Impact of SARS-CoV-2 variants on inpatient clinical outcome

T
TBz
楼主 (文学城)

这篇刚发表的论文显示,尽管未接种疫苗的感染Omicron的住院患者患严重疾病或死亡的风险低于 Delta,但这种风险与原始毒株相似。接种疫苗的住院患者出现严重后果的情况较少,Delta 和 Omicron 感染之间没有差异。

 

https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciac957/6931752

JOURNAL ARTICLE ACCEPTED MANUSCRIPT EDITOR'S CHOICE Impact of SARS-CoV-2 variants on inpatient clinical outcome  Matthew L Robinson, MDC Paul Morris, MD, PhDJoshua F Betz, PhDYifan Zhang, PhDRobert Bollinger, MDNatalie WangDavid R Thiemann, MDAmary Fall, PhDRaghda E Eldesouki, PhDJulie M Norton, MS ... Show more Author Notes Clinical Infectious Diseases, ciac957, https://doi.org/10.1093/cid/ciac957 Published:   19 December 2022  Article history   PDF  Split View  Cite Permissions Icon Permissions   Share   Abstract Background

Prior observation has shown differences in COVID-19 hospitalization risk between SARS-CoV-2 variants, but limited information describes hospitalization outcomes.

Methods

Inpatients with COVID-19 at five hospitals in the eastern United States were included if they had hypoxia, tachypnea, tachycardia, or fever, and SARS-CoV-2 variant data, determined from whole genome sequencing or local surveillance inference. Analyses were stratified by history of SARS-CoV-2 vaccination or infection. The average effect of SARS-CoV-2 variant on 28-day risk of severe disease, defined by advanced respiratory support needs, or death was evaluated using models weighted on propensity scores derived from baseline clinical features.

Results

Severe disease or death within 28 days occurred for 977 (29%) of 3,369 unvaccinated patients and 269 (22%) of 1,230 patients with history of vaccination or prior SARS-CoV-2 infection. Among unvaccinated patients, the relative risk of severe disease or death for Delta variant compared to ancestral lineages was 1.30 (95% confidence interval [CI] 1.11-1.49). Compared to Delta, this risk for Omicron patients was 0.72 (95% CI 0.59-0.88) and compared to ancestral lineages was 0.94 (95% CI 0.78-1.1). Among Omicron and Delta infections, patients with history of vaccination or prior SARS-CoV-2 infection had half the risk of severe disease or death (adjusted hazard ratio 0.40, 95% CI 0.30-0.54), but no significant outcome difference by variant.

Conclusions

Although risk of severe disease or death for unvaccinated inpatients with Omicron was lower than Delta, it was similar to ancestral lineages. Severe outcomes were less common in vaccinated inpatients, with no difference between Delta and Omicron infections.

 
T
TBz
未接种疫苗或未感染新冠的人,感染Omicron后的重症与死亡率与原始毒株相似
冷月亮
请说明原始毒株致命的人群本来就是平均年龄75岁以上,至少有两到三种comorbidities.

Please do not cherry picking when citing the sources, especially when you are in the profession. 这种没有上下文的定义结论就是fear mongering,or for pushing some intended narratives. 不是所有人的都是那么愚蠢又懦弱的。

https://www.news.com.au/technology/science/human-body/dr-kerryn-phelps-reveals-devastating-covid-vaccine-injury-says-doctors-have-been-censored/news-story/0c1fa02818c99a5ff65f5bf852a382cf

https://spectator.com.au/2022/12/kerryn-phelps-vaccine-injuries-the-silence-is-deafening/

You may google yourself who Dr. Phelps is.

 

 

T
TBz
请向原作者联系询问
冷月亮
你转载在这里的目的是什么?

如果你是惶惶终日的layman 我还可以理解,可是你似乎是medical 业内人士,不是吗?

T
TBz
让大家批判啊!

critical thinking

任何帖子,都可以批评和批判。

 

冷月亮
那就请事先放个disclaimer. 这里绝大部分都是来问诊的laymen, 不是吗?
T
TBz
不是。

至少不是“绝大部分”

A
AprilMei
居心叵测,不打自招。为了推疫苗无所不用其极。可惜没用。
5
5181
这文章一看就是为mRNA疫苗唱赞歌的.mRNA疫苗让这么多人感染了还好意思吹牛.
周老大
哈哈哈,说明楼主美国没白来,深得民主党精髓。即使美国中招率/死亡率全世界数一数二,第一强国整成第四世界模样,照样天天吹自

己抗疫世界第一,因为已经开放了。中国即使过完眼下第一关彻底开放了,那也是病人不断,抗疫无力,当然美国每天几万感染,几百死亡那都不叫个事。

5
5181
事实上美国就是靠大批人一波波的感染和几百万死亡这么过来的.而且打5针mrna照样感染不能停
周老大
这就是美国文化精髓,哈佛商学院还教这个,明明西南航空是因为买对汽油期货盈利,硬要说成是因为员工文化好
T
TBz
疫苗,特别是mRNA疫苗是川普任总统时美国政府大力支持的

政府以预先订购几亿剂的方式,在财力上大力支持新冠疫苗的研发和试验。

川普总统不但打过mRNA疫苗,也打过疫苗的加强针。

 

5
5181
川普打mrna不等于大家都要打mrna.可以打蛋白疫苗嘛,川普在估计蛋白疫苗早被批准了.
周老大
哈哈,我早说了,“川粉不是粉,川黑是真黑”。川普又不懂这些,都是听福奇之流的,最后还得给他们背锅。
周老大
很有可能。而且那两个快退休的FDA小头头也未必会辞职以致于只试了八只老鼠的二价苗直接上市
T
TBz
你少把党派纷争扯进本坛来,这里不是政论坛。
周老大
真以为大家看不出来是谁把党争扯进来?:)
T
Tiger666
+100 !!
欲千北
老大,各人看法不一,很正常。我们还是就事论事,不涉及与医学无关的事。祝圣诞快乐。
周老大
哈哈,你这算拉偏架吗?祝节日快乐!