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接种疫苗以降低新冠病毒感染患者的重症率和死亡率:一项系统评价与荟萃分析

Vaccination to reduce severe COVID-19 and mortality in COVID-19 patients: a systematic review and meta-analysis.

作者信息

Huang Y-Z, Kuan C-C

机构信息

Department of Nursing, National Taiwan University Cancer Center, Taipei, Taiwan.

出版信息

Eur Rev Med Pharmacol Sci. 2022 Mar;26(5):1770-1776. doi: 10.26355/eurrev_202203_28248.

DOI:10.26355/eurrev_202203_28248
PMID:35302230
Abstract

OBJECTIVE

The outbreak of coronavirus disease (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has resulted in the death of up to 5 million people worldwide, with a mortality rate of approximately 2%. Wearing masks, maintaining social distance, tracking, and isolating close contacts are not sufficient to control the epidemic. The effectiveness of vaccines is affected by the willingness of people to be vaccinated. Therefore, in this review, we aimed to examine the efficacy of different types of vaccines in reducing hospitalization rates, disease severity, and mortality.

MATERIALS AND METHODS

We searched five databases (Embase, PubMed, Cochrane, EBSCO, and CEPS) for related research on September 3, 2021. We used a random-effects model for analysis.

RESULTS

Seven studies were identified, involving 1,366,700 participants (689,967 participants in the vaccinated group and 676,733 participants in the non-vaccinated group). There were 292 significant incidents (56 in the vaccinated group and 236 in the non-vaccinated group) with a risk ratio of 0.12 and a 95% confidence interval of 0.040-0.363. Compared with no vaccine, all types of vaccines can effectively prevent the rate of severe illness.

CONCLUSIONS

We evaluated whether different brands of vaccines or types of COVID-19 vaccines could prevent the risk of severe illness after diagnosis. The analysis showed that all types of vaccines can effectively prevent severe disease. Implementing epidemic prevention guidelines and obtaining vaccines in different countries can improve vaccine protection and reduce COVID-19-related deaths worldwide.

摘要

目的

由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的冠状病毒病(COVID-19)疫情已导致全球多达500万人死亡,死亡率约为2%。佩戴口罩、保持社交距离、追踪和隔离密切接触者不足以控制疫情。疫苗的有效性受人们接种意愿的影响。因此,在本综述中,我们旨在研究不同类型疫苗在降低住院率、疾病严重程度和死亡率方面的疗效。

材料与方法

我们于2021年9月3日在五个数据库(Embase、PubMed、Cochrane、EBSCO和CEPS)中搜索相关研究。我们使用随机效应模型进行分析。

结果

共纳入7项研究,涉及1366700名参与者(接种疫苗组689967名参与者,未接种疫苗组676733名参与者)。有292起显著事件(接种疫苗组56起,未接种疫苗组236起),风险比为0.12,95%置信区间为0.040 - 0.363。与未接种疫苗相比,所有类型的疫苗都能有效预防重症发生率。

结论

我们评估了不同品牌的疫苗或COVID-19疫苗类型能否预防诊断后的重症风险。分析表明,所有类型的疫苗都能有效预防重症疾病。在不同国家实施防疫指南并获取疫苗可提高疫苗保护效果,减少全球与COVID-19相关的死亡。

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