Predictors of Hospitalization for Patients Presenting to Emergency Department with COVID-19 Infection

Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(2), P. 413 - 413

Published: Jan. 10, 2025

Background: Predictors of morbidity and mortality in hospitalized COVID-19 patients have been extensively studied. However, comparative analyses predictors for hospitalization versus discharge from the emergency department remain limited. Methods: This retrospective study evaluated among adults (≥18 years) presenting to with infection between 1 March 2020 15 June 2020. Data were obtained electronic health records across five hospitals within Johns Hopkins Health System, encompassing 2513 beds. Multivariable logistic regression models employed assess association sociodemographic characteristics, clinical symptoms, comorbidities hospitalization. Results: Of 2767 department, 1678 (61%) hospitalized, while 1089 (39%) discharged department. Hospitalized older (mean age 61.8 years, SD 18), more likely be African American White, non-Hispanic, unemployed or on disability, medically insured, had access primary care, presented weekends. Smoking status, alcohol use, higher comorbidity burden age-adjusted Charlson Comorbidity Index > 3) also prevalent Dyspnea was a prominent feature patients. After adjusting risk factors, significant included insurance (OR 3.44; 95% CI: 1.98-6), having care 1.85; 1.33-2.59), presentation non-home locale 4.04; 1.93-8.47), CCI 3 1.72; 1.11-2.68), dyspnea 2.22; 1.56-3.17), neutrophil-to-lymphocyte ratio ≥ 2.17; 1.54-3.06), an abnormal chest radiograph findings 6.17; 4.40-8.66). Interestingly, obesity, defined as BMI 30 kg/m2 0.45; 0.32-0.64), presence fever 0.64; 0.43-0.95) found associated decreased likelihood Conclusions: Future studies are warranted further explore hospitalization, particular focus implications weekend presentations paradoxical relationship obesity outcomes. These could inform development triage enhance preparedness future pandemics.

Language: Английский

PERFIL EPIDEMIOLÓGICO DOS ÓBITOS POR COVID-19 NO PERÍODO DE 2020-2024 EM RESIDENTES DE CASCAVEL-PR

Revista Multidisciplinar do Nordeste Mineiro, Journal Year: 2024, Volume and Issue: 12(3), P. 1 - 16

Published: Nov. 29, 2024

O objetivo foi estudar o perfil epidemiológico e de vacinação dos pacientes que foram a óbito por COVID-19 residentes do município Cascavel-PR. Estudo ecológico, série temporal, realizado mediante análise dados mortalidade em Cascavel-Paraná entre 30 março 2020 31/07/2024 disponibilizados publicamente meio boletins epidemiológicos da secretaria saúde. Cascavel-PR registrou 1319 óbitos COVID-19, sendo 186 sem comorbidades 1133 com pelo menos uma. sexo masculino predominante representando 59,9% óbitos. Com comorbidade, comparado as mulheres, morreu mais jovem (68,1 para 68,3 55,7 64,1 anos, respectivamente). Uma comorbidade cardiovascular esteve presente 48,7% óbitos, seguido uma condição endócrino-metabólica (26,06%), doença neuro-psiquiátrica 9,26%, pulmonar 7,39%, algum tipo câncer 2,98% 2,76% apresentaram distúrbio renal. Comorbidades reumatológicas, hepáticas, imune, dermatológicas, hematológicas outras somadas representaram 3,03%. relação aos possuíam hipertensão arterial prevalente. Dentre metabólicas, destaque diabetes obesidade. Foi possível notar independente ou número associadas maior expectativa vida se deu naqueles vacinas recebidas.