法属圭亚那镰状细胞病患者Covid-19的临床结局

N. Elenga , B. Ntab , J. Mafema Missindu , N. Thomas Boizan , A. Abassi
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引用次数: 0

摘要

目的法属圭亚那也遭受了SARS-CoV2疫情的具体流行病学后果。这些地区是大量镰状细胞病患者的家园,他们有发展为严重形式的COVID-19的风险。本研究旨在描述2020年法属圭亚那第一和第二波流行期间感染SARS-CoV2的镰状病患者的特征和预后。设计:我们进行了一项多中心、回顾性队列研究,包括法属圭亚那的镰状细胞患者。结果79例感染SARS-CoV2的患者中,儿童26例,年龄18岁。42例住院,37例门诊。呼吸系统疾病(38%)、血管闭合性危象(18%)和急性胸综合征(8%)是住院的主要原因。肺栓塞2例,深肢血栓1例。7例患者转至重症监护室。其中3人接受了机械通气,2人死亡。死亡患者为SS表型(1名16岁男孩和1名32岁男子),均表现出合并COVID-19的严重肺炎。结论尽管有2例死亡,但总体结果是良好的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical outcomes of Covid-19 in patients with sickle cell disease in French Guiana

Objectives

French Guiana also suffered concrete epidemiological consequences of the SARS-CoV2 epidemic. These regions are home to a large number of sickle cell patients who are at risk of developing severe forms of COVID-19. This study aimed to describe the characteristics and prognosis of patients with sickle disease infected with SARS-CoV2 during the first and second epidemic waves of 2020 in French Guiana.

Design

We conducted a multicenter, retrospective cohort study that included sickle cell patients followed up in French Guiana.

Results

Among the 79 patients infected with SARS-CoV2, there were 26 children <18 years.
Forty-two patients were hospitalized and 37 were outpatients. Respiratory illness (38%), vasoocclusive crises (18%), and acute chest syndrome (8%) were the main causes of hospitalization. There were two cases of pulmonary embolism and one case of deep limb thrombosis. Seven patients were transferred to the ICU. Of these, three received mechanical ventilation, and two died. The deceased patients had the SS phenotype (a 16-year-old boy and a 32-year-old man), both of whom exhibited severe pneumonitis complicated by COVID-19.

Conclusion

Despite the two deaths, the overall outcome was favorable.
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