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NEJM:新冠肺炎死亡率的种族差异

2020-05-28 MedSci原创 MedSci原创

与白人相比,黑人患者新冠肺炎死亡率未见显著增加

许多研究发现2019年冠状病毒病(Covid-19)患者预后受年龄和性别的影响,近日研究人员评估了Covid-19患者预后的种族差异。
 
研究人员分析了2020年3月1日至4月11日,路易斯安那州新冠肺炎患者数据,患者经实验室确诊感染了严重急性呼吸综合征冠状病毒2(SARS-CoV-2)阳性。主要结果是住院和住院死亡。
 
3481名Covid-19阳性患者中,60.0%为女性,70.4%为非西班牙裔黑人,29.6%为非西班牙裔白人。 黑人患者肥胖、糖尿病、高血压和慢性肾脏疾病的患病率高于白人患者。 共有39.7%的Covid-19阳性患者(1382例)住院,其中76.9%为黑人。 在多变量分析中,黑人种族、高龄、Charlson共病指数得分较高、医疗保险或医疗补助、居住在低收入地区和肥胖与住院几率增加有关。在326例死亡患者中,70.6%是黑人。与较高住院死亡率相关的变量是高龄、呼吸急促、乳酸、肌酐或降钙素原水平升高、血小板或淋巴细胞计数低。但黑人的死亡率无显著增加(危险比为0.89)。
 
研究认为,与白人相比,黑人患者新冠肺炎死亡率未见显著增加。
 
原始出处:
 
Eboni G. Price-Haywood et al. Hospitalization and Mortality among Black Patients and White Patients with Covid-19. N Engl J Med, May 27, 2020.

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  2. [GetPortalCommentsPageByObjectIdResponse(id=1353589, encodeId=ebeb1353589dd, content=<a href='/topic/show?id=29e1e4781f1' target=_blank style='color:#2F92EE;'>#种族差异#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74781, encryptionId=29e1e4781f1, topicName=种族差异)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sat May 30 10:14:55 CST 2020, time=2020-05-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1028095, encodeId=9ea81028095fe, content=新冠肺炎,疫情何时才能消失, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=公卫新人, createdTime=Thu May 28 22:14:55 CST 2020, time=2020-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1035286, encodeId=194a103528665, content=顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=旺医, createdTime=Thu May 28 22:14:55 CST 2020, time=2020-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=600745, encodeId=7ff6600e45f9, content=民族不重要,核心是合并症, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=lovetcm, createdTime=Thu May 28 19:35:00 CST 2020, time=2020-05-28, status=1, ipAttribution=)]
    2020-05-28 公卫新人

    新冠肺炎,疫情何时才能消失

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1353589, encodeId=ebeb1353589dd, content=<a href='/topic/show?id=29e1e4781f1' target=_blank style='color:#2F92EE;'>#种族差异#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74781, encryptionId=29e1e4781f1, topicName=种族差异)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sat May 30 10:14:55 CST 2020, time=2020-05-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1028095, encodeId=9ea81028095fe, content=新冠肺炎,疫情何时才能消失, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=公卫新人, createdTime=Thu May 28 22:14:55 CST 2020, time=2020-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1035286, encodeId=194a103528665, content=顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=旺医, createdTime=Thu May 28 22:14:55 CST 2020, time=2020-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=600745, encodeId=7ff6600e45f9, content=民族不重要,核心是合并症, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=lovetcm, createdTime=Thu May 28 19:35:00 CST 2020, time=2020-05-28, status=1, ipAttribution=)]
    2020-05-28 旺医

    顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1353589, encodeId=ebeb1353589dd, content=<a href='/topic/show?id=29e1e4781f1' target=_blank style='color:#2F92EE;'>#种族差异#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74781, encryptionId=29e1e4781f1, topicName=种族差异)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sat May 30 10:14:55 CST 2020, time=2020-05-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1028095, encodeId=9ea81028095fe, content=新冠肺炎,疫情何时才能消失, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=公卫新人, createdTime=Thu May 28 22:14:55 CST 2020, time=2020-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1035286, encodeId=194a103528665, content=顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=旺医, createdTime=Thu May 28 22:14:55 CST 2020, time=2020-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=600745, encodeId=7ff6600e45f9, content=民族不重要,核心是合并症, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=lovetcm, createdTime=Thu May 28 19:35:00 CST 2020, time=2020-05-28, status=1, ipAttribution=)]
    2020-05-28 lovetcm

    民族不重要,核心是合并症

    0

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