Characteristics and outcomes of COVID-19 patients in New York City's public hospital system.
Characteristics and outcomes of COVID-19 patients in New York City's public hospital system.
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纽约市公立医院系统中Covid-19患者的特征和结果。
DOI：
10.1371/journal.pone.0243027
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发表时间：
2020
期刊：
影响因子：
3.7
通讯作者：
New York City Health + Hospitals COVID-19 Population Health Data Team
中科院分区：
文献类型：
--
作者：
Kalyanaraman Marcello R;Dolle J;Grami S;Adule R;Li Z;Tatem K;Anyaogu C;Apfelroth S;Ayinla R;Boma N;Brady T;Cosme-Thormann BF;Costarella R;Ford K;Gaither K;Jacobson J;Kanter M;Kessler S;Kristal RB;Lieber JJ;Mukherjee V;Rizzo V Jr;Rowell M;Stevens D;Sydney E;Wallach A;Chokshi DA;Davis N;New York City Health + Hospitals COVID-19 Population Health Data Team
在大流行初期，纽约市 (NYC) 承受着美国 COVID-19 的最大负担。在本病例系列中，我们描述了在纽约市公立医院系统接受 COVID-19 检测和住院治疗的不同种族和族裔患者的特征和结果。我们审查了 2020 年 3 月 5 日至 4 月 9 日期间接受 SARS-CoV-2 检测的所有患者的电子健康记录，并随访至 2020 年 4 月 16 日。主要结果是检测呈阳性、住院和死亡。还评估了人口统计学和合并症。 22254 名患者接受了 SARS-CoV-2 检测。 13442（61%）呈阳性；其中，中位年龄为 52.7 岁（四分位距 [IQR] 39.5-64.5），其中 7481 名（56%）为男性，3518 名（26%）为黑人，4593 名（34%）为西班牙裔。近一半（4669 人，46%）患有至少一种慢性疾病（27% 患有糖尿病，30% 患有高血压，21% 患有心血管疾病）。在检测呈阳性的人中，有 6248 人（46%）住院治疗。中位年龄为 61.6 岁（IQR 49.7–72.9）； 3851 名（62%）为男性，1950 名（31%）为黑人，2102 名（34%）为西班牙裔。超过一半（3269 人，53%）患有至少一种慢性病（33% 糖尿病、37% 高血压、24% 心血管疾病、11% 慢性肾病）。 1724 名住院患者（28%）死亡。中位年龄为 71.0 岁（IQR 60.0，80.9）； 1087 名（63%）为男性，506 名（29%）为黑人，528 名（31%）为西班牙裔。慢性病很常见（35% 患有糖尿病，37% 患有高血压，28% 患有心血管疾病，15% 患有慢性肾病）。男性、年龄较大、糖尿病、心脏病史和慢性肾脏病与检测呈阳性、住院和死亡显着相关。所有结果均观察到种族/民族差异。这是纽约市迄今为止规模最大、种族/民族最多样化的 COVID-19 患者检测和住院病例系列。我们的研究结果强调了结果的差异，可以为预防和检测建议提供信息。
New York City (NYC) bore the greatest burden of COVID-19 in the United States early in the pandemic. In this case series, we describe characteristics and outcomes of racially and ethnically diverse patients tested for and hospitalized with COVID-19 in New York City’s public hospital system. We reviewed the electronic health records of all patients who received a SARS-CoV-2 test between March 5 and April 9, 2020, with follow up through April 16, 2020. The primary outcomes were a positive test, hospitalization, and death. Demographics and comorbidities were also assessed. 22254 patients were tested for SARS-CoV-2. 13442 (61%) were positive; among those, the median age was 52.7 years (interquartile range [IQR] 39.5–64.5), 7481 (56%) were male, 3518 (26%) were Black, and 4593 (34%) were Hispanic. Nearly half (4669, 46%) had at least one chronic disease (27% diabetes, 30% hypertension, and 21% cardiovascular disease). Of those testing positive, 6248 (46%) were hospitalized. The median age was 61.6 years (IQR 49.7–72.9); 3851 (62%) were male, 1950 (31%) were Black, and 2102 (34%) were Hispanic. More than half (3269, 53%) had at least one chronic disease (33% diabetes, 37% hypertension, 24% cardiovascular disease, 11% chronic kidney disease). 1724 (28%) hospitalized patients died. The median age was 71.0 years (IQR 60.0, 80.9); 1087 (63%) were male, 506 (29%) were Black, and 528 (31%) were Hispanic. Chronic diseases were common (35% diabetes, 37% hypertension, 28% cardiovascular disease, 15% chronic kidney disease). Male sex, older age, diabetes, cardiac history, and chronic kidney disease were significantly associated with testing positive, hospitalization, and death. Racial/ethnic disparities were observed across all outcomes. This is the largest and most racially/ethnically diverse case series of patients tested and hospitalized for COVID-19 in New York City to date. Our findings highlight disparities in outcomes that can inform prevention and testing recommendations.
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影响因子：
39
作者：
Wu, Chaomin;Chen, Xiaoyan;Song, Yuanlin
通讯作者：
Song, Yuanlin
DOI：
10.1001/jama.2020.6775
发表时间：
2020-01-01
期刊：
JAMA, Journal of the American Medical Association
影响因子：
--
作者：
Richardson, Safiya;Hirsch, Jamie S.;,
通讯作者：
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影响因子：
120.7
作者：
Wang, Dawei;Hu, Bo;Peng, Zhiyong
通讯作者：
Peng, Zhiyong
影响因子：
33.9
作者：
Chow, Nancy;Fleming-Dutra, Katherine;Ussery, Emily
通讯作者：
Ussery, Emily
影响因子：
158.5
作者：
Guan, W.;Ni, Z.;Zhong, N.
通讯作者：
Zhong, N.