Coronavirus disease 2019 in veterans receiving care at veterans health administration facilities.
Coronavirus disease 2019 in veterans receiving care at veterans health administration facilities.
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DOI：
10.1016/j.annepidem.2020.12.003
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发表时间：
2021-03
影响因子：
5.6
通讯作者：
Agarwal JP
中科院分区：
文献类型：
--
作者：
Luo J;Jeyapalina S;Stoddard GJ;Kwok AC;Agarwal JP
退伍军人占美国人口的很大一部分 (7%)，而 2019 年冠状病毒病 (COVID-19) 对这群弱势患者的影响在很大程度上被忽视了。该分析报告了退伍军人群体中的 COVID-19 患者人口统计数据、感染率、死亡率和病死率。这是一项横断面分析，使用退伍军人事务部信息学和计算基础设施工具来评估 2020 年 3 月 4 日至 6 月 23 日期间退伍军人事务部设施中退伍军人的 COVID-19 感染情况。在本次分析中的 10,621,580 名退伍军人中，59.7% ≥65 岁，92.5% 是男性，68.7% 是白人，14.2% 是黑人。 ≥65 岁的退伍军人占病例的 52.1% 和死亡的 89.9%。与白人退伍军人相比，黑人退伍军人的相对死亡率和病死率分别为 2.83 (CI 2.56–3.14；P < .001) 和 0.75 (CI 0.68–0.82；P < .001)。在死于COVID-19的退伍军人中，87.4%有心血管疾病史，56.5%有糖尿病史，33.6%有肥胖史。老年退伍军人（≥65 岁）和有心血管疾病史的退伍军人在 VA COVID-19 病例和死亡中占很大比例。黑人退伍军人的死亡率高于白人退伍军人，但病死率较低。
Veterans represent a significant proportion of the U.S. population (7%), and the impact of the coronavirus disease 2019 (COVID-19) in this group of vulnerable patients has been largely overlooked. This analysis reports COVID-19 patient demographics, infection, mortality, and case-fatality rates in the veteran population. This is a cross-sectional analysis using the Veterans Affairs informatics and computing infrastructure tool to assess the veterans' COVID-19 infections at the Veterans Affairs facilities from March 4th to June 23rd, 2020. Of the 10,621,580 veterans in this analysis, 59.7% were ≥65 yo, 92.5% were men, 68.7% were white, and 14.2% were black. Veterans ≥65 yo comprised 52.1% of cases and 89.9% of deaths. The relative mortality and case-fatality rates of black veterans, when compared with white veterans, were 2.83 (CI 2.56–3.14; P < .001) and 0.75 (CI 0.68–0.82; P < .001), respectively. Among the veterans who died from COVID-19, 87.4% had a history of cardiovascular disease, 56.5% had a history of diabetes, and 33.6% were obese. Elderly veterans (≥65yo) and veterans with a history of cardiovascular disease represent a large proportion of the VA COVID-19 cases and deaths. Black veterans had higher mortality rates but lower case fatality rates when than white veterans.
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DOI：
10.15585/mmwr.mm6915e3
发表时间：
2020-04-17
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Garg S;Kim L;Whitaker M;O'Halloran A;Cummings C;Holstein R;Prill M;Chai SJ;Kirley PD;Alden NB;Kawasaki B;Yousey-Hindes K;Niccolai L;Anderson EJ;Openo KP;Weigel A;Monroe ML;Ryan P;Henderson J;Kim S;Como-Sabetti K;Lynfield R;Sosin D;Torres S;Muse A;Bennett NM;Billing L;Sutton M;West N;Schaffner W;Talbot HK;Aquino C;George A;Budd A;Brammer L;Langley G;Hall AJ;Fry A
通讯作者：
Fry A
影响因子：
3.3
作者：
Dursa, Erin K.;Barth, Shannon K.;Schneiderman, Aaron I.
通讯作者：
Schneiderman, Aaron I.
影响因子：
33.9
作者：
Stokes, Erin K.;Zambrano, Laura D.;Fullerton, Kathleen E.
通讯作者：
Fullerton, Kathleen E.
影响因子：
2
作者：
Olenick, Maria;Flowers, Monica;Diaz, Valerie J.
通讯作者：
Diaz, Valerie J.
影响因子：
158.5
作者：
Holshue, Michelle L.;DeBolt, Chas;Pillai, Satish K.
通讯作者：
Pillai, Satish K.