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Kalyanaraman Marcello, Roopa; Dolle, Johanna; Grami, Sheila; Adule, Richard; Li, Zeyu; Tatem, Kathleen; Anyaogu, Chinyere; Apfelroth, Stephen; Ayinla, Raji; Boma, Noella; Brady, Terence; Cosme-Thormann, Braulio F.; Costarella, Roseann; Ford, Kenra; Gaither, Kecia; Jacobson, Jessica; Kanter, Marc; Kessler, Stuart; Kristal, Ross B.; Lieber, Joseph J.; Mukherjee, Vikramjit; Rizzo, Vincent; Rowell, Madden; Stevens, David; [...]

Characteristics and outcomes of COVID-19 patients in New York City’s public hospital system

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  • Medientyp: E-Artikel
  • Titel: Characteristics and outcomes of COVID-19 patients in New York City’s public hospital system
  • Beteiligte: Kalyanaraman Marcello, Roopa; Dolle, Johanna; Grami, Sheila; Adule, Richard; Li, Zeyu; Tatem, Kathleen; Anyaogu, Chinyere; Apfelroth, Stephen; Ayinla, Raji; Boma, Noella; Brady, Terence; Cosme-Thormann, Braulio F.; Costarella, Roseann; Ford, Kenra; Gaither, Kecia; Jacobson, Jessica; Kanter, Marc; Kessler, Stuart; Kristal, Ross B.; Lieber, Joseph J.; Mukherjee, Vikramjit; Rizzo, Vincent; Rowell, Madden; Stevens, David; [...]
  • Erschienen: Public Library of Science (PLoS), 2020
  • Erschienen in: PLOS ONE
  • Sprache: Englisch
  • DOI: 10.1371/journal.pone.0243027
  • ISSN: 1932-6203
  • Schlagwörter: Multidisciplinary
  • Entstehung:
  • Anmerkungen:
  • Beschreibung: <jats:sec id="sec001"> <jats:title>Background</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec id="sec002"> <jats:title>Methods</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec id="sec003"> <jats:title>Results</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec id="sec004"> <jats:title>Conclusions and relevance</jats:title> <jats:p>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.</jats:p> </jats:sec>
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