학술논문

The Impact of Vaccination Among Hospitalized Patients with the Diagnosis of COVID-19
ORIGINAL ARTICLE
Document Type
Academic Journal
Source
Infectious Diseases and Clinical Microbiology. June 2023, Vol. 5 Issue 2, p117, 9 p.
Subject
United States. Centers for Disease Control and Prevention
Diagnosis
Risk factors
Health aspects
Diabetes mellitus -- Risk factors -- Diagnosis
Hospital patients -- Health aspects
Hypertension -- Risk factors -- Diagnosis
Prevalence studies (Epidemiology) -- Health aspects
Coronary heart disease -- Risk factors -- Diagnosis
Medical research -- Health aspects
Infection -- Risk factors -- Diagnosis
Vaccination -- Health aspects
Comorbidity -- Risk factors -- Diagnosis
COVID-19 -- Diagnosis -- Risk factors
Medicine, Experimental -- Health aspects
Diabetes -- Risk factors -- Diagnosis
Language
English
ISSN
2667-646X
Abstract
INTRODUCTION Vaccines to prevent SARS-CoV-2 infection are the most promising and effective approach to curb the COVID-19 pandemic, as well as to reduce hospitalizations and prevent mortality (1). In our [...]
Objective: We aimed to investigate the vaccination status and the risk factors for the intensive care unit (ICU) support need of the laboratory-confirmed breakthrough COVID-19 infection inpatients. Materials and Methods: This multi-center point-prevalence study was conducted on inpatients, divided into two groups as 'fully' and 'partially' vaccinated according to COVID-19 vaccination status. Results: Totally 516 patients were included in the study. The median age was 65 (55-77), and 53.5% (n=276) of the patients were male. Hypertension (41.9%, n=216), diabetes mellitus (DM) (31.8%, n=164), and coronary artery disease (CAD) (16.3%, n=84) were the predominant comorbidities. Patients were divided into two groups ICU (n=196) and non-ICU (n=301). Hypertension (p=0.026), DM (p=0.048), and congestive heart failure (CHF) (p=0.005) were significantly higher in ICU patients and the median age was younger among non-ICU patients (p=0.033). Of patients, 16.9% (n=87) were fully vaccinated, and this group's need for ICU support was statistically significantly lower (p=0.021). Conclusion: We conclude that older age, hypertension, DM, CHF, and being partially vaccinated were associated with the need for ICU support. Therefore, all countries should continuously monitor post-vaccination breakthrough COVID-19 infections to determine the national booster vaccine administration approach that will provide vulnerable individuals the highest protection. Keywords: COVID-19 vaccine, intensive care unit, risk factor, SARS-CoV-2 infection, vaccine breakthrough infections, variant of concerns