medRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2024,
Номер
unknown
Опубликована: Дек. 3, 2024
Abstract
Importance
This
is
the
first
meta-analysis
to
investigate
risk
of
death
and
hospitalization
in
individuals
with
comorbidities,
specifically
during
Omicron
era.
Objective
To
assess
mortality
from
COVID-19
comorbidities
comparison
without
Data
Sources
A
systematic
search
Embase,
MEDLINE,
PubMed,
Europe
PMC,
Latin
American
Caribbean
Health
Sciences
Literature,
Cochrane
Study
Register,
WHO
Database
was
performed
identify
studies
published
between
1
January
2022
13
March
2024.
Selection
Inclusion
criteria
were
observational
including
people
(all
ages)
at
least
following
comorbidities:
cardiovascular/
cerebrovascular
disease,
chronic
lung
conditions,
diabetes,
obesity.
In
total,
72
included
review,
which
68
meta-analyzed.
Extraction
Synthesis
extracted
by
one
reviewer
verified
a
second.
Studies
synthesized
quantitively
(meta-analysis)
using
random-effect
models.
PRISMA
guidelines
followed.
Main
Outcomes
Measures
Evaluated
outcomes
risks
death,
hospitalization,
intensive
care
unit
(ICU)
admission,
any
combination
these
outcomes.
Odds
ratios,
hazard
rate
ratios
extracted;
pooled
relative
(RR)
95%
confidence
intervals
(CI)
calculated.
Results
Minimum
numbers
participants
per
comorbidity
across
ranged
328
870
for
thrombosis
720
480
hypertension.
Risks
combined
outcome
increased
COPD,
respiratory
diseases,
heart
failure
versus
those
(pooled
RRs
1.27
[heart
hospitalization;
CI,
1.17-1.38,
P
<
.001]
1.78
failure,
death:
1.46-2.16,
.001]).
Individuals
diabetes
obesity
had
ICU
admission
(RR:
1.20;
CI:
1.04-1.38,
=
.0141
RR:
1.32;
1.11-1.57,
.00158,
respectively).
Conclusions
During
era,
amongst
cerebrovascular/cardiovascular
highest
failure.
are
admission.
Key
Points
Question
What
severe
era?
Findings
review
found
among
range
without.
Risk
higher
diabetes.
Meaning
study
identified
comorbid
populations
most
COVID-19.
Targeting
public
health
measures,
such
as
vaccination,
may
be
beneficial.
Vaccines,
Год журнала:
2023,
Номер
11(9), С. 1502 - 1502
Опубликована: Сен. 19, 2023
The
COVID-19
pandemic
has
been
met
with
an
unprecedented
response
from
the
scientific
community,
leading
to
development,
investigation,
and
authorization
of
vaccines
antivirals,
ultimately
reducing
impact
SARS-CoV-2
on
global
public
health.
However,
is
far
being
eradicated,
continues
evolve,
causes
substantial
health
economic
burdens.
In
this
narrative
review,
we
posit
essential
points
its
responsible
management
during
transition
acute
phase
pandemic.
As
discussed,
despite
Omicron
(sub)variant(s)
causing
clinically
milder
infections,
a
negligible
pathogen.
It
requires
continued
genomic
surveillance,
particularly
if
one
considers
that
future
(sub)lineages
do
not
necessarily
have
be
milder.
Antivirals
remain
elements
in
management.
former
could
benefit
further
development
improvements
dosing,
while
seasonal
administration
latter
simplification
increase
interest
tackle
vaccine
hesitancy.
also
ensure
accessibility
pharmaceuticals
low-income
countries
improve
understanding
their
use
context
long-term
goals
Regardless
location,
primary
role
awareness
education
must
played
by
healthcare
workers,
who
directly
communicate
patients
serve
as
models
for
healthy
behaviors.
Expert Review of Vaccines,
Год журнала:
2024,
Номер
23(1), С. 510 - 522
Опубликована: Апрель 24, 2024
COVID-19
was
an
unprecedented
challenge
worldwide;
however,
disease
epidemiology
has
evolved,
and
no
longer
constitutes
a
public
health
emergency
of
international
concern.
Nonetheless,
remains
global
threat
uncertainties
remain,
including
definition
the
end
pandemic
transition
to
endemicity,
understanding
true
rates
SARS-CoV-2
infection/transmission.
