COVID-19 infection characteristics and outcomes in a predominantly Latino community hospital

Autor: Daniel Colon Hidalgo, Manasa Jasti, Natalie Tapaskar, Christine Junia, Akshata Chaugule, Fanny Giron Galeano, Daniel C Alcantar, Maria Jose Zabala Ramirez, Jose L Zabala Genovez, Gabino Maza Rodas, Diana Espinoza Barrera, Raul Rodriguez, Fritzie Albarillo
Rok vydání: 2021
Předmět:
Zdroj: Germs
ISSN: 2248-2997
Popis: INTRODUCTION: The coronavirus disease 2019 (COVID-19) pandemic has rapidly spread worldwide and claimed millions of lives. Several studies have attempted to understand the relationship between COVID-19 infection and health disparities. The aim of the current work was to evaluate the pre-admission health characteristics, symptomatology, diagnostic abnormalities, treatment measures and clinical outcomes of the community served by our institution, with a sub-analysis of our Hispanic community. METHODS: This is a single-center, cross-sectional cohort study of patients with COVID-19 admitted from 15 March 2020 to 30 April 2020 to MacNeal Hospital. A retrospective chart review was performed including patients >18 years and a positive nasopharyngeal SARS-CoV-2 PCR. Demographical data, comorbidities, clinical data, treatment regimen, and patient outcomes were collected. RESULTS: A total of 257 patients were included in the study of which 60.4% were identified as Hispanic. The median age at admission of Hispanic patients was significantly lower compared to non-Hispanic patients (56.6 vs. 65.7 years, p10 mg/dL (OR 4.53, 95%CI 1.49-13.38) and D-dimer >1.5 mcg/mL (OR 3.63, 95%CI 1.31-10.05). An oxygen saturation of >90% on room air on presentation was a protective factor when predicting intubation (OR 0.11, 95%CI 0.03-0.33). The overall 30-day mortality rate was 17.1% (n=44); 11.9% in the Hispanic group vs 26.3% in the non-Hispanic group (p
Databáze: OpenAIRE