Article(id=1199335053382746175, tenantId=1146029695717560320, journalId=1189873630562394117, issueId=1199335049175859209, articleNumber=null, orderNo=null, doi=10.11855/j.issn.0577-7402.0929.2023.0907, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=research-article, receivedDate=1688572800000, receivedDateStr=2023-07-06, revisedDate=null, revisedDateStr=null, acceptedDate=1690819200000, acceptedDateStr=2023-08-01, onlineDate=1763873359293, onlineDateStr=2025-11-23, pubDate=1711555200000, pubDateStr=2024-03-28, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1763873359293, onlineIssueDateStr=2025-11-23, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1763873359293, creator=13701087609, updateTime=1763873359293, updator=13701087609, issue=Issue{id=1199335049175859209, tenantId=1146029695717560320, journalId=1189873630562394117, year='2024', volume='49', issue='3', pageStart='245', pageEnd='366', issueExtLink='null', onlineDate='null', pubDate='null', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=0, createTime=1763873358291, creator=13701087609, updateTime=1763874044185, updator=13701087609, preIssue=null, nextIssue=null, ext={EN=IssueExt(id=1199337926086721596, tenantId=1146029695717560320, journalId=1189873630562394117, issueId=1199335049175859209, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1199337926086721597, tenantId=1146029695717560320, journalId=1189873630562394117, issueId=1199335049175859209, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null}, startPage=297, endPage=301, ext={EN=ArticleExt(id=1199335053638598734, articleId=1199335053382746175, tenantId=1146029695717560320, journalId=1189873630562394117, language=EN, title=Analysis of risk factors for severe illness caused by coronavirus disease 2019 in Fuzhou city, columnId=1190310109000602400, journalTitle=Medical Journal of Chinese People’s Liberation Army, columnName=Clinical Research, runingTitle=null, highlight=null, articleAbstract=
Objective To analyze the risk factors for severe illness caused by coronavirus disease 2019 in Fuzhou city. Methods The data of 4081 confirmed cases with current address in Fuzhou was collected from China Information System for Disease Control and Prevention from January 1 to June 30, 2023. The epidemiological data of those cases was investigated such as the demographic characteristics, clinical manifestations and past medical history, etc. The risk factors of severe cases were analyzed by using the logistic regression. Results 4081 confirmed cases had been reported including 671 severe cases and 3410 non-severe cases. The demographic characteristics of severe cases, such as the proportion of male, age and current address in community were higher than that of non-severe cases, vaccination rate was lower than non-severe cases (59.02% vs. 80.12%), the differences are statistically significant (P<0.001). The clinical manifestations such as interval time between onset and visit (P=0.001), fever (P=0.002), difficulty in breathing/shortness of breath (P=0.001) were the factors related to severe illness. The past medical histories such as history of chronic lung disease, history of heart cerebrovascular disease of severe cases, were higher than that of non-severe cases (P<0.001). Multivariate logistic regression showed that the male, the higher age, current address in community, no vaccination, the longer interval time between onset and visit, fever, difficulty in breathing/shortness of breath, the history of chronic lung disease, the history of heart cerebrovascular disease raised the risk of becoming severe cases. The healing time for severe cases was longer than that for non-severe cases (P<0.001). Conclusion Sex, age, current address, vaccination, interval time between onset and visit, fever, difficulty in breathing/shortness of breath, history of chronic lung disease, and history of heart cerebrovascular disease are the influencing factors for severe illness.