Pathogens,
Год журнала:
2024,
Номер
13(3), С. 267 - 267
Опубликована: Март 20, 2024
SARS-CoV-2
has
acquired
many
mutations
that
influence
the
severity
of
COVID-19's
course
or
risk
developing
long
COVID.
In
2022,
dominant
variant
was
Omicron.
This
study
aimed
to
compare
COVID-19
in
periods
before
and
during
dominance
Omicron
variant.
Risk
factors
for
COVID
were
also
assessed.
based
on
stationary
visits
patients
after
follow-up
assessments
3
months.
Clinical
symptoms,
comorbidities,
vaccination
status
evaluated
1967
patients.
Of
analyzed
group,
1308
(66.5%)
affected
by
period
dominance.
The
prevalence
significantly
lower
among
group
(47.7%
vs.
66.9%,
Viruses,
Год журнала:
2024,
Номер
16(3), С. 469 - 469
Опубликована: Март 20, 2024
Hepatitis
A
virus
(HAV)
is
the
most
common
cause
of
acute
viral
hepatitis,
which
preventable
by
vaccination.
This
study
analyzed
trends
HAV
infections
in
Poland
according
to
socio-demographic
features
years
2009–2022
and
assessed
potential
impact
COVID-19
pandemic
(2020–2023)
migration
war
refugees
from
Ukraine
(since
February
2022).
In
2009–2022,
7115
new
cases
infection
were
diagnosed
Poland,
especially
among
men
(66.4%)
urban
areas
(77.4%).
Infections
at
age
25–34
(median
rate
0.43
per
105)
women
aged
15–24
0.39
105).
Analysis
14-year
frequency
exhibited
three
trends,
regardless
gender,
age,
residence.
The
revealed
a
downward
trend
2009–2014,
increased
significantly
2014–2018,
decreased
again
after
2018.
particularly
rapid
increase
occurred
between
March
2017
2018
0.79
high
level
persisted
until
beginning
pandemic,
point
it
dropped
but
did
not
reach
recorded
before
2017.
During
Omicron
SARS-CoV-2
dominance
period,
median
was
0.053
105,
with
four-fold
being
observed
2022
(when
began)
August
2022.
presented
results
can
serve
as
reference
for
further
observations
Central
Europe.
epidemiological
situation
unlikely
escalate
requires
monitoring.
The Pediatric Infectious Disease Journal,
Год журнала:
2025,
Номер
unknown
Опубликована: Янв. 21, 2025
Background:
The
spread
of
the
BA.5
Omicron
variant
severe
acute
respiratory
syndrome
coronavirus-2
(SARS-CoV-2)
has
increased
number
hospitalized
children.
However,
impact
new
omicron
subvariants
in
children
remains
poorly
described.
Methods:
This
prospective
observational
study
evaluated
clinical
characteristics
with
coronavirus
disease
2019
(COVID-19)
13
hospitals
Niigata,
Japan,
during
September
2022–February
2024.
data
were
divided
and
compared
across
3
periods
based
on
dominant
subvariants:
BA.5/BF.5/BF.7
period
(September
2022–April
2023),
XBB/EG.5
(May–December
2023)
BA.2.86/JN.1
(January–February
2024).
In
addition,
COVID-19
vaccination
rates
patients
those
general
population.
Results:
total,
298
period.
patients’
median
ages
4.7
years
period,
1.2
2.4
peak
monthly
admissions
decreased
over
time,
44,
32,
19
cases/mo
respectively.
Dehydration/oral
intake
failure
(37.2%,
111/298)
febrile
seizures
(16.8%,
50/298)
predominant
reasons
for
hospitalization.
5–11
age
(11.1%)
12–15
(38.9%)
significantly
lower
than
population
(41.5%
71.0%).
Conclusions:
Although
diminished
they
continued
to
pose
a
risk.
Continued
efforts
are
needed
protect
from
this
evolving
virus.
Background:
During
the
coronavirus
disease
2019
(COVID-19)
pandemic,
emergence
of
Omicron
SARS-CoV2
variant
raised
concerns
about
reduction
in
vaccine
effectiveness
due
to
its
higher
transmissibility.
Thus,
using
ecologic
data,
we
assessed
population-level
impact
COVID-19
vaccination
coverage
on
transmission
and
mortality,
during
period
dominance
globally.
