Details:

Personal Author:
Garg, Shikha ; Kim, Lindsay ; Whitaker, Michael ; O’Halloran, Alissa ; Cummings, Charisse ; ... More +
Garg, Shikha ; Kim, Lindsay ; Whitaker, Michael ; O’Halloran, Alissa ; Cummings, Charisse ; Holstein, Rachel ; Prill, Mila ; Chai, Shua J. ; Kirley, Pam D. ; Alden, Nisha B. ; Kawasaki, Breanna ; Yousey-Hindes, Kimberly ; Niccolai, Linda ; Anderson, Evan J. ; Openo, Kyle P. ; Weigel, Andrew ; Monroe, Maya L. ; Ryan, Patricia ; Henderson, Justin ; Kim, Sue ; Como-Sabetti, M. Kathy ; Lynfield, Ruth ; Sosin, Daniel ; Torres, P. Salina ; Muse, Alison ; Bennett, Nancy M. ; Billing, Laurie ; Sutton, Melissa ; Nicole West, MPH20 ; Schaffner, William ; Talbot, H. Keipp ; Aquino, Clarissa ; George, Andrea ; Budd, Alicia ; Brammer, Lynnette ; Langley, Gayle ; Hall, Aron J. ; Fry, Alicia Less -
Corporate Authors:
CDC COVID-NET Team.
Description:
What is added by this report? COVID-NET was implemented to produce robust, weekly, age-stratified COVID-19–associated hospitalization rates. Hospitalization rates increase with age and are highest among older adults; the majority of hospitalized patients have underlying conditions.

What are the implications for public health practice? Strategies to prevent COVID-19, including social distancing, respiratory hygiene, and face coverings in public settings where social distancing measures are difficult to maintain, are particularly important to protect older adults and those with underlying conditions. Ongoing monitoring of hospitalization rates is critical to understanding the evolving epidemiology of COVID-19 in the United States and to guide planning and prioritization of health care resources.

Since SARS-CoV-2, the novel coronavirus that causes coronavirus disease 2019 (COVID-19), was first detected in December 2019 (1), approximately 1.3 million cases have been reported worldwide (2), including approximately 330,000 in the United States (3). To conduct population-based surveillance for laboratory-confirmed COVID-19–associated hospitalizations in the United States, the COVID-19–Associated Hospitalization Surveillance Network (COVID-NET) was created using the existing infrastructure of the Influenza Hospitalization Surveillance Network (FluSurv-NET) (4) and the Respiratory Syncytial Virus Hospitalization Surveillance Network (RSV-NET). This report presents age-stratified COVID-19–associated hospitalization rates for patients admitted during March 1–28, 2020, and clinical data on patients admitted during March 1–30, 2020, the first month of U.S. surveillance. Among 1,482 patients hospitalized with COVID-19, 74.5% were aged ≥50 years, and 54.4% were male. The hospitalization rate among patients identified through COVID-NET during this 4-week period was 4.6 per 100,000 population. Rates were highest (13.8) among adults aged ≥65 years. Among 178 (12%) adult patients with data on underlying conditions as of March 30, 2020, 89.3% had one or more underlying conditions; the most common were hypertension (49.7%), obesity (48.3%), chronic lung disease (34.6%), diabetes mellitus (28.3%), and cardiovascular disease (27.8%). These findings suggest that older adults have elevated rates of COVID-19–associated hospitalization and the majority of persons hospitalized with COVID-19 have underlying medical conditions. These findings underscore the importance of preventive measures (e.g., social distancing, respiratory hygiene, and wearing face coverings in public settings where social distancing measures are difficult to maintain)† to protect older adults and persons with underlying medical conditions, as well as the general public. In addition, older adults and persons with serious underlying medical conditions should avoid contact with persons who are ill and immediately contact their health care provider(s) if they have symptoms consistent with COVID-19 (https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html) (5). Ongoing monitoring of hospitalization rates, clinical characteristics, and outcomes of hospitalized patients will be important to better understand the evolving epidemiology of COVID-19 in the United States and the clinical spectrum of disease, and to help guide planning and prioritization of health care system resources.

Suggested citation for this article: Garg S, Kim L, Whitaker M, et al. Hospitalization Rates and Characteristics of Patients Hospitalized with Laboratory-Confirmed Coronavirus Disease 2019 — COVID-NET, 14 States, March 1–30, 2020. MMWR Morb Mortal Wkly Rep. ePub: 8 April 2020. DOI: http://dx.doi.org/10.15585/mmwr.mm6915e

mm6915e3-H.pdf


Content Notes:
Seven Clusters of COVID-19 Cases Suggesting Presymptomatic Transmission -- Discussion.
Subject:
[+]
Coronavirus Infections COVID-19 Laboratories Patients Public Health Surveillance
Series:
MMWR. Morbidity and mortality weekly report ; v. 69, early release, April 8, 2020
Document Type:
Journal Article
Name as Subject:
COVID-NET ; COVID-NET
COVID-NET ; COVID-NET Less -
Place as Subject:
California ; Colorado ; Connecticut ; Georgia ; Iowa ; ... More +
California ; Colorado ; Connecticut ; Georgia ; Iowa ; Maryland ; Michigan ; Minnesota ; New Mexico ; New York ; Ohio ; Oregon ; Tennessee ; Utah Less -
Collection(s):
Morbidity and Mortality Weekly Report (MMWR)
Main Document Checksum:
[+]
urn:sha256:d44eb30bacda59b9738c232eaf4a62742d28661d5c8e9e09f3a6c53d476dbc03
Download URL:
https://stacks.cdc.gov/view/cdc/86626/cdc_86626_DS1.pdf
File Type:

Supporting Files

• mm6915e3.htm?s_cid=mm6915e3_w

  htm

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