印度北部三级医院新冠肺炎住院患者的性别差异及临床谱

S. Chhabra, Shaina Kamboj, Pranjl Sharma, Suraj Luthra, Mamta Goyal, Anshuman Gupta, Akash Batta, Gautam Singal, Abhishek Goyal, R. Tandon, Vivek Gupta, N. Aslam, B. Mohan, G. Wander
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引用次数: 1

摘要

在印度北部的一家三级保健医院,我们检查了与住院COVID-19患者性别差异相关的人口统计学、生化和临床危险因素。这项研究是在一家三级保健医院进行的。在这项回顾性比较观察性研究中,收集了从2020年3月到COVID大流行结束的数据。对研究期间住院的1068名患者进行了分析。试验共评估1068人,男女比例为2.3:1。男性和女性的平均年龄相似(55.84岁对55.44岁)。男女哮喘患者的差异有统计学意义(P = 0.01)。在我们的研究中,采用了一种新的严重程度评分(NSS)来预测COVID-19患者的住院死亡率。男性的NSS评分(2.95)高于女性(2.65),P = 006。在“过期”、“不遵医嘱出院”和“出院”类别下,对之前分析的所有标准进行了比较。根据合并症的数量,出院、过期和DAMA患者之间存在明显的显著差异,P = 0.001。大多数患者的合并症最常影响心血管和呼吸结果。在全球进行的研究发现,男性的死亡率更高。我们的研究还表明,当合并症的数量增加时,死亡率也会上升。因此,有大量合并症的个体,如高血压、糖尿病、冠状动脉疾病和周围血管疾病,应特别警惕。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Gender Specific Difference and Clinical Spectrum of COVID-19 Patients Admitted in Tertiary Care Hospital of Northern India
In a tertiary care hospital in Northern India, we examined the demographic, biochemical, and clinical risk factors related to gender differences in COVID-19 patients who were hospitalized. The study was carried out in a hospital with tertiary care. In this retrospective comparative observational study the data was collected from march 2020 to end of COVID pandemic. Analyses were done on the n = 1068 individuals who were hospitalized during the study period. There were 1068 individuals evaluated in the trial, with a male-to-female ratio of 2.3:1. Males and females had similar mean ages (55.84 vs. 55.44 years). Difference was found to be statistically significant in asthmatic boys and females (P = 0.01). In our study, a novel severity score (NSS) was utilized to forecast inpatient mortality in COVID-19 patients. NSS scores were higher for men (2.95) than for women (2.65), with P = 006. Under the categories “Expired,” “discharged against medical advice (DAMA),” and “Discharged,” all the criteria that have been previously analyzed were compared. Based on the number of comorbidities, there was a clear, significant difference between patients who were discharged, expired, and under DAMA, with a P = 0.001. Majority of patients with comorbidities that most frequently impacted the cardiovascular and respiratory outcomes. Studies conducted globally found that men experienced a higher rate of mortality. Our study also indicates that when the number of comorbidities rises, the death rate rises. Therefore, individuals with a larger number of comorbidities, such as hypertension, diabetes, coronary artery disease, and peripheral vascular disease, should exercise particular vigilance.
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