In:
Infection Control & Hospital Epidemiology, Cambridge University Press (CUP), Vol. 42, No. 4 ( 2021-04), p. 399-405
Abstract:
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.
Type of Medium:
Online Resource
ISSN:
0899-823X
,
1559-6834
DOI:
10.1017/ice.2020.461
Language:
English
Publisher:
Cambridge University Press (CUP)
Publication Date:
2021
detail.hit.zdb_id:
639378-0
detail.hit.zdb_id:
2106319-9