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目的 探讨福州市新型冠状病毒(新冠病毒)感染致重症的危险因素，为新冠病毒感染重症的防控提供依据。方法 检索“中国疾病预防控制信息系统”，选取发病日期为2023年1月1日-6月30日，现住址为福州市的新冠病毒感染确诊患者4081例，调查并分析患者的人口学特征、临床表现、既往病史等资料，采用logistic回归分析重症患者的危险因素。结果 本组4081例新冠病毒感染确诊患者中，重症组671例，非重症组3410例。重症组的男性比例、年龄、现住址为社区的比例均高于非重症组，接种疫苗比例低于非重症组(59.02% vs. 80.12%)，差异有统计学意义(P<0.001)。在发病与就诊间隔时间方面，重症组为(7.27±4.85) d，长于非重症组的(4.37±2.54) d，差异有统计学意义(t=3.707，P=0.001)。重症组首发症状为发热及呼吸困难/气促的比例高于非重症组，差异有统计学意义(P<0.05)。重症组的慢性肺部疾病史及心脑血管疾病史比例高于非重症组，差异有统计学意义(P<0.001)。多因素logistic回归分析结果显示：男性、年龄大、现住址归属为社区、未接种疫苗、发病与就诊间隔时间长、首发症状为发热、呼吸困难/气促、慢性肺部疾病史、心脑血管疾病史是新冠病毒感染重症患者的危险因素。重症组的治愈时间长于非重症组(P<0.001)。结论 性别、年龄、现住址归属、接种疫苗、发病与就诊间隔时间、发热、呼吸困难/气促、慢性肺部疾病史、心脑血管疾病史是导致重症的危险因素。
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郑霄雁，医学硕士，副主任医师，主要从事新冠病毒感染、流感等传染性疾病的防控工作
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6(33): eabc1202., articleTitle=Estimation of incubation period distribution of COVID-19 using disease onset forward time: a novel cross-sectional and forward follow-up study, refAbstract=null)], funds=[Fund(id=1199335059015696728, tenantId=1146029695717560320, journalId=1189873630562394117, articleId=1199335053382746175, awardId=2021ZD0101, language=EN, fundingSource=Special Fund for Major Scientific Research on Health of Fujian(2021ZD0101), fundOrder=null, country=null), Fund(id=1199335059183468891, tenantId=1146029695717560320, journalId=1189873630562394117, articleId=1199335053382746175, awardId=2021ZD0101, language=CN, fundingSource=福建省卫生健康重大科研专项基金(2021ZD0101), fundOrder=null, country=null), Fund(id=1199335060353679715, tenantId=1146029695717560320, journalId=1189873630562394117, articleId=1199335053382746175, awardId=2020-Z-5, language=EN, fundingSource=Science Technology Major Projects of Fuzhou(2020-Z-5), fundOrder=null, country=null), Fund(id=1199335060441760105, tenantId=1146029695717560320, journalId=1189873630562394117, articleId=1199335053382746175, awardId=2020-Z-5, language=CN, fundingSource=福州市科技重大项目(2020-Z-5), fundOrder=null, country=null)], companyList=[AuthorCompany(id=1199335054250967154, tenantId=1146029695717560320, journalId=1189873630562394117, articleId=1199335053382746175, xref=null, ext=[AuthorCompanyExt(id=1199335054259355763, tenantId=1146029695717560320, journalId=1189873630562394117, articleId=1199335053382746175, companyId=1199335054250967154, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=Department of Prevention and Control of Communicable Disease, Fuzhou Center for Disease