Comparison of the first and sixth waves of the SARS-COV-2 coronavirus pandemic in patients with immune-mediated disease

Carmen Lobo Rodríguez , Ana M. López-Calleja , Paloma Morales de los Ríos Luna , Susana Sánchez Vázquez , Ángela Molinero Sampedro , Amparo López-Esteban
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引用次数: 1

Abstract

Introduction

Recent evidence shows that COVID-19 infection does not have a worse prognosis in patients with immune-mediated inflammatory diseases (IMID), although they develop a worse response to vaccination.

Objective

To compare the incidence of COVID-19 and clinical features in patients with IMID between the first and sixth waves.

Method

Prospective observational study of two cohorts of IMID patients diagnosed with COVID-19. First cohort March to May 2020, and second cohort December/2021 to February/2022.

Sociodemographic and clinical variables were collected and, in the second cohort, COVID-19 vaccination status. Statistical analysis established differences in characteristics and clinical course between the two cohorts.

Results

In total, 1627 patients were followed up, of whom 77 (4.60%) contracted COVID-19 during the first wave and 184 in the sixth wave (11.3%). In the sixth wave, there were fewer hospitalisations, intensive care unit admissions, and deaths than in the first wave (p = .000) and 180 patients (97.8%) had at least one dose of vaccine.

Conclusion

Early detection and vaccination have prevented the occurrence of serious complications.

SARS-COV-2冠状病毒大流行第一波与第六波在免疫介导性疾病患者中的比较
最近的证据表明,COVID-19感染对免疫介导性炎症性疾病(IMID)患者的预后并不差,尽管他们对疫苗接种的反应较差。目的比较第一波和第六波IMID患者新冠肺炎的发病率和临床特征。方法对两组诊断为COVID-19的IMID患者进行前瞻性观察研究。第一批2020年3月至5月,第二批2021年12月至2022年2月。收集社会人口学和临床变量,并在第二队列中收集COVID-19疫苗接种状况。统计分析确定了两组患者在特征和临床病程上的差异。结果共随访患者1627例,其中第一波感染77例(4.60%),第六波感染184例(11.3%)。在第六波中,住院、重症监护病房住院和死亡人数比第一波减少(p = 0.000), 180名患者(97.8%)至少接种了一剂疫苗。结论早期发现和预防接种预防了严重并发症的发生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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