Subject
methods:
We
used
a
longitudinal
dataset
110
countries
over
16
months
(January
2022
April
2023).
Applying
random-effects
regression
models,
effect
monthly
full
rates
newly
confirmed
cases
deaths,
adjusting
for
country
characteristics.
obtained
data
from
open-access
databases,
including
World
Health
Organization
(WHO)
Dashboard
Oxford
Government
Response
Tracker.
Results:
On
average,
each
1%
point
increase
was
associated
with
1.4%
(95%
confidence
interval
(CI):
0.1%–2.8%,
p
=
0.035)
rate
new
5%
CI:
3.6%–6.4%,
<
0.001)
deaths.
This
protective
graded
across
levels
coverage:
compared
<50%
coverage,
those
coverages
50%–59%,
60%–69%,
70%–79%,
≥80%
had
20.5%
–16.4%–45.7%),
53.8%
(22.6%–72.5%),
54.3%
(15.5%–75.3%),
69.6%
(38.7%–84.9%)
lower
cases,
respectively,
average.
Conclusions:
Our
findings
suggest
an
important
role
mitigating
pandemics,
particularly
despite
highly
transmissible
variants
like
Omicron.
Journal of Clinical Medicine,
Год журнала:
2025,
Номер
14(7), С. 2305 - 2305
Опубликована: Март 27, 2025
The
first
Polish
recommendations
for
the
management
of
COVID-19
were
published
by
Society
Epidemiologists
and
Infectiologists
(PTEiLChZ)
on
31
March
2020,
last
three
years
ago.
emergence
new
SARS-CoV-2
variants,
a
different
course
disease,
as
well
knowledge
about
therapies
vaccines,
requires
updating
diagnostic,
therapeutic,
prophylactic
guidelines.
Despite
reduction
in
threat
associated
with
COVID-19,
there
is
risk
another
epidemic
caused
coronaviruses,
which
was
an
additional
reason
developing
version
In
preparing
these
recommendations,
Delphi
method
used,
reaching
consensus
after
survey
cycles.
Compared
to
2022
version,
names
individual
stages
disease
have
been
changed,
adapting
them
realities
clinical
practice,
attention
paid
differences
observed
immunosuppressed
patients
children.
Some
previously
recommended
drugs
discontinued,
including
monoclonal
antibodies.
addition,
general
principles
vaccination
presented,
issues
related
post-COVID
syndrome.
The Pediatric Infectious Disease Journal,
Год журнала:
2023,
Номер
43(2), С. 149 - 154
Опубликована: Ноя. 3, 2023
This
study
analyzed
data
for
1098
children:
575
diagnosed
with
COVID-19
between
January
and
June
2022
(early
Omicron)
523
hospitalized
from
July
to
April
2023
(late
Omicron).
New
Omicron
subvariants
lead
similar
recovery
rates
without
deaths
acute
respiratory
distress
syndrome
in
children
as
BA.1
BA.2,
however,
they
more
often
cause
fever
croup.
Children
suffering
comorbidities,
presenting
pulmonary
lesions
older,
may
be
prone
a
severe
consequences
of
terms
the
currently
dominating
subvariants.
Journal of Clinical Medicine,
Год журнала:
2024,
Номер
13(14), С. 4106 - 4106
Опубликована: Июль 13, 2024
Objectives:
This
study
analyzed
trends
in
HIV/AIDS
Poland
over
the
time
period
of
2009–2021
and
potential
impact
COVID-19
migration
war
refugees
from
Ukraine.
Methods:
Long-term
were
assessed
by
joinpoint
regression
using
data
Polish
registries.
The
burden
was
also
compared
before
during
pandemic
refugee
migration.
Results:
In
2009–2021,
upward
tendency
rate
new
HIV
infections
until
2017
decrease
after
accompanied
a
downward
trend
diagnoses
mortality.
From
pandemic’s
beginning
March
2022,
rates
dramatically
decreased
to
later
increase
pre-pandemic
levels,
which
partially
coincided
with
wave
Conclusions:
analysis
showed
related
mortality
2009–2021.
While
has
reduced
number
detected
cases,
subsequent
2022
may
be
lifting
restrictions
refugees’
These
observations
have
implications
for
WHO
European
Region,
seeking
end
AIDS
as
public
health
problem
2030.