Author: Joseph A Lewnard; Vincent X Liu; Michael L Jackson; Mark A Schmidt; Britta L Jewell; Jean P Flores; Chris Jentz; Graham R Northrup; Ayesha Mahmud; Arthur L Reingold; Maya Petersen; Nicholas P Jewell; Scott Young; Jim Bellows
Title: Incidence, clinical outcomes, and transmission dynamics of hospitalized 2019 coronavirus disease among 9,596,321 individuals residing in California and Washington, United States: a prospective cohort study Document date: 2020_4_16
ID: f8yixsds_35
Snippet: Our study provides an early assessment of the incidence and clinical profile of hospitalized COVID-19 cases among insured persons residing in the western United States and receiving comprehensive, integrated healthcare from KP health plans. Cumulative incidence of hospitalized COVID-19 cases grew exponentially within these managed care cohorts in Northern California, Southern California, and Washington state from late February through mid-March, .....
Document: Our study provides an early assessment of the incidence and clinical profile of hospitalized COVID-19 cases among insured persons residing in the western United States and receiving comprehensive, integrated healthcare from KP health plans. Cumulative incidence of hospitalized COVID-19 cases grew exponentially within these managed care cohorts in Northern California, Southern California, and Washington state from late February through mid-March, 2020. The highest rates of incidence occurred among older adults, with 50% of hospitalizations occurring among adults ages ≥60 years and 25% of cases among adults ages ≥72 years. Consistent with differences in incidence of hospitalization, older patients experienced higher risks of ICU admission (among men) and death. Long durations of hospitalization, in particular among non-survivors, indicate the potential for substantial healthcare burden associated with management of severe COVID-19 cases.
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