Факторы риска тяжелого течения и летального исхода COVID-19
- Авторы: Щербак С.Г.1,2, Камилова Т.А.1, Голота А.С.1, Вологжанин Д.А.1,2
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Учреждения:
- Городская больница № 40 Курортного административного района
- Санкт-Петербургский государственный университет
- Выпуск: Том 4, № 1 (2022)
- Страницы: 14-36
- Раздел: НАУЧНЫЙ ОБЗОР
- URL: https://ogarev-online.ru/2658-6843/article/view/104997
- DOI: https://doi.org/10.36425/rehab104997
- ID: 104997
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С момента своего первого обнаружения коронавирусная болезнь 2019 года (COVID-19), вызванная инфекцией коронавируса SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2), быстро распространилась по всему миру. Хотя коронавирус SARS-CoV-2 поражает в первую очередь дыхательную систему, сердечно-сосудистые, неврологические и почечные осложнения повышают риск смерти от этого заболевания. К настоящему времени клинический опыт показал существенную неоднородность траектории заражения SARS-CoV-2 — от бессимптомных до легкой, средней и тяжелой форм заболевания с низкой выживаемостью. Точный прогноз смертности от COVID-19 и выявление факторов, способствующих этому, позволит разработать целевые стратегии для пациентов с высоким риском смерти. Мы стремились определить клинические и лабораторные особенности, которые больше всего влияют на этот прогноз. Лучшее понимание факторов прогнозирования COVID-19 имеет решающее значение для выявления лиц с повышенным риском смертности и принятия клинических решений для снижения риска смерти. К основным факторам риска тяжелого течения COVID-19, развития осложнений и смерти относятся пожилой возраст, сопутствующие заболевания (сердечно-сосудистые, хронические заболевания легких, сахарный диабет и гипертензия), температура тела ≥37,8°C, сатурация <92%, количественное и функциональное истощение врожденного иммунитета, двусторонние легочные инфильтраты, повышенные уровни лабораторных показателей системного воспаления, дыхательной, сердечной, почечной и/или печеночной недостаточности. Надлежащая оценка прогностических факторов и тщательный мониторинг для обеспечения необходимых вмешательств в подходящее время у пациентов с высоким риском могут снизить уровень летальности от COVID-19.
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Сергей Григорьевич Щербак
Городская больница № 40 Курортного административного района; Санкт-Петербургский государственный университет
Email: b40@zdrav.spb.ru
ORCID iD: 0000-0001-5047-2792
SPIN-код: 1537-9822
д.м.н., профессор
Россия, Санкт-Петербург; Санкт-ПетербургТатьяна Аскаровна Камилова
Городская больница № 40 Курортного административного района
Email: kamilovaspb@mail.ru
ORCID iD: 0000-0001-6360-132X
SPIN-код: 2922-4404
к.б.н.
Россия, Санкт-ПетербургАлександр Сергеевич Голота
Городская больница № 40 Курортного административного района
Автор, ответственный за переписку.
Email: golotaa@yahoo.com
ORCID iD: 0000-0002-5632-3963
SPIN-код: 7234-7870
к.м.н., доцент
Россия, Санкт-ПетербургДмитрий Александрович Вологжанин
Городская больница № 40 Курортного административного района; Санкт-Петербургский государственный университет
Email: volog@bk.ru
ORCID iD: 0000-0002-1176-794X
SPIN-код: 7922-7302
д.м.н.
Россия, Санкт-Петербург; Санкт-ПетербургСписок литературы
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