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巴基斯坦旁遮普省 COVID-19 合并慢性阻塞性肺疾病患者的危险因素识别:一项回顾性研究。

Risk factors identification of COVID-19 patients with chronic obstructive pulmonary disease: A retrospective study in Punjab-Pakistan.

机构信息

Department of Statistics, The Islamia University of Bahawalpur, Bahawalpur, Punjab, Pakistan.

Department of Mathematics, School of Arts and Science, University of The Gambia, Serrekunda, Gambia.

出版信息

Immun Inflamm Dis. 2023 Aug;11(8):e981. doi: 10.1002/iid3.981.

Abstract

BACKGROUND

Accessibility to the immense collection of studies on noncommunicable diseases related to coronavirus disease of 2019 (COVID-19) and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is an immediate focus of researchers. However, there is a scarcity of information about chronic obstructed pulmonary disease (COPD), which is associated with a high rate of infection in COVID-19 patients. Moreover, by combining the effects of the SARS-CoV-2 on COPD patients, we may be able to overcome formidable obstacles factors, and diagnosis influencers.

MATERIALS AND METHODS

A retrospective study of 280 patients was conducted at DHQ Hospital Muzaffargarh in Punjab, Pakistan. Negative binomial regression describes the risk of fixed successive variables. The association is described by the Cox proportional hazard model and the model coefficient is determined through log-likelihood observation. Patients with COPD had their survival and mortality plotted on Kaplan-Meier curves.

RESULTS

The increased risk of death in COPD patients was due to the effects of variables such as cough, lower respiratory tract infection (LRTI), tuberculosis (TB), and body-aches being 1.369, 0.693, 0.170, and 0.217 times higher at (95% confidence interval [CI]: 0.747-1.992), (95% CI: 0.231-1.156), (95% CI: 0.008-0.332), and (95% CI: -0.07 to 0.440) while it decreased 0.396 in normal condition.

CONCLUSION

We found that the symptoms of COPD (cough, LRTI, TB, and bodyaches) are statistically significant in patients who were most infected by SARS-CoV-2.

摘要

背景

获取与 2019 年冠状病毒病(COVID-19)和严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)相关的非传染性疾病大量研究的途径是研究人员当前关注的焦点。然而,有关慢性阻塞性肺疾病(COPD)的信息却很少,而 COVID-19 患者的感染率很高。此外,通过结合 SARS-CoV-2 对 COPD 患者的影响,我们或许能够克服严峻的障碍因素和诊断影响因素。

材料与方法

在巴基斯坦旁遮普省的 DHQ 医院 Muzaffargarh 对 280 例患者进行了回顾性研究。负二项回归描述了固定连续变量的风险。使用 Cox 比例风险模型描述关联,通过对数似然观察确定模型系数。通过 Kaplan-Meier 曲线绘制 COPD 患者的生存和死亡率。

结果

COPD 患者死亡风险增加是由于咳嗽、下呼吸道感染(LRTI)、结核病(TB)和身体疼痛等变量的影响所致,风险比分别为 1.369、0.693、0.170 和 0.217(95%置信区间[CI]:0.747-1.992)、(95% CI:0.231-1.156)、(95% CI:0.008-0.332)和(95% CI:-0.07-0.440),而在正常情况下,风险比降低了 0.396。

结论

我们发现,在最易感染 SARS-CoV-2 的患者中,COPD(咳嗽、LRTI、TB 和身体疼痛)的症状具有统计学意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85a5/10461420/95f5b93e4ce7/IID3-11-e981-g001.jpg

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