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Background Few studies have investigated the impacts of metabolic syndrome (MS) on coronavirus disease 2019 (COVID-19). We described the clinical features and prognosis of confirmed COVID-19 patients with MS during hospitalization and after discharge. Methods Two hundred and thirty-three COVID-19 patients from the hospitals in 8 cities of Jiangsu, China were retrospectively included. Clinical characteristics of COVID-19 patients were described and risk factors of severe illness were analyzed by logistic regression analysis. Results Forty-five (19.3%) of 233 COVID-19 patients had MS. The median age of COVID-19 patients with MS was significantly higher than non-MS patients (53.0 years vs. 46.0 years, P = 0.004). There were no significant differences of clinical symptoms, abnormal chest CT images, and treatment drugs between two groups. More patients with MS had severe illness (33.3% vs. 6.4%, P < 0.001) and critical illness (4.4% vs. 0.5%, P = 0.037) than non-MS patients. The proportions of respiratory failure and acute respiratory distress syndrome in MS patients were also higher than non-MS patients during hospitalization. Multivariate analysis showed that concurrent MS (odds ratio [OR] 7.668, 95% confidence interval [CI] 3.062–19.201, P < 0.001) and lymphopenia (OR 3.315, 95% CI 1.306–8.411, P = 0.012) were independent risk factors of severe illness of COVID-19. At a median follow-up of 28 days after discharge, bilateral pneumonia was found in 95.2% of MS patients, while only 54.7% of non-MS patients presented bilateral pneumonia. Conclusions 19.3% of COVID-19 patients had MS in our study. COVID-19 patients with MS are more likely to develop severe complications and have worse prognosis. More attention should be paid to COVID-19 patients with MS.
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Purpose Investgate the willingness of CKD patients to receive a COVID-19 booster vaccine dose and analyze the related factors of COVID-19 booster vaccine willingness in such patients.Methods An online questionnaire investigation addressing participants’ willingness to receive a booster dose of COVID-19 vaccine was organized among patients with chronic kidney disease in Taizhou, China.Result A total of 350 valid copies were retrieved, among which 246 respondents (70.29%) were willing to receive a COVID-19 booster vaccine dose. Binary logistic regression analysis showed that high perceived vaccine safety and effectiveness, non-hemodialysis treatment, and one or two rounds of COVID-19 vaccine were related to COVID-19 booster vaccine willingness of CKD patients. Therefore, enhancing propaganda on safety and efficacy of COVID-19 vaccine for CKD patients, raising their awareness about vaccination, and increasing vaccination of the first and second rounds can help increase the COVID-19 booster vaccination rate.
Subject(s)
COVID-19ABSTRACT
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has swept the world in 2020, resulting in unprecedented pandemic of coronavirus disease 2019 (COVID-19). The number of infected persons and deaths increase every day at a frightening speed, threatening the health and life of people in the world and causing heavy burden to the global public health system. So far, nucleic acid detection is the main diagnostic method and gold standard for COVID-19. Meanwhile, other techniques and methods are also in developing for the diagnosis of SARS-CoV-2 infection. Proteomics technique is one of them. Proteomics technique has been widely used in the research of disease-related mechanism, development of diagnostic methods and pathogen identification. Up to now, there are mainly two applications of proteomics in the diagnosis of SARS-CoV-2 infection. First, proteomics based on virus particles has great potential in early diagnosis. Second, proteomics based on body fluids can be used not only for early diagnosis, but also for good monitoring the progress of infection, predicting the trend of disease, and evaluating the prognoses. In this paper, the research and application of proteomics technique in the diagnosis of SARS-CoV-2 infection in the world are summarized and prospected.
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Objective@#To identify problems and demands for antenatal care (ANC) among pregnant women in different trimesters of pregnancy in Shanghai for optimizing ANC service during the epidemic of coronavirus disease 2019 (COVID-19).@*Methods@#Organized by Maternal and Child Health Care institute in the 16 districts of Shanghai, a cross sectional study was conducted among pregnant women who came to pregnancy registration in the community health centers or attended ANC in maternity hospitals from February 7 to February 12, 2020. Consented participating women completed a semi-structured online questionnaire voluntarily. Data was analyzed using frequency and scoring, chi-square test.@*Results@#A total of 2 002 valid questionnaires were collected from 183 community health centers and 67 midwifery hospitals. About 94.6% of the pregnant women worried about being infected during the COVID-19 epidemic, and 14.7% demanded for psychological consultation. Appointment ANC services were requested by 87.7% of the participants for avoiding presenting themselves in people-density places. Compared with other pregnancy trimesters, pregnant women in the second trimester were more willing to reduce the frequency of ANC (48.1% VS. 39.5% VS. 35.2%, P<0.01). Compared with multiparas, primiparas were more willing to have online consultation and guidance (63.8% VS. 49.2%, P<0.01). Regarding the needs for health knowledge on COVID-19, personal protection against 2019-nCoV was the most concerned for pregnant women, and 71.0% of them preferred to obtain knowledge through health applications, official Weibo and WeChat.@*Conclusions@#Pregnant women in Shanghai critically concern about the risk of 2019-nCoV infections, and highly demand knowledge and measures on prevention and protection from COVID-19. They ask for having time-lapse appointments for ANC and online access to health information and services. Maternal and Child Care institutes should understand the demands of pregnant women, optimize the means of ANC service, and provide tailored and accessible health education and service for the safety of mother and child.