在卡斯蒂利亚-拉曼恰地区,通过 COVID 和 SAVANA 自然语言处理计算吸烟者和住院死亡风险。

IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
R. Godoy Mayoral , M. Benavent Núñez , J. Cruz Ruiz , G. López Yepes , A. Parralejo Jiménez , F.J. Callejas González , J.L. Izquierdo Alonso
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引用次数: 0

摘要

导言在COVID大流行期间,有人推测与吸烟有关的病毒感染者病情恶化或死亡的可能性较低。为了评估吸烟与院内死亡风险之间是否存在关联,我们使用了 SAVANA 的大数据和自然语言处理(NLP)技术。方法我们使用 SAVANA 开发的自然语言处理和人工智能技术,基于从整个卡斯蒂利亚-拉曼恰(Castilla-La Mancha)地区医疗记录中提取的真实数据,开展了一项回顾性、观察性、非干预性队列研究。结果吸烟者的心血管风险因素(高血压、血脂异常和糖尿病)、慢性阻塞性肺病、哮喘、IDP、IC、心血管疾病、PTE、癌症(尤其是肺癌)、支气管扩张、心力衰竭和肺炎病史的比例明显更高(P <.0001)。曾经吸烟者、目前吸烟者和不吸烟者的年龄差异显著。结论:SARS-CoV-2 感染者中吸烟者或过去曾吸烟者死于医院的风险增加。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Fumadores y riesgo de muerte hospitalaria por COVID calculado con el procesamiento de lenguaje natural de SAVANA en el ámbito de Castilla-La Mancha

Introduction

During the COVID pandemic, it was speculated that patients with the virus who were smoking-related might have a lower likelihood of disease exacerbation or death. To assess whether there is an association between smoking and risk of in-hospital mortality, SAVANA's big data and natural language processing (NLP) technology is used.

Method

A retrospective, observational, non-interventional cohort study was conducted based on real-life data extracted from medical records throughout Castilla-La Mancha using natural language processing and artificial intelligence techniques developed by SAVANA. The study covered the entire population of this region with Electronic Medical Records in SESCAM presenting with a diagnosis of COVID from March 1, 2020 to February 28, 2021.

Results

Smokers had a significantly higher percentage of cardiovascular risk factors (hypertension, dyslipidemia and diabetes), COPD, asthma, IDP, IC, CVD, PTE, cancer in general and lung cancer in particular, bronchiectasis, heart failure and a history of pneumonia (P < .0001). Former smokers, current smokers and non-smokers have a significant age difference. As for in-hospital deaths, they were more frequent in the case of ex-smokers, followed by smokers and then non-smokers (P < .0001).

Conclusion

There is an increased risk of dying in hospital in SARS-CoV-2-infected patients who are active smokers or have smoked in the past.

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来源期刊
Revista clinica espanola
Revista clinica espanola 医学-医学:内科
CiteScore
4.40
自引率
6.90%
发文量
73
审稿时长
28 days
期刊介绍: Revista Clínica Española published its first issue in 1940 and is the body of expression of the Spanish Society of Internal Medicine (SEMI). The journal fully endorses the goals of updating knowledge and facilitating the acquisition of key developments in internal medicine applied to clinical practice. Revista Clínica Española is subject to a thorough double blind review of the received articles written in Spanish or English. Nine issues are published each year, including mostly originals, reviews and consensus documents.
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