Characteristics and Clinical Outcomes of Adult Patients Hospitalized with COVID-19 — Georgia, March 2020

Details

• Journal Article:
  Morbidity and Mortality Weekly Report (MMWR)
• Personal Author:
  Gold, Jeremy A. W. ; Wong, Karen K. ; Szablewski, Christine M. ; Patel, Priti R. ; Rossow, John ; da Silva, Juliana ; Natarajan, Pavithra ; Morris, Sapna Bamrah ; Fanfair, Robyn Neblett ; Rogers-Brown, Jessica ; Bruce, Beau B. ; Browning, Sean D. ; Hernandez-Romieu, Alfonso C. ; Furukawa, Nathan W. ; Kang, Mohleen ; Evans, Mary E. ; Oosmanally, Nadine ; Tobin-D’Angelo, Melissa ; Drenzek, Cherie ; Murphy, David J. ; Hollberg, Julie ; Blum, James M. ; Jansen, Robert ; Wright, David W. ; Sewell, William M. ; Owens, Jack D. ; Lefkove, Benjamin ; Brown, Frank W. ; Burton, Deron C. ; Uyeki, Timothy M. ; Bialek, Stephanie R. ; Jackson, Brendan R.
• Description:
  SARS-CoV-2, the novel coronaVirus that causes coronaVirus disease 2019 (COVID-19), was first detected in the United States during January 2020 (1). Since then, >980,000 cases have been reported in the United States, including >55,000 associated deaths as of April 28, 2020 (2). Detailed data on demographic characteristics, underlying medical conditions, and clinical outcomes for persons hospitalized with COVID-19 are needed to inform Prevention strategies and community-specific intervention messages. For this report, CDC, the Georgia Department of Public Health, and eight Georgia hospitals (seven in metropolitan Atlanta and one in southern Georgia) summarized medical record-abstracted data for hospitalized adult patients with laboratory-confirmed* COVID-19 who were admitted during March 2020. Among 305 hospitalized patients with COVID-19, 61.6% were aged <65 years, 50.5% were female, and 83.2% with known race/ethnicity were non-Hispanic black (black). Over a quarter of patients (26.2%) did not have conditions thought to put them at higher risk for severe disease, including being aged ≥65 years. The proportion of hospitalized patients who were black was higher than expected based on overall hospital admissions. In an adjusted time-to-event Analysis, black patients were not more likely than were nonblack patients to receive invasive mechanical ventilation| (IMV) or to die during hospitalization (hazard ratio [HR] = 0.63; 95% confidence interval [CI] = 0.35-1.13). Given the overrepresentation of black patients within this hospitalized cohort, it is important for public health officials to ensure that Prevention activities prioritize communities and racial/ethnic groups most affected by COVID-19. Clinicians and public officials should be aware that all adults, regardless of underlying conditions or age, are at risk for serious illness from COVID-19.
• Subjects:
  Adolescent Adult Aged Aged, 80 And Over Black Or African American Cohort Studies Comorbidity CoronaVirus Infections COVID-19 Hospitalization Humans Middle Aged Pandemics Pneumonia, Viral Risk Factors Treatment Outcome Young Adult

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• Source:
  MMWR Morbidity Mortal Weekly Rep. 69(18):545-550
• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• ISSN:
  0149-2195 (print) ; 1545-861X (digital)
• Pubmed ID:
  32379729
• Pubmed Central ID:
  PMC7737948
• Document Type:
  Journal Article
• Place as Subject:
  Georgia
• Pages in Document:
  6 pdf pages
• Volume:
  69
• Issue:
  18
• Collection(s):
  Morbidity and Mortality Weekly Report (MMWR)
• Main Document Checksum:
  urn:sha-512:237b1765267fc4c445f6f7f03e17a36a8889651d9376dba90cfff5373cbafde094fff034940fa071529d916a29a4d6edf94d3c62a47004b2a086c3e045999be0
• Download URL:
  https://stacks.cdc.gov/view/cdc/99481/cdc_99481_DS1.pdf
• File Type:
  [PDF - 144.32 KB ]