万人中有200例)。在2019冠状病毒病第一波疫情期间,203582例患者中有36934例(18.1%)需要有创机械通气;在第二波疫情期间,253899例患者中有24698例(9.7%)需要;在第三波疫情指数增长阶段,65952例患者中有5610例(8.5%)需要(P<0.001)。第一波疫情期间,在重症监护病房接受有创机械通气的患者比例较低(27.9%),此后该阶段其余时间保持在33.3%至36.2%之间。尽管在第三波疫情指数增长阶段,需要插管的住院2019冠状病毒病患者的院内死亡率低于第一波和第二波,但需要有创机械通气的2019冠状病毒病患者的院内死亡率仍超过82%。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54c6/8500605/4f9060630ca0/cc9-3-e556-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54c6/8500605/0e185401cf28/cc9-3-e556-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54c6/8500605/4f9060630ca0/cc9-3-e556-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54c6/8500605/0e185401cf28/cc9-3-e556-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54c6/8500605/4f9060630ca0/cc9-3-e556-g002.jpg

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