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美国 Alpha、Delta 和奥密克戎变异株流行期间 COVID-19 死亡率分析。

An Analysis of COVID-19 Mortality During the Dominancy of Alpha, Delta, and Omicron in the USA.

机构信息

Meharry Medical College, Nashville, TN, USA.

University of California, Los Angeles, Los Angeles, CA, USA.

出版信息

J Prim Care Community Health. 2023 Jan-Dec;14:21501319231170164. doi: 10.1177/21501319231170164.

Abstract

BACKGROUND

The objective of the study was to measure the risk of death due to COVID-19 in relation to individuals' characteristics, and severity of their disease during the dominant periods of Alpha, Delta, and Omicron variants have influenced mortality rates.

METHODS

This study was conducted using COVID-19 Centers for Disease Control and Prevention (CDC) Case Surveillance Public Data Taskforce for 57 states, and United States territories between January 1, 2020 and March 20, 2022. Multivariable binary Hyperbolastic regression of type I was used to analyzes the data.

RESULTS

Seniors and ICU-admitted patients had the highest risk of death. For each additional percent increase in fully vaccinated individuals, the odds of death deceased by 1%. The odds of death prior to vaccine availability, compared to post vaccine availability, was 1.27. When comparing the time periods each variant was dominant, the odds of death was 3.45-fold higher during Delta compared to Alpha. All predictor variables had -values ≤.001.

CONCLUSION

There was a noticeable difference in the odds of death among subcategories of age, race/ethnicity, sex, PMCs, hospitalization, ICU, vaccine availability, variant, and percent of fully vaccinated individuals.

摘要

背景

本研究旨在测量与个体特征相关的 COVID-19 死亡风险,以及在 Alpha、Delta 和 Omicron 变体主导期间疾病的严重程度对死亡率的影响。

方法

本研究使用了美国疾病控制与预防中心(CDC)疾病监测公共数据工作队的 COVID-19 数据,涉及 2020 年 1 月 1 日至 2022 年 3 月 20 日的 57 个州和美国领土。使用第一类双曲线回归分析多变量数据。

结果

老年人和 ICU 收治患者的死亡风险最高。每增加 1%完全接种疫苗的个体,死亡的几率就会降低 1%。与疫苗接种前相比,疫苗接种后死亡的几率为 1.27。比较每种变体占主导地位的时间段,Delta 变体的死亡几率是 Alpha 变体的 3.45 倍。所有预测变量的 P 值均≤0.001。

结论

在年龄、种族/民族、性别、公共医疗保健人员、住院、ICU、疫苗接种情况、变体和完全接种疫苗的个体百分比等亚组中,死亡的几率存在显著差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/038c/10134413/2e72c9467936/10.1177_21501319231170164-fig1.jpg

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