Control and Prevention, Fuzhou, Fujian 350004, China), AuthorCompanyExt(id=1199335054263550068, tenantId=1146029695717560320, journalId=1189873630562394117, articleId=1199335053382746175, companyId=1199335054250967154, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=福州市疾病预防控制中心传染病防控科，福建福州 350004)])], figs=[ArticleFig(id=1199335058004869405, tenantId=1146029695717560320, journalId=1189873630562394117, articleId=1199335053382746175, language=EN, label=Tab.1, caption=
Comparison of demographic characteristics of severe and non-severe COVID-19 cases in Fuzhou
, figureFileSmall=null, figureFileBig=null, tableContent=
| 指标 | 重症组
(n=671) | 非重症组
(n=3410) | χ2/t | P |
|---|
| 性别[例(%)] | | | 44.035 | <0.001 |
| 男 | 468(69.7) | 1907(55.9) | | |
| 女 | 203(30.3) | 1503(44.1) | | |
| 年龄(岁, $\bar{x}±s$) | 76.8±13.0 | 63.4±14.5 | 20.497 | <0.001 |
| 职业[例(%)] | | | 11.364 | 0.078 |
| 工人 | 158(23.9) | 862(25.3) | | |
| 农民 | 107(16.2) | 627(18.4) | | |
| 家务及待业 | 126(19.1) | 572(16.8) | | |
| 离退人员 | 198(30.0) | 901(26.4) | | |
| 儿童或学生 | 53(8.0) | 333(9.8) | | |
| 医务人员 | 4(0.6) | 51(1.5) | | |
| 干部职员 | 14(2.1) | 64(1.9) | | |
| 现住址归属[例(%)] | | | 98.186 | <0.001 |
| 社区 | 479(71.4) | 1723(50.5) | | |
| 村居 | 192(28.6) | 1687(49.5) | | |
| 接种疫苗[例(%)] | | | 139.472 | <0.001 |
| 是 | 396(59.0) | 2732(80.1) | | |
| 否 | 275(41.0) | 678(19.9) | | |
| 是否境外输入[例(%)] | | | 0.122 | 0.727 |
| 是 | 7(1.0) | 41(1.2) | | |
| 否 | 664(99.0) | 3369(98.8) | | |
), ArticleFig(id=1199335058097144097, tenantId=1146029695717560320, journalId=1189873630562394117, articleId=1199335053382746175, language=CN, label=表1, caption=
福州市新冠病毒感染重症患者与非重症患者的人口学特征比较
, figureFileSmall=null, figureFileBig=null, tableContent=
| 指标 | 重症组
(n=671) | 非重症组
(n=3410) | χ2/t | P |
|---|
| 性别[例(%)] | | | 44.035 | <0.001 |
| 男 | 468(69.7) | 1907(55.9) | | |
| 女 | 203(30.3) | 1503(44.1) | | |
| 年龄(岁, $\bar{x}±s$) | 76.8±13.0 | 63.4±14.5 | 20.497 | <0.001 |
| 职业[例(%)] | | | 11.364 | 0.078 |
| 工人 | 158(23.9) | 862(25.3) | | |
| 农民 | 107(16.2) | 627(18.4) | | |
| 家务及待业 | 126(19.1) | 572(16.8) | | |
| 离退人员 | 198(30.0) | 901(26.4) | | |
| 儿童或学生 | 53(8.0) | 333(9.8) | | |
| 医务人员 | 4(0.6) | 51(1.5) | | |
| 干部职员 | 14(2.1) | 64(1.9) | | |
| 现住址归属[例(%)] | | | 98.186 | <0.001 |
| 社区 | 479(71.4) | 1723(50.5) | | |
| 村居 | 192(28.6) | 1687(49.5) | | |
| 接种疫苗[例(%)] | | | 139.472 | <0.001 |
| 是 | 396(59.0) | 2732(80.1) | | |
| 否 | 275(41.0) | 678(19.9) | | |
| 是否境外输入[例(%)] | | | 0.122 | 0.727 |
| 是 | 7(1.0) | 41(1.2) | | |
