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奥密克戎变种(B.1.1.529)感染后的死亡率:它的致命性如何?一项系统评价和荟萃分析。

Fatality Rates After Infection With the Omicron Variant (B.1.1.529): How Deadly has it been? A Systematic Review and Meta-Analysis.

作者信息

Ahmad Suhaib Js, Degiannis Jason R, Borucki Joseph, Pouwels Sjaak, Rawaf David Laith, Lala Anil, Whiteley Graham S, Head Marion, Simpson Angharad, Archid Rami, Ahmed Ahmed R, Soler J Agustin, Wichmann Doerte, Thangavelu Mohanarangam, Abdulmajed Mohamed, Elmousili Mahmoud, Lin Yan-Ren, Gelber Edgar, Exadaktylos Aristomenis K

机构信息

Betsi Cadwaladr University Health Board Department of General Surgery Wales UK.

University Hospital of Bern Department of Emergency Medicine Inselspital Switzerland.

出版信息

J Acute Med. 2024 Jun 1;14(2):51-60. doi: 10.6705/j.jacme.202406_14(2).0001.

Abstract

BACKGROUND

Since late 2019, the global community has been gripped by the uncertainty surrounding the SARS-CoV-2 pandemic. In November 2021, the emergence of the Omicron variant in South Africa added a new dimension. This study aims to assess the disease's severity and determine the extent to which vaccinations contribute to reducing mortality rates.

METHODS

A systematic review and meta-analysis of the epidemiological implications of the omicron variant of SARS-CoV-2 were performed, incorporating an analysis of articles from November 2021that address mortality rates.

RESULTS

The analysis incorporated data from 3,214,869 patients infected with omicron, as presented in 270 articles. A total of 6,782 deaths from the virus were recorded (0.21%). In the analysed articles, the pooled mortality rate was 0.003 and the pooled in-house mortality rate was 0.036. Vaccination is an effective step in preventing death (odds ratio: 0.391, < 0.01).

CONCLUSION

The mortality rates for the omicron variant are lower than for the preceding delta variant. mRNA vaccination affords secure and effective protection against severe disease and death from omicron.

摘要

背景

自2019年末以来,全球社会一直笼罩在严重急性呼吸综合征冠状病毒2(SARS-CoV-2)大流行的不确定性之中。2021年11月,南非出现的奥密克戎变异株又增添了新的情况。本研究旨在评估该疾病的严重程度,并确定疫苗接种在降低死亡率方面的作用程度。

方法

对SARS-CoV-2奥密克戎变异株的流行病学影响进行了系统评价和荟萃分析,纳入了对2021年11月以来涉及死亡率的文章的分析。

结果

分析纳入了270篇文章中3,214,869例感染奥密克戎患者的数据。该病毒共造成6,782人死亡(0.21%)。在分析的文章中,汇总死亡率为0.003,汇总院内死亡率为0.036。接种疫苗是预防死亡的有效措施(优势比:0.391,P < 0.01)。

结论

奥密克戎变异株的死亡率低于之前的德尔塔变异株。信使核糖核酸(mRNA)疫苗可为预防奥密克戎导致的重症疾病和死亡提供安全有效的保护。

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本文引用的文献

1
Estimating disease severity of Omicron and Delta SARS-CoV-2 infections.
Nat Rev Immunol. 2022 May;22(5):267-269. doi: 10.1038/s41577-022-00720-5.
2
Increased risk of SARS-CoV-2 reinfection associated with emergence of Omicron in South Africa.
Science. 2022 May 6;376(6593):eabn4947. doi: 10.1126/science.abn4947.
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Characteristics of the first 1119 SARS-CoV-2 Omicron variant cases, in Marseille, France, November-December 2021.
J Med Virol. 2022 May;94(5):2290-2295. doi: 10.1002/jmv.27613. Epub 2022 Feb 3.

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