Characteristics and clinical outcomes of patients hospitalized with laboratory-confirmed COVID-19-Puerto Rico, March-August 2020.
Hannah R VolkmanJanice Pérez-PadillaJoshua M WongLiliana Sánchez-GonzálezLauren Acevedo-MolinaMartin Lugo-MenéndezCarene A Oliveras GarcíaLaura E AdamsVerónica M Frasqueri-QuintanaRobert Rodriguez-GonzalezJavier A González-CosmeAndrés E Calvo DíazLuisa I AlvaradoVanessa Rivera-AmillJessica BrownKaren K WongJorge Bertrán-PasarellGabriela Paz-BaileyPublished in: PloS one (2021)
Hispanics are the majority ethnic population in Puerto Rico where we reviewed charts of 109 hospitalized COVID-19 patients to better understand demographic and clinical characteristics of COVID-19 and determine risk factors for poor outcomes. Eligible medical records of hospitalized patients with confirmed COVID-19 illnesses were reviewed at four participating hospitals in population centers across Puerto Rico and data were abstracted that described the clinical course, interventions, and outcomes. We found hospitalized patients had a median of 3 underlying conditions with obesity and diabetes as the most frequently reported conditions. Intensive care unit (ICU) admission occurred among 28% of patients and 18% of patients died during the hospitalization. Patients 65 or older or with immune deficiencies had a higher risk for death. Common symptoms included cough, dyspnea, and fatigue; less than half of patients in the study reported fever which was less frequent than reported elsewhere in the literature. It is important for interventions within Hispanic communities to protect high-risk groups.
Keyphrases
- end stage renal disease
- intensive care unit
- ejection fraction
- newly diagnosed
- sars cov
- peritoneal dialysis
- systematic review
- type diabetes
- prognostic factors
- healthcare
- coronavirus disease
- physical activity
- metabolic syndrome
- emergency department
- patient reported outcomes
- insulin resistance
- adipose tissue
- depressive symptoms
- weight gain
- cardiovascular disease
- machine learning
- skeletal muscle
- weight loss
- mechanical ventilation
- patient reported