Characteristics and outcomes of COVID-19 patients in New York City's public hospital system.
oleh: Roopa Kalyanaraman Marcello, Johanna Dolle, Sheila Grami, Richard Adule, Zeyu Li, Kathleen Tatem, Chinyere Anyaogu, Stephen Apfelroth, Raji Ayinla, Noella Boma, Terence Brady, Braulio F Cosme-Thormann, Roseann Costarella, Kenra Ford, Kecia Gaither, Jessica Jacobson, Marc Kanter, Stuart Kessler, Ross B Kristal, Joseph J Lieber, Vikramjit Mukherjee, Vincent Rizzo, Madden Rowell, David Stevens, Elana Sydney, Andrew Wallach, Dave A Chokshi, Nichola Davis, New York City Health + Hospitals COVID-19 Population Health Data Team
| Format: | Article |
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| Diterbitkan: | Public Library of Science (PLoS) 2020-01-01 |
Deskripsi
<h4>Background</h4>New York City (NYC) bore the greatest burden of COVID-19 in the United States early in the pandemic. In this case series, we describe characteristics and outcomes of racially and ethnically diverse patients tested for and hospitalized with COVID-19 in New York City's public hospital system.<h4>Methods</h4>We reviewed the electronic health records of all patients who received a SARS-CoV-2 test between March 5 and April 9, 2020, with follow up through April 16, 2020. The primary outcomes were a positive test, hospitalization, and death. Demographics and comorbidities were also assessed.<h4>Results</h4>22254 patients were tested for SARS-CoV-2. 13442 (61%) were positive; among those, the median age was 52.7 years (interquartile range [IQR] 39.5-64.5), 7481 (56%) were male, 3518 (26%) were Black, and 4593 (34%) were Hispanic. Nearly half (4669, 46%) had at least one chronic disease (27% diabetes, 30% hypertension, and 21% cardiovascular disease). Of those testing positive, 6248 (46%) were hospitalized. The median age was 61.6 years (IQR 49.7-72.9); 3851 (62%) were male, 1950 (31%) were Black, and 2102 (34%) were Hispanic. More than half (3269, 53%) had at least one chronic disease (33% diabetes, 37% hypertension, 24% cardiovascular disease, 11% chronic kidney disease). 1724 (28%) hospitalized patients died. The median age was 71.0 years (IQR 60.0, 80.9); 1087 (63%) were male, 506 (29%) were Black, and 528 (31%) were Hispanic. Chronic diseases were common (35% diabetes, 37% hypertension, 28% cardiovascular disease, 15% chronic kidney disease). Male sex, older age, diabetes, cardiac history, and chronic kidney disease were significantly associated with testing positive, hospitalization, and death. Racial/ethnic disparities were observed across all outcomes.<h4>Conclusions and relevance</h4>This is the largest and most racially/ethnically diverse case series of patients tested and hospitalized for COVID-19 in New York City to date. Our findings highlight disparities in outcomes that can inform prevention and testing recommendations.