Omar BONGO ONDIMBA武装部队训练医院NEWS2评分对接种和未接种COVID-19住院患者的预测能力评估

Berthe A. Iroungou, Fresnel Elenga Ngadoua
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摘要

背景:自COVID-19大流行发生以来,通过临床检查和临床旁检查对住院患者进行评估,为初始管理提供信息。本研究的主要目的是利用NEWS2评分评估HIA OBO内科接种和未接种COVID-19住院患者的预后。患者和方法:这项回顾性、描述性、单中心评估为期15个月(2021年9月1日至2022年1月30日),共纳入219例患者。结果:研究中最具代表性的年龄组为40-64岁(43%),中位年龄为60岁。未接种疫苗的患者占研究人群的90%。71%的患者存在合并症,主要包括动脉高血压(40%)、糖尿病(17.8%)、心脏病(8.25%)和慢性阻塞性肺病(2.7%)。最常见的临床症状是虚弱和发热,占72.47%,其次是咳嗽,占65.13%。用于评估COVID-19住院患者预后的NEWS2评分,16%的病例为高,76%的病例为中,1%的病例为低。结论:我们的研究结果表明未接种疫苗和接种疫苗的患者的COVID-19临床表现相似。此外,NEWS2评分是入院时评估患者预后和优化治疗管理的有价值的工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessing the Predictive Power of NEWS2 Score in Vaccinated and Non-Vaccinated COVID-19 Inpatients at Omar BONGO ONDIMBA Armed Forces Training Hospital
Background: Since the onset of the COVID-19 pandemic, hospitalized patients have been evaluated through clinical examinations and paraclinical tests to inform initial management. The primary aim of this study was to use the NEWS2 score to assess the prognosis of vaccinated and unvaccinated COVID-19 inpatients in the medical department of HIA OBO. Patients and Methods: This retrospective, descriptive, monocentric assessment was carried out for a period of 15 months (September 1, 2021 to January 30, 2022) with a total of 219 patients included. Results: The most represented age group in the study was 40-64 years (43%), with a median age of 60 years. Non-vaccinated patients accounted for 90% of the study population. Comorbidities were present in 71% of patients and mainly consisted of arterial hypertension (40%), diabetes (17.8%), heart disease (8.25%), and COPD (2.7%). The most commonly observed clinical symptoms were asthenia and fever in 72.47% of patients, followed by cough in 65.13%. The NEWS2 score, which was used to assess the prognosis of COVID-19 inpatients, was high in 16% of cases, moderate in 76% of cases, and low in 1% of cases. Conclusion: The results of our study indicate similarities in clinical forms of COVID-19 between unvaccinated and vaccinated patients. Additionally, the NEWS2 score was a valuable tool for assessing patient prognosis upon admission and optimizing therapeutic management.
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