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接种疫苗和未接种疫苗的肾移植受者死亡率的回顾性研究。

A Retrospective Study Comparing Mortality Rates between Vaccinated and Unvaccinated Kidney Transplant Recipients.

机构信息

Internal Medicine Resident Physician, HCA Las Palmas Del Sol Medical Center, El Paso, Texas, USA.

Quality Coordinator Transplant Services, Las Palmas Medical Center, El Paso, Texas, USA.

出版信息

Infect Disord Drug Targets. 2024;24(4):72-75. doi: 10.2174/0118715265254866231121053403.

Abstract

Background: With the emergence of vaccines for COVID-19, mortality and severity of disease have decreased. However, patients with certain comorbidities, such as immunosuppression, CKD, and renal transplant, still have higher mortality rates as compared to the general population. Current data suggests that the risk of developing COVID-19 among transplant patients was reported to be about 5%, which is significantly higher than the risk rate of 0.3% in the general population. Studies utilizing larger sample sizes (i.e., multiple cohorts, sites, hospitals) comparing COVID-19 outcomes among renal transplant patients with a control group are lacking.

Objective: The purpose of this descriptive study was to compare the mortality rate between vaccinated and unvaccinated kidney transplant recipients.

Methods: Participants were recruited at a community-based transplant clinic in West Texas.

Results: Among the group of participants who tested positive for COVID-19 between 2020 and 2022, higher mortality rates and longer hospital stays were noted among those unvaccinated (72% unvaccinated had greater than 5-day length of stay vs. 33% vaccinated).

Conclusion: Our study suggests that vaccination against COVID-19 decreases mortality rates in kidney transplant recipients.

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摘要

背景

随着 COVID-19 疫苗的出现,死亡率和疾病严重程度有所降低。然而,患有某些合并症的患者,如免疫抑制、CKD 和肾移植,其死亡率仍高于一般人群。目前的数据表明,移植患者患 COVID-19 的风险据报道约为 5%,明显高于一般人群 0.3%的风险率。利用更大样本量(即多个队列、地点、医院)比较肾移植患者与对照组 COVID-19 结局的研究尚缺乏。

目的

本描述性研究的目的是比较接种疫苗和未接种疫苗的肾移植受者的死亡率。

方法

参与者是在德克萨斯州西部的一个社区移植诊所招募的。

结果

在 2020 年至 2022 年间检测出 COVID-19 呈阳性的参与者中,未接种疫苗的患者死亡率更高,住院时间更长(72%未接种疫苗的患者住院时间超过 5 天,而接种疫苗的患者为 33%)。

结论

我们的研究表明,COVID-19 疫苗接种可降低肾移植受者的死亡率。

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