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The Epidemiology and Predictors of Outcomes Among Confirmed COVID-19 Cases in a Large Community Healthcare System in South Florida
- Source :
- Journal of Community Health
- Publication Year :
- 2021
- Publisher :
- Springer Science and Business Media LLC, 2021.
-
Abstract
- The novel coronavirus disease 2019 (COVID-19) continues to be a major public health concern. The aim of this study was to describe the presenting characteristics, epidemiology and predictors of outcomes among confirmed COVID-19 cases seen at a large community healthcare system which serves the epicenter and diverse region of Florida. We conducted a retrospective analysis of individuals with lab-confirmed SARS-CoV-2 infection who were seen, from March 2, 2020 to May 31, 2020, at Memorial Healthcare System in South Florida. Data was extracted from a COVID-19 registry of patients with lab-confirmed SARS-CoV-2 infection. Univariate and backward stepwise multivariate logistic regression models were used to determine predictors of key study outcomes. There were a total of 1692 confirmed COVID-19 patients included in this study. Increasing age was found to be a significant predictor of hospitalization, 30-day readmission and death. Having a temperature of 38 °C or more and increasing comorbidity score were also associated with an increased risk of hospitalization. Significant predictors of ICU admission included having a saturated oxygen level less than 90%, hypertension, dementia, rheumatologic disease, having a respiratory rate greater than 24 breaths per minute. Being of Hispanic ethnicity and immunosuppressant utilization greatly increased the risk of 30-day readmission. Having an oxygen saturation less than 90% and an underlying neurological disorder were associated with an increased likelihood of death. Results show that a patient’s demographic, underlying condition and vitals at triage may increase or reduce their risk of hospitalization, ICU admission, 30-day readmission or death. Supplementary Information The online version contains supplementary material available at 10.1007/s10900-020-00957-y.
- Subjects :
- Male
Health (social science)
Epidemiology
Aftercare
Angiotensin-Converting Enzyme Inhibitors
Neurological disorder
Logistic regression
01 natural sciences
Racial/ethnic disparities
0302 clinical medicine
Outcome Assessment, Health Care
030212 general & internal medicine
Child
Oxygen saturation (medicine)
Aged, 80 and over
Infectious disease
Middle Aged
Patient Discharge
Hospitalization
Intensive Care Units
Child, Preschool
Florida
Female
Adult
medicine.medical_specialty
Adolescent
Respiratory rate
Outcomes
Patient Readmission
Health(social science)
Angiotensin Receptor Antagonists
Young Adult
03 medical and health sciences
medicine
Humans
Dementia
Mortality
0101 mathematics
Aged
Retrospective Studies
Original Paper
SARS-CoV-2
business.industry
Public health
010102 general mathematics
Infant, Newborn
Public Health, Environmental and Occupational Health
COVID-19
Infant
medicine.disease
Triage
Emergency medicine
business
Delivery of Health Care
Subjects
Details
- ISSN :
- 15733610 and 00945145
- Volume :
- 46
- Database :
- OpenAIRE
- Journal :
- Journal of Community Health
- Accession number :
- edsair.doi.dedup.....fe95196b6916d7a44a6ba2b256be16c6