Characteristics of Adult Outpatients and Inpatients with COVID-19 — 11 Academic Medical Centers, United States, March–May 2020

Details

• Journal Article:
  Morbidity and Mortality Weekly Report (MMWR)
• Personal Author:
  Tenforde, Mark W. ; Billig Rose, Erica ; Lindsell, Christopher J. ; Shapiro, Nathan I. ; Files, D. Clark ; Gibbs, Kevin W. ; Prekker, Matthew E. ; Steingrub, Jay S. ; Smithline, Howard A. ; Gong, Michelle N. ; Aboodi, Michael S. ; Exline, Matthew C. ; Henning, Daniel J. ; Wilson, Jennifer G. ; Khan, Akram ; Qadir, Nida ; Stubblefield, William B. ; Patel, Manish M. ; Self, Wesley H. ; Feldstein, Leora R. ; Kassem, Ahmed M. ; Sciarratta, Courtney N. ; Dzuris, Nicole ; Marcet, Paula L. ; Siddula, Akshita ; Griggs, Eric P. ; Smith, Emily R. ; Ogokeh, Constance E. ; Wu, Michael ; Kim, Sara S.
• Corporate Authors:
  CDC COVID-19 Response Team
• Description:
  Descriptions of coronaVirus disease 2019 (COVID-19) in the United States have focused primarily on hospitalized patients. Reports documenting exposures to SARS-CoV-2, the Virus that causes COVID-19, have generally been described within congregate settings, such as meat and poultry processing plants (1) and long-term care facilities (2). Understanding individual behaviors and demographic characteristics of patients with COVID-19 and risks for severe illness requiring hospitalization can inform efforts to reduce Transmission. During April 15-May 24, 2020, telephone interviews were conducted with a random sample of adults aged ≥18 years who had positive reverse transcription-polymerase chain reaction (RT-PCR) test results for SARS-CoV-2 in outpatient and inpatient settings at 11 U.S. academic medical centers in nine states. Respondents were contacted 14-21 days after SARS-CoV-2 tTesting and asked about their demographic characteristics, underlying chronic conditions, symptoms experienced on the date of tTesting, and potential exposures to SARS-CoV-2 during the 2 weeks before illness onset (or the date of tTesting among those who did not report symptoms at the time of tTesting). Among 350 interviewed patients (271 [77%] outpatients and 79 [23%] inpatients), inpatients were older, more likely to be Hispanic and to report dyspnea than outpatients. Fewer inpatients (39%, 20 of 51) reported a return to baseline level of health at 14-21 days than did outpatients (64%, 150 of 233) (p = 0.001). Overall, approximately one half (46%) of patients reported known close contact with someone with COVID-19 during the preceding 2 weeks. This was most commonly a family member (45%) or a work colleague (34%). Approximately two thirds (64%, 212 of 333) of participants were employed; only 35 of 209 (17%) were able to telework. These findings highlight the need for screening, case investigation, contact tracing, and isolation of infected persons to control Transmission of SARS-CoV-2 infection during periods of community Transmission. The need for enhanced measures to ensure workplace safety, including ensuring social distancing and more widespread use of cloth face coverings, are warranted (3).
• Subjects:
  Academic Medical Centers Adult Aged CoronaVirus Infections COVID-19 Female Humans Inpatients Male Middle Aged Outpatients Pandemics Pneumonia, Viral Risk Factors Socioeconomic Factors

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• Source:
  MMWR Morbidity Mortal Weekly Rep. 69(26):841-846
• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• ISSN:
  0149-2195 (print) ; 1545-861X (digital)
• Pubmed ID:
  32614810
• Pubmed Central ID:
  PMC7332092
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Pages in Document:
  6 pdf pages
• Volume:
  69
• Issue:
  26
• Collection(s):
  Morbidity and Mortality Weekly Report (MMWR)
• Main Document Checksum:
  urn:sha-512:9c14b18bcb530dd4c8d5825b6d3b787edd1f9355edd09bcca8e4fcc2a73dacea12f98439b5f8e72cace8b387a6dcade9175849c41f43d9faf52b361e3588fc2a
• Download URL:
  https://stacks.cdc.gov/view/cdc/90685/cdc_90685_DS1.pdf
• File Type:
  [PDF - 115.74 KB ]