| 否 | 664(99.0) | 3369(98.8) | | |
), ArticleFig(id=1199335058214584616, tenantId=1146029695717560320, journalId=1189873630562394117, articleId=1199335053382746175, language=EN, label=Tab.2, caption=
Comparison of first symptoms of severe and non-severe COVID-19 cases in Fuzhou [n(%)]
, figureFileSmall=null, figureFileBig=null, tableContent=
| 首发症状 | 重症组
(n=671) | 非重症组
(n=3410) | χ2 | P |
|---|
| 咽痛 | 102(15.2) | 570(16.7) | 0.935 | 0.334 |
| 咳嗽 | 151(22.5) | 848(24.9) | 1.695 | 0.193 |
| 发热 | 465(69.3) | 2154(63.2) | 9.171 | 0.002 |
| 头晕/头痛 | 52(7.8) | 260(7.6) | 0.012 | 0.911 |
| 鼻塞 | 21(3.1) | 108(3.2) | 0.003 | 0.960 |
| 流涕 | 19(2.8) | 103(3.0) | 0.069 | 0.793 |
| 肌肉酸痛 | 78(11.6) | 417(12.2) | 0.192 | 0.661 |
| 全身乏力 | 103(15.4) | 463(13.6) | 1.475 | 0.225 |
| 呼吸困难/气促 | 43(6.4) | 123(3.6) | 11.275 | 0.001 |
| 畏寒 | 65(9.7) | 371(10.9) | 0.836 | 0.361 |
| 腹泻 | 16(2.4) | 76(2.2) | 0.062 | 0.804 |
| 其他症状 | 41(6.1) | 193(5.7) | 0.210 | 0.646 |
), ArticleFig(id=1199335058378162482, tenantId=1146029695717560320, journalId=1189873630562394117, articleId=1199335053382746175, language=CN, label=表2, caption=
福州市新冠病毒感染重症组与非重症组的首发症状比较[例(%)]
, figureFileSmall=null, figureFileBig=null, tableContent=
| 首发症状 | 重症组
(n=671) | 非重症组
(n=3410) | χ2 | P |
|---|
| 咽痛 | 102(15.2) | 570(16.7) | 0.935 | 0.334 |
| 咳嗽 | 151(22.5) | 848(24.9) | 1.695 | 0.193 |
| 发热 | 465(69.3) | 2154(63.2) | 9.171 | 0.002 |
| 头晕/头痛 | 52(7.8) | 260(7.6) | 0.012 | 0.911 |
| 鼻塞 | 21(3.1) | 108(3.2) | 0.003 | 0.960 |
| 流涕 | 19(2.8) | 103(3.0) | 0.069 | 0.793 |
| 肌肉酸痛 | 78(11.6) | 417(12.2) | 0.192 | 0.661 |
| 全身乏力 | 103(15.4) | 463(13.6) | 1.475 | 0.225 |
| 呼吸困难/气促 | 43(6.4) | 123(3.6) | 11.275 | 0.001 |
| 畏寒 | 65(9.7) | 371(10.9) | 0.836 | 0.361 |
| 腹泻 | 16(2.4) | 76(2.2) | 0.062 | 0.804 |
| 其他症状 | 41(6.1) | 193(5.7) | 0.210 | 0.646 |
), ArticleFig(id=1199335058474631480, tenantId=1146029695717560320, journalId=1189873630562394117, articleId=1199335053382746175, language=EN, label=Tab.3, caption=
Comparison of past medical history of severe and non-severe COVID-19 cases in Fuzhou [n(%)]
, figureFileSmall=null, figureFileBig=null, tableContent=
| 指标 | 重症组
(n=671) | 非重症组
(n=3410) | χ2 | P |
|---|
| 慢性肺部疾病史 | | | 73.830 | <0.001 |
| 有 | 76(11.3) | 121(3.6) | | |
| 无 | 595(88.7) | 3289(96.4) | | |
| 心脑血管疾病史 | | | 243.691 | <0.001 |
| 有 | 266(39.6) | 482(14.1) | | |
| 无 | 405(60.4) | 2928(85.9) | | |
| 癌症/肿瘤史 | | | 2.006 | 0.157 |
| 有 | 33(4.9) | 128(3.8) | | |
| 无 | 638(95.1) | 3282(96.2) | | |
