228 Epidemiologic Differences in Respiratory Failure Due to COVID-19 in a Large Suburban Health Care System

Autor: R. W. Kelly
Rok vydání: 2020
Předmět:
Zdroj: Annals of Emergency Medicine
ISSN: 0196-0644
Popis: Study Objective: A subset of patients infected with COVID-19 exhibit respiratory failure requiring intubation The clinical course in patients severely affected by COVID-19 requires a better understanding Our aim is to describe the outcomes of respiratory failure in COVID-19 positive patients and compare them to those COVID-19 negative patients with respiratory failure in a single suburban health care system Methods: We performed a multicenter retrospective cohort study of patients admitted to the Beaumont Health system, an eight-hospital system in southeast Michigan, who underwent COVID-19 testing from 1/1/20-4/6/20 We selected patients with respiratory failure, documentation of mechanical ventilation, and a completed hospital course We abstracted patient demographics, mode of transport to the hospital, residence from where they were transported (home, nursing facility, public) as well as lab data and information on the patient’s hospital course We then dichotomized subjects between positive and negative results for COVID-19 We compiled descriptive statistics between COVID positive and COVID negative patients as well as between those COVID positive patients who survived through hospitalization and those that did not Results: During this study period, 644 subjects received endotracheal intubation, 6 were < 18 years and excluded Of the remainder 411 (64 4%) were COVID positive COVID-19 positive patients were more often obese (BMI 35 2 vs 30 7), African American (69 1% vs 30 8%), and less likely to arrive by ambulance (35 7% vs 71 4%) or arrive from a skilled nursing facility (8 5% vs 17 2%) (all p
Databáze: OpenAIRE
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