TY - JOUR
T1 - Characteristics and Outcomes of US Patients Hospitalized With COVID-19 Download
AU - for the Prevention Early Treatment of Acute Lung Injury (PETAL) Network
AU - Peltan, Ithan D.
AU - Caldwell, Ellen
AU - Admon, Andrew J.
AU - Attia, Engi F.
AU - Gundel, Stephanie J.
AU - Mathews, Kusum S.
AU - Nagrebetsky, Alexander
AU - Sahetya, Sarina K.
AU - Ulysse, Christine
AU - Brown, Samuel M.
AU - Chang, Steven Y.
AU - Goodwin, Andrew J.
AU - Hope, Aluko A.
AU - Iwashyna, Theodore J.
AU - Johnson, Nicholas J.
AU - Lanspa, Michael J.
AU - Richardson, Lynne D.
AU - Vranas, Kelly C.
AU - Angus, Derek C.
AU - Baron, Rebecca M.
AU - Haaland, Benjamin A.
AU - Hayden, Douglas L.
AU - Thompson, B. Taylor
AU - Rice, Todd W.
AU - Hough, Catherine L.
N1 - Funding Information:
FINANCIAL DISCLOSURES This work was supported by the National Heart, Lung, and Blood Institute (NHLBI)(3U01HL123009-06S2, U01HL123009, U01HL122998, U01HL123018, U01HL123023, U01HL123008, U01HL123031, U01HL123004, U01HL123027, U01HL123010, U01HL123033, U01HL122989, U01HL123022, and U01HL123020) and the National Institutes of Health (UL1RR025758). This work does not necessarily reflect the view of the US Government, National Institutes of Health, or Department of Veterans Affairs.
Publisher Copyright:
©2021 American Association of Critical-Care Nurses doi:https://doi.or.
PY - 2022/3/1
Y1 - 2022/3/1
N2 - Background Understanding COVID-19 epidemiology is crucial to clinical care and to clinical trial design and interpretation. Objective To describe characteristics, treatment, and outcomes among patients hospitalized with COVID-19 early in the pandemic. Methods A retrospective cohort study of consecutive adult patients with laboratory-confirmed, symptomatic SARS-CoV-2 infection admitted to 57 US hospitals from March 1 to April 1, 2020. Results Of 1480 inpatients with COVID-19, median (IQR) age was 62.0 (49.4-72.9) years, 649 (43.9%) were female, and 822 of 1338 (61.4%) were non-White or Hispanic/Latino. Intensive care unit admission occurred in 575 patients (38.9%), mostly within 4 days of hospital presentation. Respiratory failure affected 583 patients (39.4%), including 284 (19.2%) within 24 hours of hospital presentation and 413 (27.9%) who received invasive mechanical ventila-tion. Median (IQR) hospital stay was 8 (5-15) days overall and 15 (9-24) days among intensive care unit patients. Hospital mortality was 17.7% (n = 262). Risk factors for hospital death identified by penalized multivariable regression included older age; male sex; comorbidity burden; symptoms-to-admission interval; hypotension; hypoxemia; and higher white blood cell count, creatinine level, respiratory rate, and heart rate. Of 1218 survivors, 221 (18.1%) required new respiratory support at discharge and 259 of 1153 (22.5%) admitted from home required new health care services. Conclusions In a geographically diverse early-pandemic COVID-19 cohort with complete hospital folllow-up, hospital mortality was associated with older age, comorbidity burden, and male sex. Intensive care unit admissions occurred early and were associated with protracted hospital stays. Survivors often required new health care services or respiratory support at discharge. (American.
AB - Background Understanding COVID-19 epidemiology is crucial to clinical care and to clinical trial design and interpretation. Objective To describe characteristics, treatment, and outcomes among patients hospitalized with COVID-19 early in the pandemic. Methods A retrospective cohort study of consecutive adult patients with laboratory-confirmed, symptomatic SARS-CoV-2 infection admitted to 57 US hospitals from March 1 to April 1, 2020. Results Of 1480 inpatients with COVID-19, median (IQR) age was 62.0 (49.4-72.9) years, 649 (43.9%) were female, and 822 of 1338 (61.4%) were non-White or Hispanic/Latino. Intensive care unit admission occurred in 575 patients (38.9%), mostly within 4 days of hospital presentation. Respiratory failure affected 583 patients (39.4%), including 284 (19.2%) within 24 hours of hospital presentation and 413 (27.9%) who received invasive mechanical ventila-tion. Median (IQR) hospital stay was 8 (5-15) days overall and 15 (9-24) days among intensive care unit patients. Hospital mortality was 17.7% (n = 262). Risk factors for hospital death identified by penalized multivariable regression included older age; male sex; comorbidity burden; symptoms-to-admission interval; hypotension; hypoxemia; and higher white blood cell count, creatinine level, respiratory rate, and heart rate. Of 1218 survivors, 221 (18.1%) required new respiratory support at discharge and 259 of 1153 (22.5%) admitted from home required new health care services. Conclusions In a geographically diverse early-pandemic COVID-19 cohort with complete hospital folllow-up, hospital mortality was associated with older age, comorbidity burden, and male sex. Intensive care unit admissions occurred early and were associated with protracted hospital stays. Survivors often required new health care services or respiratory support at discharge. (American.
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U2 - 10.4037/ajcc2022549
DO - 10.4037/ajcc2022549
M3 - Article
C2 - 34709373
AN - SCOPUS:85125552907
SN - 1062-3264
VL - 31
SP - 146
EP - 157
JO - American Journal of Critical Care
JF - American Journal of Critical Care
IS - 2
ER -