), ArticleFig(id=1199335058604654911, tenantId=1146029695717560320, journalId=1189873630562394117, articleId=1199335053382746175, language=CN, label=表3, caption=
福州市新冠病毒感染重症患者与非重症患者的既往病史比较[例(%)]
, figureFileSmall=null, figureFileBig=null, tableContent=
| 指标 | 重症组
(n=671) | 非重症组
(n=3410) | χ2 | P |
|---|
| 慢性肺部疾病史 | | | 73.830 | <0.001 |
| 有 | 76(11.3) | 121(3.6) | | |
| 无 | 595(88.7) | 3289(96.4) | | |
| 心脑血管疾病史 | | | 243.691 | <0.001 |
| 有 | 266(39.6) | 482(14.1) | | |
| 无 | 405(60.4) | 2928(85.9) | | |
| 癌症/肿瘤史 | | | 2.006 | 0.157 |
| 有 | 33(4.9) | 128(3.8) | | |
| 无 | 638(95.1) | 3282(96.2) | | |
), ArticleFig(id=1199335058705318214, tenantId=1146029695717560320, journalId=1189873630562394117, articleId=1199335053382746175, language=EN, label=Tab.4, caption=
Multivariate logistic regression analysis of influencing factors of severe cases of COVID-19 in Fuzhou
, figureFileSmall=null, figureFileBig=null, tableContent=
| 因素 | β | SE | Wald χ2 | OR(95%CI) | P |
|---|
| 男性 | 0.541 | 0.094 | 6.201 | 1.718(1.429~2.065) | 0.011 |
| 年龄大 | 0.033 | 0.003 | 33.157 | 1.034(1.028~1.039) | <0.001 |
| 现住址为社区 | 0.713 | 0.095 | 25.697 | 2.039(1.691~2.459) | <0.001 |
| 未接种疫苗 | 0.374 | 0.116 | 10.459 | 1.454(1.159~1.824) | <0.001 |
| 发病与就诊间隔时间长 | 0.015 | 0.003 | 8.568 | 1.015(1.008~1.021) | 0.002 |
| 呼吸困难/气促 | 1.005 | 0.342 | 8.253 | 2.732(1.398~5.338) | 0.003 |
| 发热 | 0.419 | 0.569 | 4.541 | 1.520(1.098~4.641) | 0.038 |
| 慢性肺部疾病史 | 0.353 | 0.171 | 4.255 | 1.423(1.018~1.990) | 0.039 |
| 心脑血管疾病史 | 1.082 | 0.119 | 22.458 | 2.952(2.337~3.729) | <0.001 |
), ArticleFig(id=1199335058868896076, tenantId=1146029695717560320, journalId=1189873630562394117, articleId=1199335053382746175, language=CN, label=表4, caption=
多因素logistic回归分析福州市新冠病毒感染重症患者的影响因素
, figureFileSmall=null, figureFileBig=null, tableContent=
| 因素 | β | SE | Wald χ2 | OR(95%CI) | P |
|---|
| 男性 | 0.541 | 0.094 | 6.201 | 1.718(1.429~2.065) | 0.011 |
| 年龄大 | 0.033 | 0.003 | 33.157 | 1.034(1.028~1.039) | <0.001 |
| 现住址为社区 | 0.713 | 0.095 | 25.697 | 2.039(1.691~2.459) | <0.001 |
| 未接种疫苗 | 0.374 | 0.116 | 10.459 | 1.454(1.159~1.824) | <0.001 |
| 发病与就诊间隔时间长 | 0.015 | 0.003 | 8.568 | 1.015(1.008~1.021) | 0.002 |
| 呼吸困难/气促 | 1.005 | 0.342 | 8.253 | 2.732(1.398~5.338) | 0.003 |
| 发热 | 0.419 | 0.569 | 4.541 | 1.520(1.098~4.641) | 0.038 |
| 慢性肺部疾病史 | 0.353 | 0.171 | 4.255 | 1.423(1.018~1.990) | 0.039 |
| 心脑血管疾病史 | 1.082 | 0.119 | 22.458 | 2.952(2.337~3.729) | <0.001 |
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