Clinical characteristics and predictors of mortality in African‐Americans with COVID‐19 from an inner‐city community teaching hospital in New York

Autor: Mark Adler, Shristi Lamichhane, Pavani Garlapati, Vijay Gayam, Muchi Ditah Chobufo, Mohamed A. Merghani
Rok vydání: 2020
Předmět:
Male
myalgia
Abdominal pain
Hospitals
Community
Coronavirus < Virus classification
Severity of Illness Index
Pandemics < Epidemiology
Body Mass Index
0302 clinical medicine
Odds Ratio
030212 general & internal medicine
Blood < Epidemiology
Research Articles
Aged
80 and over
Age Factors
Middle Aged
Intensive Care Units
C-Reactive Protein
Infectious Diseases
Female
030211 gastroenterology & hepatology
Chills
medicine.symptom
Research Article
medicine.medical_specialty
Nausea
Fibrin Fibrinogen Degradation Products
03 medical and health sciences
Predictive Value of Tests
Virology
Internal medicine
Severity of illness
medicine
Humans
Hospitals
Teaching
Aged
Retrospective Studies
SARS-CoV-2
business.industry
COVID-19
Retrospective cohort study
Odds ratio
Black or African American
Logistic Models
Ferritins
New York City
business
Body mass index
Biomarkers
Zdroj: Journal of Medical Virology
ISSN: 1096-9071
0146-6615
Popis: Background There is limited data on the clinical presentation and predictors of mortality in the African‐American(AA) patients hospitalized with COVID‐19 despite the disproportionately higher burden and mortality. The aim of this study is to report on the clinical characteristics and the predictors of mortality in hospitalized AA patients with COVID‐19 infection. Methods In this retrospective cohort review, we included all AA patients with confirmed COVID‐19 infection admitted to an inner‐city teaching community hospital in New York City. Demographics, clinical presentation, baseline co‐morbidities, and laboratory data were compared between survivors and non‐survivors. The predictors of mortality were assessed using multivariate logistic regression analysis. Results Of the 408 (median age, 67years) patients included, 276(66.65%, median age 63years) survived while 132(33.35%, median age 71years) died. The most common presenting symptoms were cough, myalgia, fever/chills, shortness of breath, and gastrointestinal symptoms (nausea, vomiting, diarrhea, and abdominal pain), with a prevalence of 62.50%, 43.87%, 53.68%, and 27.21%, respectively. Age (OR 1.06, CI 1.04‐1.08, P‐
Databáze: OpenAIRE
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