Clinical Characteristics of Hospitalized Covid-19 Patients in New York City
| Autor: | Ishan Paranjpe, Adam J Russak, Jessica K De Freitas, Anuradha Lala, Riccardo Miotto, Akhil Vaid, Kipp W. Johnson, Matteo Danieletto, Eddye Golden, Dara Meyer, Manbir Singh, Sulaiman Somani, Sayan Manna, Udit Nangia, Arjun Kapoor, Ross O’Hagan, Paul F O’Reilly, Laura M Huckins, Patricia Glowe, Arash Kia, Prem Timsina, Robert M Freeman, Matthew A Levin, Jeffrey Jhang, Adolfo Firpo, Patricia Kovatch, Joseph Finkelstein, Judith A Aberg, Emilia Bagiella, Carol R Horowitz, Barbara Murphy, Zahi A Fayad, Jagat Narula, Eric J Nestler, Valentin Fuster, Carlos Cordon-Cardo, Dennis S Charney, David L Reich, Allan C Just, Erwin P Bottinger, Alexander W Charney, Benjamin S Glicksberg, Girish N Nadkarni |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Adolescent Critical Care Coronavirus disease 2019 (COVID-19) Hospitalized patients Discharged alive Comorbidity Article Procalcitonin Fibrin Fibrinogen Degradation Products Young Adult Risk Factors Intensive care Pandemic medicine Humans Hospital Mortality Lymphocytes Pandemics Aged Retrospective Studies Aged 80 and over SARS-CoV-2 business.industry Public health Clinical course COVID-19 Middle Aged Hospitals Hospitalization C-Reactive Protein Female New York City business |
| Zdroj: | medRxiv |
| Popis: | BackgroundThe coronavirus 2019 (Covid-19) pandemic is a global public health crisis, with over 1.6 million cases and 95,000 deaths worldwide. Data are needed regarding the clinical course of hospitalized patients, particularly in the United States.MethodsDemographic, clinical, and outcomes data for patients admitted to five Mount Sinai Health System hospitals with confirmed Covid-19 between February 27 and April 2, 2020 were identified through institutional electronic health records. We conducted a descriptive study of patients who had in-hospital mortality or were discharged alive.ResultsA total of 2,199 patients with Covid-19 were hospitalized during the study period. As of April 2nd, 1,121 (51%) patients remained hospitalized, and 1,078 (49%) completed their hospital course. Of the latter, the overall mortality was 29%, and 36% required intensive care. The median age was 65 years overall and 75 years in those who died. Pre-existing conditions were present in 65% of those who died and 46% of those discharged. In those who died, the admission median lymphocyte percentage was 11.7%, D-dimer was 2.4 ug/ml, C-reactive protein was 162 mg/L, and procalcitonin was 0.44 ng/mL. In those discharged, the admission median lymphocyte percentage was 16.6%, D-dimer was 0.93 ug/ml, C-reactive protein was 79 mg/L, and procalcitonin was 0.09 ng/mL.ConclusionsThis is the largest and most diverse case series of hospitalized patients with Covid-19 in the United States to date. Requirement of intensive care and mortality were high. Patients who died typically had pre-existing conditions and severe perturbations in inflammatory markers. |
| Databáze: | OpenAIRE |
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