南非第四波新冠住院病例分析

Characteristics and Outcomes of Hospitalized Patients in South Africa During the COVID-19 Omicron Wave Compared With Previous Waves

https://jamanetwork.com/journals/jama/fullarticle/2787776?guestAccessKey=919da83d-b6f9-4e05-8de1-05cca4541a59&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jama&utm_content=olf&utm_term=123021

Results

The number of patients treated in the hospitals during the same early period of each wave differed (2351 in wave 4 vs maximum 6342 in wave 3); however, 68% to 69% of patients presenting to the emergency department with a positive COVID-19 result were admitted to the hospital in the first 3 waves vs 41.3% in wave 4 (Table 1). Patients hospitalized during wave 4 were younger (median age, 36 years vs maximum 59 years in wave 3; P < .001) with a higher proportion of females. Significantly fewer patients with comorbidities were admitted in wave 4, and the proportion presenting with an acute respiratory condition was lower (31.6% in wave 4 vs maximum 91.2% in wave 3, P < .001). Of 971 patients admitted in wave 4, 24.2% were vaccinated, 66.4% were unvaccinated, and vaccination status was unknown for 9.4%.

The proportion of patients requiring oxygen therapy significantly decreased ( 17.6% in wave 4 vs 74% in wave 3, P < .001) as did the percentage receiving mechanical ventilation (Table 2). Admission to intensive care was 18.5% in wave 4 vs 29.9% in wave 3 (P < .001).

The median LOS (between 7 and 8 days in previous waves) decreased to 3 days in wave 4. The death rate was between 19.7% in wave 1 and 29.1% in wave 3 and decreased to 2.7% in wave 4.

 

 

 

 

所有跟帖： 

• 这个是茄子转发新闻的数据来源。其病死率是以住院病例为基数算出来的。 -fuz- ♂ (0 bytes) () 12/31/2021 postreply 17:02:37

• 所以，2.7%是Omicron的住院死亡率。 相比之下，根据美国CDC的数据，2017年美国流感的住院死亡率是7.3%. -红烧茄子-- ♂ (264 bytes) () 12/31/2021 postreply 17:56:44

• 这很难说。每个国家的医疗体系不同，收住院的标准差别很大 -fuz- ♂ (0 bytes) () 12/31/2021 postreply 18:09:19

• 流感相对容易被人忽视，到住院已经相当严重了。如果都像对待新冠一样可能会减少部分死亡。 -阿明.- ♀ (0 bytes) () 12/31/2021 postreply 18:36:55

• 同一个医疗体系，南非每年流感的住院死亡率是25%（CDC数据），由此可比较出Omicron和流感的致死率。。 -红烧茄子-- ♂ (1682 bytes) () 12/31/2021 postreply 20:09:35

• 要是其它国家也像南非这样，那就全面开放好了，管它阴阳，该干嘛干嘛。 -fuz- ♂ (0 bytes) () 12/31/2021 postreply 21:26:49

• 你这个数据截止在12月15日，从下面截止到12月31日的死亡率图形看： -阿明.- ♀ (185 bytes) () 12/31/2021 postreply 17:56:36

• 从图形看，南非的omicron疫情死亡率比加拿大Delta疫情的死亡率还高（死亡率与感染统计无关）。 -阿明.- ♀ (0 bytes) () 12/31/2021 postreply 18:04:12

• 你这个图用的是人口死亡率，这个才是合理的比较。主要问题是一家医院的数据不一定有代表性，年轻人太多。 -solo1- ♂ (0 bytes) () 12/31/2021 postreply 18:28:03

• 尤其是现在感染率已经严重偏离实际了，只能看死亡率，虽然也不会完全真实，但会好很多。 -阿明.- ♀ (0 bytes) () 12/31/2021 postreply 18:30:46