世纪大流行:由 3,532 名患者组成的全国队列中炎症性风湿病的 COVID-19

IF 1.1 4区 医学 Q4 Medicine
F. Yurdakul, H. Bodur, Ahmet Kıvanç Cengiz, Y. Durmaz, M. Tuncay Duruöz, T. Kaya, S. Ketenci, Nihan Cüzdan, Tuba Güler, Z. Günendi, S. Sarıkaya, E. Çapkın, Mustafa Erkut Önder, M. Alkan Melikoğlu, R. Güzel, N. Şen, Ata Bora Ayna, Özgür Akgül, Erhan Eser, Ş. Ataman
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引用次数: 0

摘要

研究目的本研究旨在评估全国队列中炎症性风湿病(IRD)患者严重冠状病毒病 2019(COVID-19)的临床结果和风险因素。患者和方法:这项多中心横断面研究于 2020 年 7 月 15 日至 2021 年 2 月 28 日期间进行。数据收集来自国家网络数据库系统,共分析了 3,532 名 IRD 患者(2,359 名男性,1,173 名女性;平均年龄:48.7±13.9 岁;范围:18 至 90 岁)。风湿病专家对患者的人口统计学特征、风湿病门诊、合并症、吸烟状况、是否感染 COVID-19 以及感染过程进行了询问。结果显示117名患者感染了COVID-19,COVID-19导致的住院率为58.9%,死亡率为1.7%。COVID-19 阳性组和阴性组在风湿病活动和接受药物治疗方面没有差异。据观察,COVID-19 患者较少遵守隔离规定,卡介苗(BCG)接种也较少。COVID-19 住院患者的平均年龄和吸烟率均高于未住院患者。结论在这个对真实生活数据进行分析的队列中,IRD 患者的 COVID-19 感染率与同期普通人群相似。遵守隔离规定和接种卡介苗是降低 COVID-19 感染风险的重要因素。住院的风险因素是年龄较大和吸烟。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pandemic of the century: COVID-19 in inflammatory rheumatic diseases of a national cohort with 3,532 patients
Objectives: This study aimed to assess the clinical outcomes and risk factors for severe coronavirus disease 2019 (COVID-19) in patients with inflammatory rheumatic disease (IRD) of a national cohort. Patients and methods: The multicenter cross-sectional study was carried out between July 15, 2020, and February 28, 2021. Data collection was provided from a national network database system, and 3,532 IRD patients (2,359 males, 1,173 females; mean age: 48.7±13.9 years; range; 18 to 90 years) were analyzed. Demographics, clinics about rheumatic disease, comorbidities, smoking status, being infected with COVID-19, and the course of the infection were questioned by rheumatology specialists. Results: One hundred seventeen patients were infected with COVID-19, the hospitalization rate due to COVID-19 was 58.9%, and the mortality rate was 1.7%. There was no difference between the COVID-19 positive and negative groups in terms of rheumatic disease activities and receiving drugs. It was observed that patients with COVID-19 had worse compliance with isolation rules, and bacillus Calmette-Guérin (BCG) vaccination was less common. The mean age and the rate of smoking of hospitalized COVID-19 patients were higher than those without hospitalization. Conclusion: In this cohort, in which real-life data were analyzed, COVID-19 rates in IRD patients were similar to the general population for the same period. Compliance with the isolation rules and BCG vaccination attracted attention as components that reduce the risk of COVID-19 infection. The risk factors for hospitalization were older age and smoking.
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来源期刊
Archives of rheumatology
Archives of rheumatology Medicine-Rheumatology
CiteScore
2.00
自引率
9.10%
发文量
15
期刊介绍: The Archives of Rheumatology is an official journal of the Turkish League Against Rheumatism (TLAR) and is published quarterly in March, June, September, and December. It publishes original work on all aspects of rheumatology and disorders of the musculoskeletal system. The priority of the Archives of Rheumatology is to publish high-quality original research articles, especially in inflammatory rheumatic disorders. In addition to research articles, brief reports, reviews, editorials, letters to the editor can also be published. It is an independent peer-reviewed international journal printed in English. Manuscripts are refereed by a "double-blind peer-reviewed" process for both referees and authors. Editorial Board of the Archives of Rheumatology works under the principles of The World Association of Medical Editors (WAME), the International Council of Medical Journal Editors (ICMJE), and Committee on Publication Ethics (COPE).
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