Author: Sands, Kenneth E.; Wenzel, Richard P.; McLean, Laura E.; Korwek, Kimberly M.; Roach, Jonathon D.; Miller, Karla M.; Poland, Russell E.; Burgess, L. Hayley; Jackson, Edmund S.; Perlin, Jonathan B.
Title: Patient characteristics and admitting vital signs associated with coronavirus disease 2019 (COVID-19)–related mortality among patients admitted with noncritical illness Cord-id: 49ihnd2w Document date: 2020_9_15
ID: 49ihnd2w
Snippet: OBJECTIVE: To determine risk factors for mortality among COVID-19 patients admitted to a system of community hospitals in the United States. DESIGN: Retrospective analysis of patient data collected from the routine care of COVID-19 patients. SETTING: System of >180 acute-care facilities in the United States. PARTICIPANTS: All admitted patients with positive identification of COVID-19 and a documented discharge as of May 12, 2020. METHODS: Determination of demographic characteristics, vital signs
Document: OBJECTIVE: To determine risk factors for mortality among COVID-19 patients admitted to a system of community hospitals in the United States. DESIGN: Retrospective analysis of patient data collected from the routine care of COVID-19 patients. SETTING: System of >180 acute-care facilities in the United States. PARTICIPANTS: All admitted patients with positive identification of COVID-19 and a documented discharge as of May 12, 2020. METHODS: Determination of demographic characteristics, vital signs at admission, patient comorbidities and recorded discharge disposition in this population to construct a logistic regression estimating the odds of mortality, particular for those patients characterized as not being critically ill at admission. RESULTS: In total, 6,180 COVID-19+ patients were identified as of May 12, 2020. Most COVID-19+ patients (4,808, 77.8%) were admitted directly to a medical-surgical unit with no documented critical care or mechanical ventilation within 8 hours of admission. After adjusting for demographic characteristics, comorbidities, and vital signs at admission in this subgroup, the largest driver of the odds of mortality was patient age (OR, 1.07; 95% CI, 1.06–1.08; P < .001). Decreased oxygen saturation at admission was associated with increased odds of mortality (OR, 1.09; 95% CI, 1.06–1.12; P < .001) as was diabetes (OR, 1.57; 95% CI, 1.21–2.03; P < .001). CONCLUSIONS: The identification of factors observable at admission that are associated with mortality in COVID-19 patients who are initially admitted to non-critical care units may help care providers, hospital epidemiologists, and hospital safety experts better plan for the care of these patients.
Search related documents:
Co phrase search for related documents- acute care and additional analysis: 1
- acute care and admission care: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25
- acute care and admission critically ill: 1, 2, 3, 4, 5, 6
- acute care and admission diagnosis: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10
- acute care and admission present: 1, 2, 3, 4
- acute care and admission vital: 1, 2
- acute care and liver disease: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18
- acute care and local practice: 1, 2, 3, 4, 5
- acute care facility and admission care: 1, 2, 3, 4, 5, 6, 7, 8
- additional analysis and admission care: 1, 2, 3, 4
- admission care and liver disease: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25
- admission care and local practice: 1, 2, 3
- admission critically ill and liver disease: 1, 2
- admission diagnosis and liver disease: 1, 2, 3, 4, 5
- admission oxygen saturation and liver disease: 1, 2
- admission present and liver disease: 1, 2
Co phrase search for related documents, hyperlinks ordered by date